Pivotal Solutions, LLC

Pivotal Solutions, LLC was paid $97K by Medicaid between May 2019 and Jan 2021, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 68% of everything it billed.

33Billing provider infoPIVOTAL SOLUTIONS, LLC
MYRTLE BEACH, SC 29579

33aNPI1346634359assigned 03/27/2015

33bProvider typeMental Health Counselor

28Total paid$97K

24GClaims1,029

24DCodes billed3

24AFirst – last monthMay 2019 – Jan 2021

Compared with peers

Next to other Mental Health Counselor providers in South Carolina

Rank by total paid#59 of 136

Median peer was paid$80K

This provider vs. median1.2×

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.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	531	$56K
2020	467	$38K
2021	31	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
90837	Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient	68%	700	235	$66K
90847	Family psychotherapy with the patient present, 50 minutes	31%	294	96	$30K
99367		1.1%	35	26	$1K

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.

From NPPES

Who's on the registration

Authorized officialCOX, D (EXECUTIVE DIRECTOR)