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

GRAND LAKE MENTAL HEALTH CENTER, INC. (NPI: 1902813033) 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 BARTLESVILLE, OK.

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GRAND LAKE MENTAL HEALTH CENTER, INC.

Clinic/Center, Mental Health (Including Community Mental Health Center)·BARTLESVILLE, OK·NPI: 1902813033Share

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 $38.3M is at the 50th percentile among 44 Clinic/Center, Mental Health (Including Community Mental Health Center) providers.

Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$38.3M

$38,333,341

Total Claims

67K

Beneficiaries

61K

1.1 claims/patient

Avg Cost/Claim

$574

Monthly Spending Trend

Yearly Spending

2018

$5.2M

-47%

2019

$2.7M

+47%

2020

$4.0M

+21%

2021

$4.9M

+38%

2022

$6.7M

+20%

2023

$8.1M

-17%

2024

$6.7M

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 98% of total spending.

ProcedureTotalYour Cost/ClaimNational Medianvs MedianPercentile

T1041Medicaid CCBHC services, per diemSee all providers →

$37.6M

35K claims

$1,083.45

$913.47

1.2×

Top 25%

T1041Top 25%

Medicaid CCBHC services, per diem

$37.6M

35K claims · 98.0%

Your Cost: $1,083.45/claim|Median: $913.47

1.2× median

G9009 See all providers →

$405K

1,173 claims

$345.34

1.0×

Top 5%

G9009Top 5%

$405K

1,173 claims · 1.1%

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

1.0× median

G9002Coordinated care fee, maintenance periodSee all providers →

$237K

1,632 claims

$145.27

$108.80

1.3×

Normal range

G9002Normal range

Coordinated care fee, maintenance period

$237K

1,632 claims · 0.6%

Your Cost: $145.27/claim|Median: $108.80

1.3× median

G9010 See all providers →

$107K

106 claims

$1,009.60

1.0×

Top 1%

G9010Top 1%

$107K

106 claims · 0.3%

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

1.0× median

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

$3K

385 claims

$8.76

$53.41

0.2×

Normal range

99214Normal range

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

$3K

385 claims · 0.0%

Your Cost: $8.76/claim|Median: $53.41

0.2× median

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

$216

68 claims

$3.17

$37.81

0.1×

Normal range

99213Normal range

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

$216

68 claims · 0.0%

Your Cost: $3.17/claim|Median: $37.81

0.1× median

T1016Case management, each 15 minSee all providers →

$16

3,578 claims

$0.00

$49.62

0.0×

Normal range

T1016Normal range

Case management, each 15 min

$16

3,578 claims · 0.0%

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

0.0× median

H2019Therapeutic behavioral services, per 15 minSee all providers →

2,235 claims

$0.00

$84.12

—

Normal range

H2019Normal range

Therapeutic behavioral services, per 15 min

2,235 claims · 0.0%

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

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

124 claims

$0.00

$74.36

—

Normal range

S5110Normal range

Home care training, family; per 15 min

124 claims · 0.0%

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

H2017Psychosocial rehabilitation services, per 15 minSee all providers →

285 claims

$0.00

$91.63

—

Normal range

H2017Normal range

Psychosocial rehabilitation services, per 15 min

285 claims · 0.0%

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

H0002Behavioral health screeningSee all providers →

54 claims

$0.00

$38.77

—

Normal range

H0002Normal range

Behavioral health screening

54 claims · 0.0%

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

H2015Comprehensive community support services, per 15 minSee all providers →

1,683 claims

$0.00

$96.24

—

Normal range

H2015Normal range

Comprehensive community support services, per 15 min

1,683 claims · 0.0%

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

H0034Medication training and management, per 15 minSee all providers →

1,126 claims

$0.00

$56.90

—

Normal range

H0034Normal range

Medication training and management, per 15 min

1,126 claims · 0.0%

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

G0442 See all providers →

12 claims

$0.00

$4.91

—

Normal range

G0442Normal range

12 claims · 0.0%

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

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

19K claims

$0.00

$74.63

—

Normal range

H0004Normal range

Behavioral health counseling & therapy, per 15 min

19K claims · 0.0%

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

G8431 See all providers →

71 claims

$0.00

$2.37

—

Normal range

G8431Normal range

71 claims · 0.0%

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

T1017Targeted case management, per 15 minSee all providers →

506 claims

$0.00

$69.56

—

Normal range

T1017Normal range

Targeted case management, per 15 min

506 claims · 0.0%

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

T1023Screening to determine appropriateness of consideration for programSee all providers →

14 claims

$0.00

$106.70

—

Normal range

T1023Normal range

Screening to determine appropriateness of consideration for program

14 claims · 0.0%

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

H0032Mental health service plan developmentSee all providers →

61 claims

$0.00

$80.64

—

Normal range

H0032Normal range

Mental health service plan development

61 claims · 0.0%

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

Other Top Providers in Oklahoma

View all →

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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