Is GRAND LAKE MENTAL HEALTH CENTER, INC. flagged for Medicaid fraud?

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI: 1497762520) has not been flagged by our statistical fraud detection tests. Their billing patterns fall within normal ranges for their specialty.

How much does GRAND LAKE MENTAL HEALTH CENTER, INC. bill Medicaid?

GRAND LAKE MENTAL HEALTH CENTER, INC. received $0.0B in total Medicaid payments from 2018-2024, based on HHS billing records. They are classified as a Clinic/Center, Mental Health (Including Community Mental Health Center) provider. Located in MIAMI, OK.

What is NPI 1497762520?

NPI 1497762520 is the National Provider Identifier for GRAND LAKE MENTAL HEALTH CENTER, INC.. They are a Clinic/Center, Mental Health (Including Community Mental Health Center) provider based in MIAMI, OK. This NPI is registered with the CMS NPI Registry.

⚖️ Compare 🖨️ Print Report

GRAND LAKE MENTAL HEALTH CENTER, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·MIAMI, OK·NPI: 1497762520Share

Compared to Clinic/Center, Mental Health (Including Community Mental Health Center) Peers

Total spending distribution among 44 providers in this specialty

P25MedianP75P90

This provider's total spending of $23.0M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(83 months)

Total Paid

$23.0M

$23,030,668

Total Claims

41K

Beneficiaries

37K

1.1 claims/patient

Avg Cost/Claim

$568

Monthly Spending Trend

Yearly Spending

2018

$2.6M

-79%

2019

$556K

+329%

2020

$2.4M

+44%

2021

$3.4M

+25%

2022

$4.3M

+43%

2023

$6.1M

-42%

2024

$3.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 22 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 97% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$22.4M

21K claims

$1,055.90

$913.47

1.2×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$22.4M

21K claims · 97.2%

Your Cost: $1,055.90/claim|Median: $913.47

1.2× median

G9009 See all providers →

$353K

1,022 claims

$345.34

1.0×

Top 5%

G9009Top 5%

$353K

1,022 claims · 1.5%

Your Cost: $345.34/claim|Median: $345.34

1.0× median

G9002Coordinated care fee, maintenance periodSee all providers →

$154K

1,056 claims

$145.53

$108.80

1.3×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$154K

1,056 claims · 0.7%

Your Cost: $145.53/claim|Median: $108.80

1.3× median

G9010 See all providers →

$104K

103 claims

$1,009.60

1.0×

Top 1%

G9010Top 1%

$104K

103 claims · 0.5%

Your Cost: $1,009.60/claim|Median: $1,009.60

1.0× median

G9005Coordinated care fee, risk-adjusted, ESRDSee all providers →

$22K

49 claims

$453.15

$47.08

9.6×

Top 5%

G9005Top 5%

Coordinated care fee, risk-adjusted, ESRD

$22K

49 claims · 0.1%

Your Cost: $453.15/claim|Median: $47.08

9.6× median

99213Office/outpatient visit, est. patient, low-mod complexitySee all providers →

$10K

1,412 claims

$7.01

$37.81

0.2×

Normal range

99213Normal range

Office/outpatient visit, est. patient, low-mod complexity

$10K

1,412 claims · 0.0%

Your Cost: $7.01/claim|Median: $37.81

0.2× median

99214Office/outpatient visit, est. patient, mod-high complexitySee all providers →

$6K

227 claims

$26.79

$53.41

0.5×

Normal range

99214Normal range

Office/outpatient visit, est. patient, mod-high complexity

$6K

227 claims · 0.0%

Your Cost: $26.79/claim|Median: $53.41

0.5× median

T1016Case management, each 15 minSee all providers →

$32

1,049 claims

$0.03

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

$32

1,049 claims · 0.0%

Your Cost: $0.03/claim|Median: $49.62

0.0× median

99203Office/outpatient visit, new patient, low-mod complexitySee all providers →

12 claims

$0.69

$57.85

0.0×

Normal range

99203Normal range

Office/outpatient visit, new patient, low-mod complexity

12 claims · 0.0%

Your Cost: $0.69/claim|Median: $57.85

0.0× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

1,169 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

1,169 claims · 0.0%

Your Cost: $0.00/claim|Median: $84.12

T1023Screening to determine appropriateness of consideration for programSee all providers →

28 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

28 claims · 0.0%

Your Cost: $0.00/claim|Median: $106.70

H0032Mental health service plan developmentSee all providers →

39 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

39 claims · 0.0%

Your Cost: $0.00/claim|Median: $80.64

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

467 claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

467 claims · 0.0%

Your Cost: $0.00/claim|Median: $91.63

G8431 See all providers →

25 claims

$0.00

$2.37

—

Normal range

G8431Normal range

25 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.37

H0004Behavioral health counseling & therapy, per 15 minSee all providers →

10K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

10K claims · 0.0%

Your Cost: $0.00/claim|Median: $74.63

S5110Home care training, family; per 15 minSee all providers →

129 claims

$0.00

$74.36

—

Normal range

S5110Normal range

Home care training, family; per 15 min

129 claims · 0.0%

Your Cost: $0.00/claim|Median: $74.36

G0442 See all providers →

14 claims

$0.00

$4.91

—

Normal range

G0442Normal range

14 claims · 0.0%

Your Cost: $0.00/claim|Median: $4.91

H0031Mental health assessment by non-physicianSee all providers →

179 claims

$0.00

$96.18

—

Normal range

H0031Normal range

Mental health assessment by non-physician

179 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.18

H0034Medication training and management, per 15 minSee all providers →

178 claims

$0.00

$56.90

—

Normal range

H0034Normal range

Medication training and management, per 15 min

178 claims · 0.0%

Your Cost: $0.00/claim|Median: $56.90

H0002Behavioral health screeningSee all providers →

45 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

45 claims · 0.0%

Your Cost: $0.00/claim|Median: $38.77

T1027Family training and counseling, per 15 minutesSee all providers →

58 claims

$0.00

$53.00

—

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

58 claims · 0.0%

Your Cost: $0.00/claim|Median: $53.00

H2015Comprehensive community support services, per 15 minSee all providers →

1,914 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

1,914 claims · 0.0%

Your Cost: $0.00/claim|Median: $96.24

Other Top Providers in Oklahoma

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State of Oklahoma Dept of Human Services

Case Management

$224.5M

State of Oklahoma Dept. of Human Services

Case Management

$187.3M

Chickasaw Nation Division of Health

General Acute Care Hospital

$161.9M

180 Medical INC

Durable Medical Equipment & Medical Supplies, Cust

$157.9M

Similar Providers

Other top providers in Clinic/Center, Mental Health (Including Community Mental Health Center)

Los Angeles County Department of Mental Health

Los Angeles, CA

$6.78B

County of Sonoma

Santa Rosa, CA

$195.1M

County of Washtenaw

Ypsilanti, MI

$153.3M

County of Muskegon

Muskegon, MI

$151.1M

Fraser Child and Family Center

Minneapolis, MN

$149.8M

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