South Carolina Dept of Mental Health Accounting Office
South Carolina Dept of Mental Health Accounting Office was paid $7.13M by Medicaid between Jan 2018 and Jun 2019, across 22 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 25% of everything it billed.
SIMPSONVILLE, SC 29681
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in South Carolina
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 37,972 | $4.55M | |
| 2019 | 20,142 | $2.58M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 25% | 11,921 | 7,419 | $1.81M |
| H0031 | Mental health assessment, by non-physician | 18% | 8,386 | 6,487 | $1.25M |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 16% | 6,356 | 5,761 | $1.17M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.8% | 1,256 | 1,181 | $701K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 9.3% | 10,590 | 1,585 | $662K |
| T1002 | Rn services, up to 15 minutes | 5.8% | 6,619 | 5,756 | $411K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 2.8% | 844 | 742 | $196K |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 1.8% | 547 | 510 | $127K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 1.4% | 1,258 | 435 | $101K |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.4% | 418 | 297 | $98K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.4% | 454 | 396 | $96K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 1.3% | 1,225 | 1,040 | $95K |
10 more codes
| H0032 | Mental health service plan development by non-physician | 1.2% | 2,110 | $86K |
| 99213 | Doctor's office visit, returning patient (routine) | 1.1% | 819 | $82K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 1,296 | $69K |
| 99367 | <1% | 794 | $62K | |
| 99366 | <1% | 631 | $49K | |
| H2011 | Crisis intervention service, per 15 minutes | <1% | 244 | $46K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 1,955 | $7K |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 248 | $3K |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 128 | $1K |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 15 | $330.85 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.