Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or South Carolina for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to South Carolina only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. South Carolina (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

South Carolina Dept Of Mental Health Accounting Office (NPI 1841374972)

Field	Value
Entity Type	Organization
Organization	South Carolina Dept Of Mental Health Accounting Office
Address	301 Palmetto Park Blvd
City	Lexington
State	SC
ZIP	29072
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	October 25, 2006

Payer Source	Total Paid
Medicaid	$32M
Medicare	$0

Key Findings

This entity is effectively a Medicaid-focused behavioral health provider: it reports no Medicare revenue and $32M in lifetime Medicaid revenue, indicating operations are funded almost entirely through Medicaid rather than Medicare and that analyses should treat it as a single-payer (Medicaid) billing profile. The absence of Medicare billing on file means comparative national Medicare benchmarks are not applicable for evaluating its clinical or business footprint.

Medicaid revenue is concentrated in a small set of psychotherapy and assessment services: the three highest-revenue Medicaid codes (90834, H0031, 90837) together account for 52.8% of the provider’s total Medicaid revenue, signaling reliance on psychotherapy sessions and non-physician mental health assessments as core service lines. This concentration implies clinical capacity and scheduling are likely optimized for individual psychotherapy and assessment throughput.

Code-level volumes show this provider delivers high-intensity outpatient psychotherapy at scale: 90834 (54.6K claims, $7.7M) and 90837 (19.6K claims, $3.8M) together represent large volumes of 38–52 minute and 53+ minute sessions, respectively, suggesting a mix of standard and extended psychotherapy encounters in their care model. These volumes point to a clinic-centered, visit-based service delivery model rather than medication-only or inpatient-focused care.

Competitive standing within the state is strong on key codes: the provider ranks in very high percentiles for multiple high-revenue Medicaid codes — 90834 ranks #5 of 210 providers (98th percentile, described as an extreme outlier) and 90832 ranks #5 of 163 providers (98th percentile, also an extreme outlier). These rankings characterize the provider as a major statewide participant for psychotherapy services, substantially above typical in-state volumes.

Non-physician assessment and evaluation services are also a major revenue driver: H0031 (36.8K claims, $5.4M; ranks #7 of 84 providers, 93rd percentile) and 90792 (5.6K claims, $2.9M; ranks #11 of 85 providers, 88th percentile) together reflect heavy use of mental health assessments and psychiatric evaluations. The profile indicates integrated use of non-physician assessment workflows and physician evaluation visits, supporting both intake/diagnostic capacity and ongoing treatment planning.

The provider also shows breadth across family and collaborative psychotherapy codes, indicating multi-modal outpatient programming: 90847 (10.9K claims, $2.4M; 97th percentile) and 90846 (5.2K claims, $1.2M; 95th percentile) are notable revenue contributors, signaling substantial family-involved therapy offerings and a focus on systemic treatment approaches in addition to individual psychotherapy. This suggests programming that includes family counseling as a routine part of care.

Clinical support and crisis services appear in the mix but at smaller revenue shares: H2011 (crisis intervention, $493.8K; ranks #3 of 35, 94th percentile) and H2017 (psychosocial rehabilitation, $360.5K; 48th percentile) indicate the organization provides crisis and rehabilitation services, though these are secondary to psychotherapy and assessment in revenue contribution. The presence of H2011 at a high percentile suggests a notable role in crisis response relative to peer providers.

The provider has long tenure in the NPI registry, having enumerated on 2006-10-25 (~20 years ago), which supports interpreting current high-volume Medicaid billing as the outcome of an established service footprint and sustained operational presence in Lexington, SC. Long enumeration combined with concentrated Medicaid revenue implies institutional experience in state Medicaid programs and likely established referral pathways.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	54,580	$140	$7.7M
H0031	Mental health assessment, by non-physician	36,830	$150	$5.4M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	19,570	$190	$3.8M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	18,880	$190	$3.5M
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	5,570	$520	$2.9M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	35,680	$70	$2.5M
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	10,940	$220	$2.4M
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	5,180	$230	$1.2M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	6,220	$100	$621.7K
T1002	Rn services, up to 15 minutes	10,600	$60	$614.6K

Showing 1–10 of 20

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other South Carolina providers billing the same CPT/HCPCS codes.

Claims Volume vs. South Carolina Distribution

South Carolina Dept Of Mental Health Accounting Office — 6 of 19 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2017	Psychosocial rehabilitation services, per 15 minutes	27	50	9,030	$60	$1.5M
H0031	Mental health assessment, by non-physician	7	80	180	$150	$1.2M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5	210	320	$130	$707.4K
90792	In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical…	11	90	260	$430	$688.8K
T1002	Rn services, up to 15 minutes	31	100	5,080	$60	$611.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	27	650	800	$120	$413.8K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	5	160	270	$70	$268.1K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	9	240	260	$160	$257.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	316	2,770	210	$60	$254.5K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	79	2,480	350	$80	$246K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with South Carolina Dept Of Mental Health Accounting Office, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$65.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$61.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.7M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.9M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40.5M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$40M
South Carolina Department Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$36M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$30.2M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$29.1M
South Carolina Dept Of Mental Health Accounting Office	SC	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$28M

Nearby Providers

Other providers in the same ZIP code as South Carolina Dept Of Mental Health Accounting Office, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southern Medical Management, LLC	SC	Pediatrics Physician	$0	$43.9M
Allcaregivers, Inc.	SC	Nursing Care Agency	$0	$33.3M
Lexington County Ems	SC	Ambulance	$2.9M	$6.9M
Lexington Health Inc	SC	Urgent Care Clinic/Center	$0	$8.7M
Key Care Health Services, LLC	SC	Home Health Agency	$0	$8.5M
Capital City Therapy Group, LLC	SC	Specialist	$0	$7.3M
Health Promotion Specialists	SC	Dental Hygienist	$0	$6.5M
Lexington School District One	SC	Local Education Agency (LEA)	$0	$5.7M
Lexington Health Inc	SC	Pediatric Adolescent Medicine Physician	$0	$5.7M
Amedisys Sc, LLC	SC	Home Health Agency	$0	$4.5M

South Carolina Dept Of Mental Health Accounting Office — Billing Profile & Reimbursement Data

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South Carolina Dept Of Mental Health Accounting Office — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References