GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI: 1679945927
· STILWELL, OK 74960
· Mental Health Clinic/Center (Including Community Mental Health Center)
· NPI assigned 10/27/2015
$240K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DANLEY, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
982 |
$135K |
| 2019 |
1,278 |
$105K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
1,634 |
730 |
$90K |
| G9010 |
Coordinated care fee, risk adjusted maintenance, level 4 |
69 |
56 |
$70K |
| G9009 |
Coordinated care fee, risk adjusted maintenance, level 3 |
171 |
154 |
$59K |
| G9002 |
Coordinated care fee, maintenance rate |
121 |
108 |
$18K |
| H2015 |
Comprehensive community support services, per 15 minutes |
265 |
64 |
$4K |