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 1750398889)

Field	Value
Entity Type	Organization
Organization	Grand Lake Mental Health Center, Inc.
Address	3100 Medical Pkwy
City	Claremore
State	OK
ZIP	74017
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$47.2M
Medicare	$0

Key Findings

This provider is effectively single-payer in practice: there is no Medicare billing on file and all reported lifetime billing is Medicaid-only, totaling $47.2M. The absence of Medicare revenue indicates the organization operates almost entirely within Medicaid funding streams rather than a mixed Medicare/Medicaid footprint.

Revenue is extremely concentrated in a single Medicaid line: T1041 accounts for $46.6M of revenue (98.7% of the provider's Medicaid revenue), and the platform’s precomputed top-three share is 99.6% of total Medicaid revenue. That level of concentration means the provider’s financial performance is driven almost entirely by Medicaid certified community behavioral health clinic monthly payments.

The code mix and dollar distribution indicate an operational model organized around monthly, clinic-level reimbursements rather than fee-for-service office visits. T1041 (Medicaid certified community behavioral health clinic services, per month) is the dominant revenue driver, while coordinated care fees such as G9009, G9002, and G9010 appear as much smaller supplementary revenue streams ($215.3K, $209.8K, and $146.5K respectively).

On statewide competitive standing for the primary Medicaid service, the provider is a top performer: T1041 ranks #3 of 97 providers in-state (98th percentile), described in the source as notably above typical state volume for this code. By contrast, the coordinated-care codes show routine participation—G9009 ranks #27 of 73 (64th percentile) and G9002 ranks #22 of 70 (70th percentile)—indicating typical, unremarkable volume for those supplemental fees.

Several commonly billed service codes report substantial claim counts but $0 average paid/claim (for example H0004: 18.7K claims with $0 avg paid/claim; H2015: 3.8K claims with $0 avg paid/claim; H2017 and H0034 also show significant claim counts with $0 payment). These patterns are consistent with services that may be bundled into the monthly T1041 payment or paid under a non-FFS arrangement, and they merit attention when reconciling service delivery against reimbursements.

Traditional office E/M activity is present but not revenue-driving: 99214 shows 3.5K claims and $21.3K revenue (rank #328 of 1680, 81st percentile), while 99213 and 99203 generate negligible Medicaid revenue. This indicates clinicians provide E/M visits in support of care delivery, but the financial model centers on bundled clinic/monthly payments rather than E/M fee-for-service reimbursement.

The provider has long tenure in the NPI registry, enumerated on 2006-08-02 (~20 years ago), which suggests established operations and experience in the state Medicaid environment. That longevity likely supported the build-out of the monthly clinic service model reflected in the heavy T1041 billing.

The extreme dependence on a single code (T1041 at 98.7% of Medicaid revenue, with the top three codes totaling 99.6% of Medicaid revenue) creates concentration risk: policy, rate, or program changes affecting T1041 or the CCBHC reimbursement structure could materially alter the provider’s revenues. Conversely, the provider’s top-tier statewide rank on T1041 positions it as a major participant in the state’s community behavioral health clinic payment stream, which may affect contracting and oversight priorities.

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
T1041	Medicaid certified community behavioral health clinic services, per month	43,950	$1,060	$46.6M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	620	$350	$215.3K
G9002	Coordinated care fee, maintenance rate	1,440	$150	$209.8K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	150	$1,010	$146.4K
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…	3,550	$10	$21.3K
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…	550	$1	$1.6K
99203	The provider sees a new 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 provider…	30	$1	$30
H0002	Behavioral health screening to determine eligibility for admission to treatment program	80	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	18,680	$0	$0
H0032	Mental health service plan development by non-physician	40	$0	$0

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. — 1 of 7 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
T1041	Medicaid certified community behavioral health clinic services, per month	3	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	72	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	169	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	27	70	320	$320	$317.4K
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…	328	1,680	820	$90	$307K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	22	40	140	$970	$285.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	111	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…	1,011	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	22	70	630	$140	$216.3K
T1017	Targeted case management, each 15 minutes	244	280	930	$30	$88.4K

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	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	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
Alliance Mental Health, LLC	OK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$8.2M
Elevate Pediatric Therapies PC	OK	Physical Therapist	$0	$6.5M
Generations Family Medical Clinic, LLC	OK	Health Service Clinic/Center	$0	$5.6M
Ahs Claremore Regional Hospital, LLC.	OK	General Acute Care Hospital	$0	$4.8M
Claremore Indian Hospital	OK	General Acute Care Hospital	$0	$3.9M
Ahs Claremore Regional Hospital, LLC	OK	Rural Health Clinic/Center	$0	$2.4M
Patricia A Farmer, Aprn-cnp, PLLC	OK	Primary Care Clinic/Center	$0	$2.3M
Melinda Steelmon	OK	Obstetrics & Gynecology Physician	$0	$1.9M
Robert Parker	OK	Ophthalmology Physician	$237.9K	$0
Steven Hardage	OK	Sports Medicine (Family Medicine) Physician	$236.5K	$0

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

Sign up for Grand Lake Mental Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

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

Sign up for Grand Lake Mental Health Center, Inc. — Billing Profile & Reimbursement Data policy alerts

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