NPI: 1992341671 · STILLWATER, OK 74075 · Mental Health Clinic/Center (Including Community Mental Health Center) · NPI assigned 11/18/2019
| Authorized Official | CANTWELL, JOSHUA (CEO) |
| NPI Enumeration Date | 11/18/2019 |
Other providers sharing the same authorized official: CANTWELL, JOSHUA
| Provider | City | State | Total Paid |
|---|---|---|---|
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $38.51M |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | PRYOR | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | BARTLESVILLE | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | VINITA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | JAY | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | STILLWATER | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | CLAREMORE | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | STILLWATER | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER INC | SKIATOOK | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | CLAREMORE | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| GRAND LAKE MENTAL HEALTH CENTER, INC. | TULSA | OK | $0.00 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 12 | $12K |
| 2020 | 1,283 | $706K |
| 2021 | 2,711 | $1.55M |
| 2022 | 5,822 | $3.81M |
| 2023 | 5,336 | $3.83M |
| 2024 | 2,470 | $1.83M |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| T1041 | Medicaid certified community behavioral health clinic services, per month | 11,151 | 11,148 | $11.74M |
| H2015 | Comprehensive community support services, per 15 minutes | 1,212 | 1,136 | $0.00 |
| H2017 | Psychosocial rehabilitation services, per 15 minutes | 146 | 141 | $0.00 |
| G8431 | Screening for depression is documented as being positive and a follow-up plan is documented | 13 | 13 | $0.00 |
| H0034 | Medication training and support, per 15 minutes | 26 | 24 | $0.00 |
| H0004 | Behavioral health counseling and therapy, per 15 minutes | 4,379 | 4,077 | $0.00 |
| T1016 | Case management, each 15 minutes | 694 | 684 | $0.00 |
| T1012 | Alcohol and/or substance abuse services, skills development | 13 | 12 | $0.00 |