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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI: 1871500900) 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 PRYOR, OK.

What is NPI 1871500900?

NPI 1871500900 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 PRYOR, 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)·PRYOR, OK·NPI: 1871500900Share

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 $24.8M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-11(83 months)

Total Paid

$24.8M

$24,793,040

Total Claims

42K

Beneficiaries

39K

1.1 claims/patient

Avg Cost/Claim

$584

Monthly Spending Trend

Yearly Spending

2018

$3.9M

-46%

2019

$2.1M

+21%

2020

$2.5M

+25%

2021

$3.1M

+88%

2022

$5.9M

-4%

2023

$5.7M

-72%

2024

$1.6M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 20 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 →

$24.0M

23K claims

$1,048.02

$913.47

1.1×

Normal range

T1041Normal range

Medicaid CCBHC services, per diem

$24.0M

23K claims · 96.8%

Your Cost: $1,048.02/claim|Median: $913.47

1.1× median

G9009 See all providers →

$504K

1,460 claims

$345.34

1.0×

Top 5%

G9009Top 5%

$504K

1,460 claims · 2.0%

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

1.0× median

G9010 See all providers →

$149K

148 claims

$1,009.60

1.0×

Normal range

G9010Normal range

$149K

148 claims · 0.6%

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

1.0× median

G9002Coordinated care fee, maintenance periodSee all providers →

$133K

912 claims

$145.58

$108.80

1.3×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$133K

912 claims · 0.5%

Your Cost: $145.58/claim|Median: $108.80

1.3× median

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

$894

42 claims

$21.28

$37.81

0.6×

Normal range

99213Normal range

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

$894

42 claims · 0.0%

Your Cost: $21.28/claim|Median: $37.81

0.6× median

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

$867

213 claims

$4.07

$53.41

0.1×

Normal range

99214Normal range

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

$867

213 claims · 0.0%

Your Cost: $4.07/claim|Median: $53.41

0.1× median

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

$94

13K claims

$0.01

$74.63

0.0×

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

$94

13K claims · 0.0%

Your Cost: $0.01/claim|Median: $74.63

0.0× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

1,340 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

1,340 claims · 0.0%

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

G8431 See all providers →

129 claims

$0.00

$2.37

—

Normal range

G8431Normal range

129 claims · 0.0%

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

T1017Targeted case management, per 15 minSee all providers →

16 claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

16 claims · 0.0%

Your Cost: $0.00/claim|Median: $69.56

T1016Case management, each 15 minSee all providers →

108 claims

$0.00

$49.62

—

Normal range

T1016Normal range

Case management, each 15 min

108 claims · 0.0%

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

G0442 See all providers →

16 claims

$0.00

$4.91

—

Normal range

G0442Normal range

16 claims · 0.0%

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

H2015Comprehensive community support services, per 15 minSee all providers →

1,304 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

1,304 claims · 0.0%

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

T1023Screening to determine appropriateness of consideration for programSee all providers →

15 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

15 claims · 0.0%

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

H0032Mental health service plan developmentSee all providers →

42 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

42 claims · 0.0%

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

H0031Mental health assessment by non-physicianSee all providers →

41 claims

$0.00

$96.18

—

Normal range

H0031Normal range

Mental health assessment by non-physician

41 claims · 0.0%

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

H0034Medication training and management, per 15 minSee all providers →

307 claims

$0.00

$56.90

—

Normal range

H0034Normal range

Medication training and management, per 15 min

307 claims · 0.0%

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

T1027Family training and counseling, per 15 minutesSee all providers →

172 claims

$0.00

$53.00

—

Normal range

T1027Normal range

Family training and counseling, per 15 minutes

172 claims · 0.0%

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

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

321 claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

321 claims · 0.0%

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

H0002Behavioral health screeningSee all providers →

378 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

378 claims · 0.0%

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

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$224.5M

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Case Management

$187.3M

Chickasaw Nation Division of Health

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$161.9M

180 Medical INC

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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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