GREAT LAKE CARE LLC
NPI: 1356951255
· GOLDEN VALLEY, MN 55422
· Community/Behavioral Health Agency
· NPI assigned 08/05/2020
Billing Flags
· Automated signals — not evidence of fraud
Single-Code Concentration
100% of spending on code H2017 with only 3 total codes billed. Highly concentrated billing profile.
$1.23M
Total Medicaid Paid
Provider Details
| Authorized Official | ELMI, IFRAH (CEO) |
| NPI Enumeration Date | 08/05/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
122 |
$21K |
| 2023 |
3,611 |
$590K |
| 2024 |
3,846 |
$617K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psychosocial rehabilitation services, per 15 minutes |
7,548 |
1,134 |
$1.22M |
| H0031 |
Mental health assessment, by non-physician |
16 |
14 |
$1K |
| H0032 |
Mental health service plan development by non-physician |
15 |
14 |
$1K |