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 1902813033)

Field	Value
Entity Type	Organization
Organization	Grand Lake Mental Health Center, Inc.
Address	705 S Virginia Ave
City	Bartlesville
State	OK
ZIP	74003
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	August 2, 2006

Payer Source	Total Paid
Medicaid	$38.3M
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 total reported Medicaid revenue is $38.3M. The provider’s NPI was enumerated on 2006-08-02 (~20 years ago), indicating it is an established organization with a long operating history in the state.

Revenue is extremely concentrated in a single service bundle: the precomputed top-3 Medicaid codes together account for 99.7% of this provider’s Medicaid revenue. Those three codes are T1041 (98.0%), G9009 (1.1%), and G9002 (0.6%), which together dominate the financial picture reported to Medicaid.

T1041 (Medicaid certified community behavioral health clinic services, per month) is the clear revenue driver with 34.7K claims, $1083 avg paid/claim, and $37.6M revenue. This code profile and dollar volume indicate the provider operates primarily as a Medicaid-certified community behavioral health clinic model, delivering monthly bundled behavioral health clinic services rather than relying on discrete fee-for-service office visits.

Competitive standing for T1041 is strong in-state: the provider ranks #7 of 97 providers in-state (94th percentile; notably above typical state volume for this code), which characterizes it as a major statewide participant for the CCBHC-style monthly service. By contrast, no Medicare presence means the provider’s competitive footprint is concentrated entirely within Oklahoma Medicaid markets.

The coordinated-care/risk-adjusted maintenance fees (G9009: 1.2K claims, $345 avg paid/claim, $404.7K revenue; G9002: 1.6K claims, $145 avg paid/claim, $236.6K revenue) show programmatic participation in coordinated care payment arrangements. Both codes rank in the middle-to-upper statewide distribution (G9009 #14 of 73, 82th percentile; G9002 #20 of 70, 72th percentile) and are individually small contributors to revenue, suggesting these fees are supplemental to the dominant T1041 payments rather than primary revenue lines.

Common fee-for-service E/M and psychotherapy code entries (for example 99214: 385 claims, $9 avg paid/claim, $3.5K revenue and 99213: 68 claims, $3 avg paid/claim, $204 revenue) generate negligible Medicaid revenue compared with T1041. Multiple modality and case-management codes (H0004, H2019, H2015, H0034, T1017, T1016 and others) show substantial claim counts but $0 reported revenue in the Medicaid file, which is consistent with bundling of those services into the monthly T1041 reimbursement rather than separate fee-for-service payment.

There are a few additional service-level patterns worth noting: S5110 (Home care training, family; per 15 minutes) shows 124 claims and ranks #2 of 14 in-state (92th percentile; notably above typical state volume for this code), indicating above-typical activity in family training relative to peers despite $0 reported Medicaid revenue tied to that code. Smaller, infrequent codes such as G9010 and quality-screening codes appear at much lower ranks and revenue shares, reinforcing that the provider’s operational and financial footprint is centered on the T1041 community behavioral health clinic model.

Medicaid: Complete Services Breakdown

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

19 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	34,690	$1,080	$37.6M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	1,170	$350	$404.7K
G9002	Coordinated care fee, maintenance rate	1,630	$150	$236.6K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	110	$1,010	$107.1K
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…	390	$10	$3.5K
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…	70	$1	$200
G0442	Annual alcohol misuse screening, 5 to 15 minutes	10	$0	$0
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	70	$0	$0
H0002	Behavioral health screening to determine eligibility for admission to treatment program	50	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	18,950	$0	$0

Showing 1–10 of 19

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 6 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

19 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	7	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	68	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	168	620	6,640	$70	$1.2M
G9009	Coordinated care fee, risk adjusted maintenance, level 3	14	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…	1,050	1,680	820	$90	$307K
G9010	Coordinated care fee, risk adjusted maintenance, level 4	26	40	140	$970	$285.1K
H2017	Psychosocial rehabilitation services, per 15 minutes	191	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…	1,441	1,750	870	$70	$254.4K
G9002	Coordinated care fee, maintenance rate	20	70	630	$140	$216.3K
T1017	Targeted case management, each 15 minutes	166	280	930	$30	$88.4K

Showing 1–10 of 19

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	$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
Bartlesville Ambulance Service	OK	Land Ambulance	$1M	$2.6M
Bartlesville Pediatric Occupational Therapy, LLC	OK	Pediatric Occupational Therapist	$0	$2.5M
Tamara Hill	OK	Dermatology Physician	$327K	$0
Michael Peaster	OK	Urology Physician	$197.1K	$0
Nicholas Mietus	OK	Physician Assistant	$158.3K	$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