Medicaid Provider Spending

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

GRAND LAKE MENTAL HEALTH CENTER, INC.

NPI: 1871500900 · PRYOR, OK 74361 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 08/02/2006

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SMITH, LARRY controls 20+ related entities in our dataset. Read more

$24.79M
Total Medicaid Paid
42,458
Total Claims
38,612
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSMITH, LARRY (CEO)
NPI Enumeration Date08/02/2006

Related Entities

Other providers sharing the same authorized official: SMITH, LARRY

ProviderCityStateTotal Paid
GRAND LAKE MENTAL HEALTH CENTER, INC. CLAREMORE OK $47.17M
GRAND LAKE MENTAL HEALTH CENTER, INC. BARTLESVILLE OK $38.33M
GRAND LAKE MENTAL HEALTH CENTER, INC. MIAMI OK $23.03M
GRAND LAKE MENTAL HEALTH CENTER, INC. STILLWATER OK $22.48M
GRAND LAKE MENTAL HEALTH CENTER, INC. VINITA OK $15.86M
GRAND LAKE MENTAL HEALTH CENTER INC PONCA CITY OK $15.43M
GILA RIVER HEALTH CARE CORPORATION SACATON AZ $12.01M
GRAND LAKE MENTAL HEALTH CENTER, INC. CLEVELAND OK $10.96M
GRAND LAKE MENTAL HEALTH CENTER, INC. JAY OK $9.79M
GRAND LAKE MENTAL HEALTH CENTER INC. NOWATA OK $8.01M
GRAND LAKE MENTAL HEALTH CENTER, INC. GROVE OK $7.81M
GRAND LAKE MENTAL HEALTH CENTER INC PAWHUSKA OK $6.24M
GRAND LAKE MENTAL HEALTH CENTER, INC. TULSA OK $5.55M
GRAND LAKE MENTAL HEALTH CENTER, INC. PONCA CITY OK $4.06M
GRAND LAKE MENTAL HEALTH CENTER, INC. AFTON OK $3.18M
GRAND LAKE MENTAL HEALTH CENTER INC. KANSAS OK $2.73M
GRAND LAKE MENTAL HEALTH CENTER, INC. PERRY OK $2.68M
GRAND LAKE MENTAL HEALTH CENTER, INC WEST SILOAM SPRINGS OK $2.30M
GRAND LAKE MENTAL HEALTH CENTER, INC CHOUTEAU OK $1.47M
GRAND LAKE MENTAL HEALTH CENTER, INC. BARNSDALL OK $1.42M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,201 $3.86M
2019 3,359 $2.09M
2020 4,409 $2.53M
2021 5,093 $3.15M
2022 8,479 $5.91M
2023 7,955 $5.66M
2024 1,962 $1.60M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
T1041 Medicaid certified community behavioral health clinic services, per month 22,905 22,904 $24.00M
G9009 Coordinated care fee, risk adjusted maintenance, level 3 1,460 1,460 $504K
G9010 Coordinated care fee, risk adjusted maintenance, level 4 148 148 $149K
G9002 Coordinated care fee, maintenance rate 912 912 $133K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 42 42 $893.59
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 213 212 $866.95
H0004 Behavioral health counseling and therapy, per 15 minutes 12,589 9,222 $94.46
H2019 Therapeutic behavioral services, per 15 minutes 1,340 1,071 $0.00
T1027 Family training and counseling for child development, per 15 minutes 172 166 $0.00
H0002 Behavioral health screening to determine eligibility for admission to treatment program 378 378 $0.00
T1016 Case management, each 15 minutes 108 105 $0.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes 16 16 $0.00
T1023 Screening to determine the appropriateness of consideration of an individual for participation in a specified program, project or treatment protocol, per encounter 15 15 $0.00
H2015 Comprehensive community support services, per 15 minutes 1,304 1,246 $0.00
H2017 Psychosocial rehabilitation services, per 15 minutes 321 182 $0.00
H0034 Medication training and support, per 15 minutes 307 307 $0.00
H0031 Mental health assessment, by non-physician 41 41 $0.00
G8431 Screening for depression is documented as being positive and a follow-up plan is documented 129 129 $0.00
H0032 Mental health service plan development by non-physician 42 42 $0.00
T1017 Targeted case management, each 15 minutes 16 14 $0.00