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 1992341671)

Field	Value
Entity Type	Organization
Organization	Grand Lake Mental Health Center Inc
Address	998 E Knotts Ave
City	Stillwater
State	OK
ZIP	74075
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	November 18, 2019

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	11,150	$1,050	$11.7M
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	10	$0	$0
H0004	Behavioral health counseling and therapy, per 15 minutes	4,380	$0	$0
H0034	Medication training and support, per 15 minutes	30	$0	$0
H2015	Comprehensive community support services, per 15 minutes	1,210	$0	$0
H2017	Psychosocial rehabilitation services, per 15 minutes	150	$0	$0
T1012	Alcohol and/or substance abuse services, skills development	10	$0	$0
T1016	Case management, each 15 minutes	690	$0	$0

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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1041	Medicaid certified community behavioral health clinic services, per month	28	100	4,790	$880	$8.3M
T1016	Case management, each 15 minutes	86	140	3,200	$60	$2.3M
H0004	Behavioral health counseling and therapy, per 15 minutes	365	620	6,640	$70	$1.2M
H2017	Psychosocial rehabilitation services, per 15 minutes	204	240	1,280	$50	$259.4K
H2015	Comprehensive community support services, per 15 minutes	63	150	770	$40	$73.8K
H0034	Medication training and support, per 15 minutes	46	60	200	$30	$23.7K
G8431	Screening for depression is documented as being positive and a follow-up plan is documented	8	10	30	$0	$0
T1012	Alcohol and/or substance abuse services, skills development	5	10	30	$0	$0

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	Community/Behavioral Health Agency	$0	$15.4M
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
Oklahoma State Department Of Health	OK	Clinical Medical Laboratory	$0	$19.9M
Oklahoma Cvs Pharmacy LLC	OK	Pharmacy	$102.8K	$0
Tamara Wales	OK	Occupational Therapist	$34.5K	$0
Abby O'dell	OK	Speech-Language Pathologist	$14K	$0
Najma Hamdani	OK	Psychiatry Physician	$5.8K	$0

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