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    v1.0.28
    OpenPayerNPI Medicare & MedicaidGrand Lake Mental Health Center Inc.
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    Grand Lake Mental Health Center Inc. — Billing Profile & Reimbursement Data

    NPI 1477851756 · Nowata, OK · Mental Health Clinic/Center (Including Community Mental Health Center)

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    Grand Lake Mental Health Center Inc. is a mental health clinic/center (including community mental health center) provider located in Nowata, Oklahoma. This profile covers 0 Medicare and 13 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationGrand Lake Mental Health Center Inc.
    Address325 S Ash St
    CityNowata
    StateOK
    ZIP74048
    TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
    NPI EnumeratedMarch 10, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T1041Medicaid certified community behavioral health clinic services, per month7,280$1,080$7.9M
    G9009Coordinated care fee, risk adjusted maintenance, level 3320$350$111.1K
    G9002Coordinated care fee, maintenance rate190$150$27K
    G8431Screening for depression is documented as being positive and a follow-up plan is documented30$0$0
    H0002Behavioral health screening to determine eligibility for admission to treatment program40$0$0
    H0004Behavioral health counseling and therapy, per 15 minutes3,320$0$0
    H0034Medication training and support, per 15 minutes210$0$0
    H2015Comprehensive community support services, per 15 minutes50$0$0
    H2017Psychosocial rehabilitation services, per 15 minutes20$0$0
    H2019Therapeutic behavioral services, per 15 minutes490$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.

    Full comparison — all codes billed, vs. Oklahoma median

    13 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T1041Medicaid certified community behavioral health clinic services, per month411004,790$880$8.3M
    T1016Case management, each 15 minutes971403,200$60$2.3M
    H0004Behavioral health counseling and therapy, per 15 minutes3976206,640$70$1.2M
    G9009Coordinated care fee, risk adjusted maintenance, level 33770320$320$317.4K
    H2017Psychosocial rehabilitation services, per 15 minutes2372401,280$50$259.4K
    G9002Coordinated care fee, maintenance rate5270630$140$216.3K
    H2015Comprehensive community support services, per 15 minutes137150770$40$73.8K
    T1027Family training and counseling for child development, per 15 minutes4960220$30$39.9K
    H2019Therapeutic behavioral services, per 15 minutes2550480$20$31.5K
    H0034Medication training and support, per 15 minutes2660200$30$23.7K

    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.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$47.2M
    Grand Lake Mental Health Center, Inc.OKCommunity/Behavioral Health Agency$0$38.5M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$38.3M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$24.8M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$23M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$22.5M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$15.9M
    Grand Lake Mental Health Center IncOKCommunity/Behavioral Health Agency$0$15.4M
    Grand Lake Mental Health Center IncOKMental Health Clinic/Center (Including Community Mental Health Center)$0$11.7M
    Grand Lake Mental Health Center, Inc.OKMental Health Clinic/Center (Including Community Mental Health Center)$0$11M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jeffrey GibsonOKFamily Medicine Physician$112.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicaid Revenue by Year vs. Oklahoma Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Oklahoma Distribution
    Grand Lake Mental Health Center Inc. — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Oklahoma