Grand Lake Mental Health Center INC
Grand Lake Mental Health Center INC was paid $15.43M by Medicaid between Mar 2020 and Dec 2024, across 13 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 100% of everything it billed.
PONCA CITY, OK 74601
Next to other Community/Behavioral Health Agency providers in Oklahoma
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 537 | $328K | |
| 2021 | 3,287 | $1.73M | |
| 2022 | 7,209 | $4.53M | |
| 2023 | 6,494 | $4.71M | |
| 2024incomplete | 6,379 | $4.14M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 100% | 14,569 | 14,560 | $15.43M |
| H0034 | Medication training and support, per 15 minutes | 0% | 195 | 195 | $0.00 |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 0% | 3,439 | 2,890 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 38 | 38 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 75 | 75 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 0% | 51 | 51 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 1,870 | 1,784 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 2,596 | 2,354 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 900 | 896 | $0.00 |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 0% | 94 | 84 | $0.00 |
| T1023 | Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter | 0% | 28 | 28 | $0.00 |
| S5110 | Home care training, family; per 15 minutes | 0% | 29 | 28 | $0.00 |
1 more codes
| T1027 | Family training and counseling for child development, per 15 minutes | 0% | 22 | $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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.