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MENTAL HEALTH AMERICA OF SOUTH CAROLINA
MENTAL HEALTH AMERICA OF SOUTH CAROLINA
NPI: 1043534191
· CAYCE, SC 29033
· Community/Behavioral Health Agency
· NPI assigned 03/18/2010
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2030 with only 2 total codes billed. Highly concentrated billing profile.
$6.67M
Total Medicaid Paid
Provider Details
| Authorized Official | FRANKEL, ANDREW (CLINICAL DIRECTOR) |
| NPI Enumeration Date | 03/18/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
14,347 |
$1.40M |
| 2019 |
19,029 |
$1.83M |
| 2020 |
6,829 |
$626K |
| 2021 |
7,135 |
$706K |
| 2022 |
8,442 |
$830K |
| 2023 |
4,041 |
$383K |
| 2024 |
8,634 |
$891K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2030 |
Mental health clubhouse services, per 15 minutes |
67,713 |
6,039 |
$6.64M |
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
744 |
166 |
$25K |