Outside of the Box Therapy

Outside of the Box Therapy was paid $674K by Medicaid between Mar 2018 and Dec 2024, across 3 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 95% of everything it billed.

33Billing provider infoOUTSIDE OF THE BOX THERAPY
GAFFNEY, SC 29341

33aNPI1386190288assigned 08/30/2016

33bProvider typeMental Health Counselor

28Total paid$674K

24GClaims6,157

24DCodes billed3

24AFirst – last monthMar 2018 – Dec 2024

Compared with peers

Next to other Mental Health Counselor providers in South Carolina

Rank by total paid#20 of 136

Median peer was paid$80K

This provider vs. median8.4×

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
2018	186	$19K
2019	740	$82K
2020	799	$85K
2021	1,048	$119K
2022	686	$69K
2023	507	$43K
2024incomplete	2,191	$256K

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	95%	5,905	3,220	$638K
90791	Psychiatric diagnostic evaluationPsychiatric diagnostic evaluation	4.7%	210	207	$32K
90847	Family psychotherapy with the patient present, 50 minutes	<1%	42	39	$4K

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 officialROGERS LARKE, CHRISTIE (CLINICAL DIRECTOR)