GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI: 1679945927
· STILWELL, OK 74960
· 261QM0801X
$240K
Total Medicaid Paid
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 |
Alcohol and/or drug services |
1,634 |
730 |
$90K |
| G9010 |
Mccd, risk adj, level 4 |
69 |
56 |
$70K |
| G9009 |
Mccd, risk adj, level 3 |
171 |
154 |
$59K |
| G9002 |
Mccd,maintenance rate |
121 |
108 |
$18K |
| H2015 |
Comp comm supp svc, 15 min |
265 |
64 |
$4K |