GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI: 1306394788
· PONCA CITY, OK 74601
· 261QM0801X
$4.06M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
537 |
$89K |
| 2019 |
1,276 |
$467K |
| 2020 |
2,862 |
$1.72M |
| 2021 |
2,537 |
$1.78M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1041 |
Comm bh clinic svc per month |
3,634 |
3,634 |
$3.80M |
| G9010 |
Mccd, risk adj, level 4 |
133 |
115 |
$134K |
| H0004 |
Alcohol and/or drug services |
2,412 |
1,802 |
$70K |
| G9009 |
Mccd, risk adj, level 3 |
143 |
125 |
$49K |
| G9002 |
Mccd,maintenance rate |
61 |
55 |
$9K |
| H0002 |
Alcohol and/or drug screenin |
174 |
174 |
$1K |
| T1027 |
Family training & counseling |
622 |
562 |
$0.00 |
| H2019 |
Ther behav svc, per 15 min |
19 |
13 |
$0.00 |
| H0032 |
Mh svc plan dev by non-md |
14 |
14 |
$0.00 |