Agency
Rubicon, INC.
Rubicon, INC. was paid $355K by Medicaid between Jan 2018 and Oct 2024, across 8 billing codes. Its largest line is H0001, Alcohol and/or drug assessment — 41% of everything it billed.
33Billing provider infoRUBICON, INC.
HARTSVILLE, SC 29550
HARTSVILLE, SC 29550
33aNPI1477617876assigned 12/20/2006
33bProvider typeCommunity/Behavioral Health Agency
28Total paid$355K
24GClaims5,619
24DCodes billed8
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers
Next to other Community/Behavioral Health Agency providers in South Carolina
Rank by total paid#43 of 79
Median peer was paid$526K
This provider vs. median0.7×
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 | 1,084 | $63K | |
| 2019 | 1,537 | $88K | |
| 2020 | 952 | $55K | |
| 2021 | 636 | $44K | |
| 2022 | 448 | $37K | |
| 2023 | 828 | $60K | |
| 2024incomplete | 134 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0001 | Alcohol and/or drug assessment | 41% | 1,012 | 993 | $145K |
| H0005 | Alcohol and/or drug services; group counseling by a clinician | 26% | 1,879 | 798 | $91K |
| H0032 | Mental health service plan development by non-physician | 20% | 1,641 | 1,581 | $71K |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 8.7% | 466 | 292 | $31K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | 3.2% | 233 | 112 | $11K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 224 | 123 | $3K |
| 99408 | <1% | 150 | 146 | $3K | |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | <1% | 14 | 12 | $695.24 |
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 officialMCELVEEN, WINSTON (EXECUTIVE DIRECTOR)