GRAND LAKE MENTAL HEALTH CENTER, INC.
NPI: 1689165631
· WAGONER, OK 74467
· 261QM0801X
$508K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,248 |
$152K |
| 2019 |
8,661 |
$356K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| H2017 |
Psysoc rehab svc, per 15 min |
7,819 |
911 |
$284K |
| H0004 |
Alcohol and/or drug services |
2,582 |
996 |
$124K |
| G9010 |
Mccd, risk adj, level 4 |
52 |
50 |
$52K |
| G9002 |
Mccd,maintenance rate |
236 |
211 |
$34K |
| H2015 |
Comp comm supp svc, 15 min |
1,130 |
299 |
$8K |
| 99213 |
|
42 |
42 |
$2K |
| H0031 |
Mh health assess by non-md |
17 |
17 |
$2K |
| H0032 |
Mh svc plan dev by non-md |
17 |
17 |
$1K |
| 99203 |
|
14 |
14 |
$715.87 |