NPI: 1053780072 · ELK RAPIDS, MI 49629 · Family Medicine Physician · NPI assigned 09/21/2015
Authorized official NIELSEN, RICHARD controls 12+ related entities in our dataset. Read more
| Authorized Official | NIELSEN, RICHARD (PRESIDENT) |
| NPI Enumeration Date | 09/21/2015 |
Other providers sharing the same authorized official: NIELSEN, RICHARD
| Provider | City | State | Total 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 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 824 | $43K |
| 2019 | 1,287 | $57K |
| 2020 | 526 | $29K |
| 2021 | 471 | $34K |
| 2022 | 590 | $30K |
| 2023 | 546 | $22K |
| 2024 | 778 | $26K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99214 | Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 2,002 | 1,851 | $142K |
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 1,784 | 1,631 | $92K |
| 99215 | Prolong outpt/office vis | 20 | 18 | $2K |
| 99406 | 213 | 181 | $2K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 163 | 161 | $1K |
| 90756 | 23 | 23 | $509.23 | |
| 90688 | 36 | 36 | $485.24 | |
| 90686 | 41 | 40 | $295.66 | |
| 90472 | Immunization administration, each additional vaccine (list separately) | 13 | 13 | $161.00 |
| 3008F | 141 | 130 | $0.02 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 486 | 452 | $0.01 |
| 3074F | 17 | 17 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 34 | 32 | $0.00 |
| 3079F | 15 | 14 | $0.00 | |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | 21 | 17 | $0.00 |
| 3078F | 13 | 13 | $0.00 |