Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GRAND LAKE MENTAL HEALTH CENTER, INC.

NPI: 1689165631 · WAGONER, OK 74467 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 05/25/2018

$508K
Total Medicaid Paid
11,909
Total Claims
2,557
Beneficiaries
9
Codes Billed
2018-08
First Month
2019-11
Last Month

Provider Details

Authorized OfficialDANLEY, CHARLES (CEO)
NPI Enumeration Date05/25/2018

Related Entities

Other providers sharing the same authorized official: DANLEY, CHARLES

ProviderCityStateTotal Paid
GRAND LAKE MENTAL HEALTH CENTER, INC. TAHLEQUAH OK $340K
GRAND LAKE MENTAL HEALTH CENTER, INC. STILWELL OK $240K
GRAND LAKE MENTAL HEALTH CENTER, INC. GROVE OK $229K
GRAND LAKE MENTAL HEALTH CENTER, INC. WAGONER OK $130K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,248 $152K
2019 8,661 $356K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H2017 Psychosocial rehabilitation services, per 15 minutes 7,819 911 $284K
H0004 Behavioral health counseling and therapy, per 15 minutes 2,582 996 $124K
G9010 Coordinated care fee, risk adjusted maintenance, level 4 52 50 $52K
G9002 Coordinated care fee, maintenance rate 236 211 $34K
H2015 Comprehensive community support services, per 15 minutes 1,130 299 $8K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 42 $2K
H0031 Mental health assessment, by non-physician 17 17 $2K
H0032 Mental health service plan development by non-physician 17 17 $1K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 14 14 $715.87