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 1356981138)

Field	Value
Entity Type	Organization
Organization	Grand Lake Mental Health Center Inc
Address	407 W South Ave
City	Ponca City
State	OK
ZIP	74601
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	January 9, 2020

Payer Source	Total Paid
Medicaid	$15.4M
Medicare	$0

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	14,570	$1,060	$15.4M
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…	900	$0	$0
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	40	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	2,600	$0	$0
H0032	Mental health service plan development by non-physician	80	$0	$0
H0034	Medication training and support, per 15 minutes	200	$0	$0
H2015	Comprehensive community support services, per 15 minutes	3,440	$0	$0
H2017	Psychosocial rehabilitation services, per 15 minutes	50	$0	$0
H2019	Therapeutic behavioral services, per 15 minutes	90	$0	$0
T1016	Case management, each 15 minutes	1,870	$0	$0

Showing 1–10 of 13

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 — 0 of 1 code 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

13 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	16	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	73	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	422	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	219	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…	864	1,750	870	$70	$254.4K
H2015	Comprehensive community support services, per 15 minutes	20	150	770	$40	$73.8K
T1027	Family training and counseling for child development, per 15 minutes	59	60	220	$30	$39.9K
H2019	Therapeutic behavioral services, per 15 minutes	40	50	480	$20	$31.5K
H0034	Medication training and support, per 15 minutes	28	60	200	$30	$23.7K
H0032	Mental health service plan development by non-physician	186	370	80	$60	$21.2K

Showing 1–10 of 13

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	Community/Behavioral Health Agency	$0	$38.5M
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	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
Northern Oklahoma Regional Pediatric Clinic, PLLC	OK	Pediatric Adolescent Medicine Physician	$0	$10.8M
Kay County Oklahoma Hospital Company LLC	OK	General Acute Care Hospital	$0	$6.8M
Amc Urgent Care Plus, LLC	OK	General Practice Physician	$0	$5.3M
Nes Oklahoma, Inc.	OK	Emergency Medicine Physician	$0	$4.6M
Grand Lake Mental Health Center, Inc.	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.1M
Ponca City Immediate Care, LLC	OK	Family Medicine Physician	$0	$3.8M
White Eagle Health Center	OK	Clinic/Center	$0	$2.4M
City Of Ponca City	OK	Land Ambulance	$489.1K	$1.6M
Kay County Oklahoma Hospital Company LLC	OK	Rural Health Clinic/Center	$0	$1.8M
Air Evac Ems, Inc.	OK	Air Ambulance	$730.3K	$84.4K

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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References