GRAND LAKE HEALTH CARE, LLC
NPI: 1619459708
· GROVE, OK 74344
· 363L00000X
$508K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
938 |
$68K |
| 2020 |
1,038 |
$66K |
| 2021 |
1,488 |
$129K |
| 2022 |
2,115 |
$153K |
| 2023 |
1,195 |
$91K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
3,478 |
3,108 |
$308K |
| 99213 |
|
2,610 |
2,384 |
$175K |
| 99204 |
|
125 |
125 |
$18K |
| 96372 |
|
254 |
230 |
$3K |
| 99215 |
Prolong outpt/office vis |
25 |
20 |
$2K |
| 90471 |
|
58 |
58 |
$954.36 |
| 87426 |
|
13 |
13 |
$587.99 |
| 87880 |
|
39 |
36 |
$573.79 |
| 96127 |
|
116 |
108 |
$426.74 |
| 90756 |
|
14 |
14 |
$124.80 |
| 36415 |
|
30 |
28 |
$58.74 |
| J3301 |
Triamcinolone acet inj nos |
12 |
12 |
$41.14 |