NP / PA
Grand Lake Health Care, LLC
Grand Lake Health Care, LLC was paid $508K by Medicaid between Feb 2019 and Sep 2023, across 12 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 61% of everything it billed.
33Billing provider infoGRAND LAKE HEALTH CARE, LLC
GROVE, OK 74344
GROVE, OK 74344
33aNPI1619459708assigned 09/05/2018
33bProvider typeNurse Practitioner
28Total paid$508K
24GClaims6,774
24DCodes billed12
24AFirst – last monthFeb 2019 – Sep 2023
Compared with peers
Next to other Nurse Practitioner providers in Oklahoma
Rank by total paid#4 of 16
Median peer was paid$60K
This provider vs. median8.5×
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.
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 | |
|---|---|---|---|
| 2019 | 938 | $68K | |
| 2020 | 1,038 | $66K | |
| 2021 | 1,488 | $129K | |
| 2022 | 2,115 | $153K | |
| 2023 | 1,195 | $91K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 61% | 3,478 | 3,108 | $308K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 34% | 2,610 | 2,384 | $175K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 3.5% | 125 | 125 | $18K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 254 | 230 | $3K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 25 | 20 | $2K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 58 | 58 | $954.36 |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 13 | 13 | $587.99 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 39 | 36 | $573.79 |
| 96127 | <1% | 116 | 108 | $426.74 | |
| 90756 | <1% | 14 | 14 | $124.80 | |
| 36415 | Collection of venous blood by venipuncture | <1% | 30 | 28 | $58.74 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | <1% | 12 | 12 | $41.14 |
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 officialGELINAS, JOSEPH (OWNER/PROVIDER)