South Carolina Dept of Mental Health Accounting Office
South Carolina Dept of Mental Health Accounting Office was paid $32.00M by Medicaid between Jan 2018 and Nov 2024, across 20 billing codes. Its largest line is 90834, psychotherapy session, about 45 minutes — 24% of everything it billed.
LEXINGTON, SC 29072
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 | 32,126 | $4.41M | |
| 2019 | 36,559 | $5.07M | |
| 2020 | 35,527 | $5.00M | |
| 2021 | 36,297 | $5.05M | |
| 2022 | 34,491 | $4.51M | |
| 2023 | 32,444 | $4.40M | |
| 2024incomplete | 25,130 | $3.56M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 24% | 54,581 | 36,641 | $7.71M |
| H0031 | Mental health assessment, by non-physician | 17% | 36,828 | 29,693 | $5.41M |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 12% | 19,567 | 12,808 | $3.79M |
| 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 | 11% | 18,879 | 17,421 | $3.51M |
| 90792 | Psychiatric diagnostic evaluation with medical services | 9.1% | 5,574 | 5,280 | $2.91M |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 7.9% | 35,683 | 24,444 | $2.52M |
| 90847 | Family psychotherapy with the patient present, 50 minutes | 7.6% | 10,936 | 8,884 | $2.43M |
| 90846 | Family psychotherapy without the patient present, 50 minutes | 3.7% | 5,181 | 3,515 | $1.17M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1.9% | 6,217 | 5,757 | $622K |
| T1002 | Rn services, up to 15 minutes | 1.9% | 10,596 | 9,747 | $616K |
| H2011 | Crisis intervention service, per 15 minutes | 1.5% | 4,185 | 3,107 | $493K |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 1.1% | 8,194 | 2,965 | $363K |
8 more codes
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 2,432 | $174K |
| H0038 | Self-help/peer services, per 15 minutes | <1% | 3,951 | $171K |
| J1631 | Injection, haloperidol decanoate, per 50 mg | <1% | 1,359 | $45K |
| H0032 | Mental health service plan development by non-physician | <1% | 872 | $41K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 7,173 | $23K |
| J2680 | Injection, fluphenazine decanoate, up to 25 mg | <1% | 192 | $2K |
| 99366 | <1% | 13 | $1K | |
| J2426 | Injection, paliperidone palmitate extended release (invega sustenna), 1 mg | <1% | 161 | $1.61 |
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.