Crystal Lake Clinic P.C.

Crystal Lake Clinic P.C. was paid $240K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 59% of everything it billed.

33Billing provider infoCRYSTAL LAKE CLINIC P.C.
ELK RAPIDS, MI 49629

33aNPI1053780072assigned 09/21/2015

33bProvider typeFamily Medicine Physician

28Total paid$240K

24GClaims5,022

24DCodes billed16

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#303 of 826

Median peer was paid$98K

This provider vs. median2.5×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official NIELSEN, RICHARD controls 12+ related entities in our dataset. Read more

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	824	$43K
2019	1,287	$57K
2020	526	$29K
2021	471	$34K
2022	590	$30K
2023	546	$22K
2024incomplete	778	$26K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	59%	2,002	1,851	$142K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	38%	1,784	1,631	$92K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	<1%	20	18	$2K
99406		<1%	213	181	$2K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	163	161	$1K
90756		<1%	23	23	$509.23
90688		<1%	36	36	$485.24
90686		<1%	41	40	$295.66
90472	Immunization administration, each additional vaccine (list separately)	<1%	13	13	$161.00
3008F		<1%	141	130	$0.02
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	<1%	486	452	$0.01
3074F		0%	17	17	$0.00

4 more codes

G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	34	$0.00
3079F		0%	15	$0.00
G8420	Bmi is documented within normal parameters and no follow-up plan is required	0%	21	$0.00
3078F		0%	13	$0.00

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialNIELSEN, RICHARD (PRESIDENT)

Same official

Other billing entities under NIELSEN, RICHARD

Full network →

Provider	Location	Paid
Crystal Lake Clinic P.C.	Benzonia, MI	$2.10M
Crystal Lake Clinic P.C.	Interlochen, MI	$1.47M
Crystal Lake Clinic, PC	Traverse City, MI	$1.30M
Crystal Lake Clinic PC	Manistee, MI	$1.02M
Crystal Lake Clinic, PC	Manton, MI	$725K
Crystal Lake Clinic P.C.	Traverse City, MI	$706K
Crystal Lake Clinic, P.C.	Kingsley, MI	$669K
Interim Healthcare of Ohio	Gahanna, OH	$341K
Crystal Lake Clinic, P.C.	Bear Lake, MI	$336K
Crystal Lake Clinic P.C.	Suttons Bay, MI	$253K
Crystal Lake Clinic P.C.	Frankfort, MI	$234K
Crystal Lake Clinic P.C.	Williamsburg, MI	$51K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.