Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CRYSTAL LAKE CLINIC P.C.

NPI: 1053780072 · ELK RAPIDS, MI 49629 · Family Medicine Physician · NPI assigned 09/21/2015

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

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

$240K
Total Medicaid Paid
5,022
Total Claims
4,629
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date09/21/2015

Related Entities

Other providers sharing the same authorized official: NIELSEN, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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