Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Clinic

Grand Lake Mental Health Center, INC.

Grand Lake Mental Health Center, INC. was paid $4.06M by Medicaid between Jan 2018 and Nov 2021, across 9 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 94% of everything it billed.

33Billing provider infoGRAND LAKE MENTAL HEALTH CENTER, INC.
PONCA CITY, OK 74601
33aNPI1306394788assigned 09/14/2016
28Total paid$4.06M
24GClaims7,212
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2021
Compared with peers

Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oklahoma

Rank by total paid#30 of 150
Median peer was paid$936K
This provider vs. median4.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SMITH, LARRY controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$100K$200K$300K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018537$89K
20191,276$467K
20202,862$1.72M
20212,537$1.78M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
T1041 Medicaid certified community behavioral health clinic services, per month 94% 3,634 3,634 $3.80M
G9010 Coordinated care fee, risk adjusted maintenance, level 4 3.3% 133 115 $134K
H0004 Behavioral health counseling and therapy, per 15 minutes 1.7% 2,412 1,802 $70K
G9009 Coordinated care fee, risk adjusted maintenance, level 3 1.2% 143 125 $49K
G9002 Coordinated care fee, maintenance rate <1% 61 55 $9K
H0002 Behavioral health screening to determine eligibility for admission to treatment program <1% 174 174 $1K
T1027 Family training and counseling for child development, per 15 minutes 0% 622 562 $0.00
H2019 Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes 0% 19 13 $0.00
H0032 Mental health service plan development by non-physician 0% 14 14 $0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSMITH, LARRY (CEO)
Same official

Other billing entities under SMITH, LARRY

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.