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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI: 1598213977) 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 STILLWATER, OK.

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GRAND LAKE MENTAL HEALTH CENTER, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·STILLWATER, OK·NPI: 1598213977Share

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 $22.5M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(82 months)

Total Paid

$22.5M

$22,483,196

Total Claims

46K

Beneficiaries

38K

1.2 claims/patient

Avg Cost/Claim

$484

Monthly Spending Trend

Yearly Spending

2018

$869K

+142%

2019

$2.1M

+38%

2020

$2.9M

+15%

2021

$3.3M

+47%

2022

$4.9M

+4%

2023

$5.1M

-37%

2024

$3.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 19 distinct procedure codes. The top code (T1041 (Medicaid CCBHC services, per diem)) accounts for 94% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$21.1M

20K claims

$1,053.14

$913.47

1.2×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$21.1M

20K claims · 93.6%

Your Cost: $1,053.14/claim|Median: $913.47

1.2× median

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

$694K

20K claims

$35.19

$74.63

0.5×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$694K

20K claims · 3.1%

Your Cost: $35.19/claim|Median: $74.63

0.5× median

G9009 See all providers →

$434K

1,258 claims

$345.34

1.0×

Top 5%

G9009Top 5%

$434K

1,258 claims · 1.9%

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

1.0× median

G9010 See all providers →

$212K

210 claims

$1,009.60

1.0×

Top 1%

G9010Top 1%

$212K

210 claims · 0.9%

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

1.0× median

G9002Coordinated care fee, maintenance periodSee all providers →

$43K

294 claims

$145.78

$108.80

1.3×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$43K

294 claims · 0.2%

Your Cost: $145.78/claim|Median: $108.80

1.3× median

H0031Mental health assessment by non-physicianSee all providers →

$16K

461 claims

$34.60

$96.18

0.4×

Normal range

H0031Normal range

Mental health assessment by non-physician

$16K

461 claims · 0.1%

Your Cost: $34.60/claim|Median: $96.18

0.4× median

H0032Mental health service plan developmentSee all providers →

$15K

264 claims

$55.66

$80.64

0.7×

Normal range

H0032Normal range

Mental health service plan development

$15K

264 claims · 0.1%

Your Cost: $55.66/claim|Median: $80.64

0.7× median

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

$6K

712 claims

$8.67

$53.41

0.2×

Normal range

99214Normal range

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

$6K

712 claims · 0.0%

Your Cost: $8.67/claim|Median: $53.41

0.2× median

H0002Behavioral health screeningSee all providers →

$6K

479 claims

$12.41

$38.77

0.3×

Normal range

H0002Normal range

Behavioral health screening

$6K

479 claims · 0.0%

Your Cost: $12.41/claim|Median: $38.77

0.3× median

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

$1K

450 claims

$2.80

$37.81

0.1×

Normal range

99213Normal range

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

$1K

450 claims · 0.0%

Your Cost: $2.80/claim|Median: $37.81

0.1× median

G0442 See all providers →

13 claims

$0.00

$4.91

—

Normal range

G0442Normal range

13 claims · 0.0%

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

H0034Medication training and management, per 15 minSee all providers →

609 claims

$0.00

$56.90

—

Normal range

H0034Normal range

Medication training and management, per 15 min

609 claims · 0.0%

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

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

74 claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

74 claims · 0.0%

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

H2015Comprehensive community support services, per 15 minSee all providers →

129 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

129 claims · 0.0%

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

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

77 claims

$0.00

$74.36

—

Normal range

S5110Normal range

Home care training, family; per 15 min

77 claims · 0.0%

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

T1027Family training and counseling, per 15 minutesSee all providers →

184 claims

$0.00

$53.00

—

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

184 claims · 0.0%

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

G8431 See all providers →

191 claims

$0.00

$2.37

—

Normal range

G8431Normal range

191 claims · 0.0%

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

T1016Case management, each 15 minSee all providers →

1,282 claims

$0.00

$49.62

—

Normal range

T1016Normal range

Case management, each 15 min

1,282 claims · 0.0%

Your Cost: $0.00/claim|Median: $49.62

H2019Therapeutic behavioral services, per 15 minSee all providers →

44 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

44 claims · 0.0%

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

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$224.5M

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$187.3M

Chickasaw Nation Division of Health

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$161.9M

180 Medical INC

Durable Medical Equipment & Medical Supplies, Cust

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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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