Grand Lake Mental Health Center, INC.
Grand Lake Mental Health Center, INC. was paid $47.17M by Medicaid between Jan 2018 and Dec 2024, across 17 billing codes. Its largest line is T1041, Medicaid certified community behavioral health clinic services, per month — 99% of everything it billed.
CLAREMORE, OK 74017
Next to other Mental Health Clinic/Center (Including Community Mental Health Center) providers in Oklahoma
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 12,379 | $4.19M | |
| 2019 | 4,280 | $2.59M | |
| 2020 | 6,544 | $3.71M | |
| 2021 | 10,024 | $5.71M | |
| 2022 | 17,512 | $11.04M | |
| 2023 | 16,530 | $11.54M | |
| 2024incomplete | 11,920 | $8.40M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 99% | 43,951 | 43,944 | $46.58M |
| G9009 | Coordinated care fee, risk adjusted maintenance, level 3 | <1% | 624 | 624 | $215K |
| G9002 | Coordinated care fee, maintenance rate | <1% | 1,437 | 1,437 | $209K |
| G9010 | Coordinated care fee, risk adjusted maintenance, level 4 | <1% | 145 | 145 | $146K |
| 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 | <1% | 3,549 | 3,528 | $21K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 548 | 548 | $2K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 30 | 30 | $27.15 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 0% | 18,678 | 14,347 | $0.00 |
| T1016 | Case management, each 15 minutes | 0% | 2,463 | 2,361 | $0.00 |
| H2019 | Therapeutic behavioral services, billed per 15 minutesTherapeutic behavioral services, per 15 minutes | 0% | 1,256 | 1,118 | $0.00 |
| S5110 | Home care training, family; per 15 minutes | 0% | 51 | 50 | $0.00 |
| H0002 | Behavioral health screening to determine eligibility for admission to treatment program | 0% | 75 | 75 | $0.00 |
5 more codes
| H2015 | Community support for mental illness or disability, per 15 minutes | 0% | 3,804 | $0.00 |
| H0034 | Medication training and support, per 15 minutes | 0% | 1,016 | $0.00 |
| H2017 | Psychosocial rehabilitation, billed per 15 minutes | 0% | 1,481 | $0.00 |
| T1017 | Case management, billed per 15 minutes | 0% | 43 | $0.00 |
| H0032 | Mental health service plan development by non-physician | 0% | 38 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.