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SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
SOUTH CAROLINA DEPT OF MENTAL HEALTH ACCOUNTING OFFICE
NPI: 1649512765
· COLUMBIA, SC 29201
· Case Management Agency
· NPI assigned 03/27/2013
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
94% of spending on code T1016 with only 2 total codes billed. Highly concentrated billing profile.
$7.19M
Total Medicaid Paid
Provider Details
| Authorized Official | LATIFF-BOLET, LIGIA (DIRECTOR, QUALITY MANAGEMENT & COMP) |
| NPI Enumeration Date | 03/27/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
32,565 |
$1.38M |
| 2019 |
26,389 |
$1.13M |
| 2020 |
29,456 |
$1.16M |
| 2021 |
25,864 |
$1.02M |
| 2022 |
19,796 |
$796K |
| 2023 |
28,640 |
$973K |
| 2024 |
18,836 |
$736K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1016 |
Case management, each 15 minutes |
175,478 |
89,737 |
$6.76M |
| T1017 |
Targeted case management, each 15 minutes |
6,068 |
4,586 |
$429K |