Clinic
Grand Lake Mental Health Center, INC.
Grand Lake Mental Health Center, INC. was paid $23.03M by Medicaid between Jan 2018 and Dec 2024, across 22 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 97% of everything it billed.
33Billing provider infoGRAND LAKE MENTAL HEALTH CENTER, INC.
MIAMI, OK 74354
MIAMI, OK 74354
33aNPI1497762520assigned 08/02/2006
28Total paid$23.03M
24GClaims40,567
24DCodes billed22
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oklahoma
Rank by total paid#4 of 150
Median peer was paid$936K
This provider vs. median25×
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
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
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 8,196 | $2.61M | |
| 2019 | 833 | $556K | |
| 2020 | 4,027 | $2.38M | |
| 2021 | 6,144 | $3.44M | |
| 2022 | 6,935 | $4.30M | |
| 2023 | 9,055 | $6.15M | |
| 2024incomplete | 5,377 | $3.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 97% | 21,197 | 21,192 | $22.38M |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | 1.5% | 1,022 | 1,022 | $353K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,056 | 1,056 | $154K |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 103 | 103 | $104K |
| G9005 | Coordinated care fee, risk adjusted maintenance | <1% | 49 | 49 | $22K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 1,412 | 1,406 | $10K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | <1% | 227 | 227 | $6K |
| T1016 | Case management, each 15 minutes | <1% | 1,049 | 1,032 | $32.42 |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 12 | 12 | $8.31 |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | 0% | 1,914 | 1,719 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 0% | 467 | 388 | $0.00 |
| H0031 | Mental health assessment, by non-physician | 0% | 179 | 179 | $0.00 |
10 more codes
| H0034 | Medication training and support, per 15 minutes | 0% | 178 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 0% | 25 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 39 | $0.00 |
| H2019 | Therapeutic behavioral services, billed per 15 minutes | 0% | 1,169 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 10,195 | $0.00 |
| T1027 | Family training and counseling for child development, per 15 minutes | 0% | 58 | $0.00 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 0% | 14 | $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 | $0.00 |
| S5110 | Home care training, family; per 15 minutes | 0% | 129 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 45 | $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)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.