Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Oklahoma for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Oklahoma only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Oklahoma (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Grand Lake Mental Health Center, Inc. (NPI 1053317883)

Field	Value
Entity Type	Organization
Organization	Grand Lake Mental Health Center, Inc.
Address	6333 E Skelly Dr
City	Tulsa
State	OK
ZIP	74135
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 27, 2005

Payer Source	Total Paid
Medicaid	$38.5M
Medicare	$0

Key Findings

GRAND LAKE MENTAL HEALTH CENTER, INC. is effectively a single-payer Medicaid provider: there is no Medicare billing on file and the provider reports $38.5M in lifetime Medicaid revenue, indicating Medicaid is the dominant — effectively sole — public payer represented in the data. This concentration implies analyses of commercial or Medicare exposure will not be possible from claims alone.

Revenue is highly concentrated in a small set of residential behavioral-health codes: H0019, H0010, and H2034 together account for 96.7% of the provider's Medicaid revenue. The single largest source is H0019 ($30.3M, 78.6% of Medicaid revenue), followed by H0010 ($6.7M, 17.3%), and H2034 ($323.2K, 0.8%), showing the business is driven by inpatient/residential per‑diem services rather than routine outpatient billing.

The mix of leading codes indicates the organization operates primarily as a residential behavioral health and substance-use treatment provider: H0019 is long-term residential behavioral health per diem and H0010 is residential sub-acute detoxification, while H2034 covers halfway house services. Together these codes point to an operational model centered on multi-day residential stays and recovery program capacity rather than brief outpatient encounters.

Competitive standing for core residential services is dominant within Oklahoma: the provider ranks #1 of 17 for H0019 (100th percentile; notably above typical state volume for this code), #1 of 3 for H0010 (100th percentile; described as typical for the code), and #1 of 2 for H2034 (100th percentile). Those ranks indicate GRAND LAKE is a leading statewide provider for these specific residential addiction and behavioral-health services.

Although residential codes dominate revenue, the provider also bills outpatient evaluation-and-management codes at modest levels. For example, 99204 shows 1.5K claims and $215.4K revenue (0.6% of Medicaid revenue) at the 90th percentile, and 99205 shows 1.2K claims and $213.5K revenue (0.6% of Medicaid revenue) while ranking #7 of 149 (96th percentile; notably above typical state volume), suggesting relatively higher use of high‑complexity new‑patient E/M visits compared with many in‑state peers despite their small share of total revenue.

The provider also reports ancillary testing and counseling claims beyond residential per‑diem services: 87811 (COVID immunoassay) appears with 2.3K claims and $94.1K revenue (0.2% of Medicaid revenue) and ranks #10 of 108 (92th percentile), and H0004 (behavioral health counseling) yields 2.2K claims and $136K revenue (0.4% of Medicaid revenue). These entries show supplementary service lines that support clinical throughput but do not materially shift the revenue mix away from residential services.

GRAND LAKE has a long tenure in the NPI registry (NPI enumerated: 2005-06-27 (~21 years ago)), which together with the concentrated, high-volume residential billing profile suggests an established, facility-based behavioral health operation that has maintained a consistent role in state Medicaid service delivery for over two decades.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

17 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	32,890	$920	$30.3M
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	8,120	$820	$6.7M
H2034	Alcohol and/or drug abuse halfway house services, per diem	1,240	$260	$323.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	1,470	$150	$215.4K
99205	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the provider…	1,150	$190	$213.5K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	2,750	$70	$184K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,770	$100	$179.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	1,090	$130	$146.6K
H0004	Behavioral health counseling and therapy, per 15 minutes	2,230	$60	$136K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	2,300	$40	$94.1K

Showing 1–10 of 17

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Oklahoma providers billing the same CPT/HCPCS codes.

Claims Volume vs. Oklahoma Distribution

Grand Lake Mental Health Center, Inc. — 5 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

17 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0010	Alcohol and/or drug services; sub‑acute detoxification (residential addiction program inpatient)	1	10	4,420	$950	$4M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1	20	2,680	$680	$3.8M
H0004	Behavioral health counseling and therapy, per 15 minutes	436	620	6,640	$70	$1.2M
H2034	Alcohol and/or drug abuse halfway house services, per diem	1	10	860	$750	$639.7K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	568	1,680	820	$90	$307K
H2017	Psychosocial rehabilitation services, per 15 minutes	227	240	1,280	$50	$259.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	492	1,750	870	$70	$254.4K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	71	720	120	$150	$94.5K
T1017	Targeted case management, each 15 minutes	140	280	930	$30	$88.4K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	32	300	100	$150	$79.5K

Showing 1–10 of 17

Related Providers

Other providers that share a Tax Identification Number (TIN) with Grand Lake Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$47.2M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$38.3M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.8M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$23M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$22.5M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$15.9M
Grand Lake Mental Health Center Inc	OK	Community/Behavioral Health Agency	$0	$15.4M
Grand Lake Mental Health Center Inc	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11.7M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$11M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$9.8M

Nearby Providers

Other providers in the same ZIP code as Grand Lake Mental Health Center, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
D & D Services Inc	OK	Nursing Care Agency	$0	$119.1M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Pediatrics Physician	$0	$43.2M
Family & Children's Services, Inc	OK	Community/Behavioral Health Agency	$0	$25.4M
Creoks Mental Health Services	OK	Community/Behavioral Health Agency	$0	$17.3M
Board Of Regents Of The University Of Oklahoma Ou Physicians Tulsa	OK	Internal Medicine Physician	$0	$15.6M
Osu Center For Health Sciences	OK	Clinic/Center	$0	$11.4M
Therapy 4 Kids Inc	OK	Pediatric Occupational Therapist	$0	$8.4M
Life Senior Services, Inc	OK	Case Management Agency	$0	$6.9M
Counseling & Recovery Services Of Oklahoma, Inc.	OK	Community/Behavioral Health Agency	$0	$5.8M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$5.6M

Grand Lake Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Grand Lake Mental Health Center, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References