Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › MANISTEE › CRYSTAL LAKE CLINIC PC

CRYSTAL LAKE CLINIC PC

NPI: 1134491731 · MANISTEE, MI 49660 · Family Medicine Physician · NPI assigned 01/30/2012

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

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

$1.02M
Total Medicaid Paid
25,827
Total Claims
24,317
Beneficiaries
40
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date01/30/2012

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 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. ELK RAPIDS MI $240K
CRYSTAL LAKE CLINIC P.C. FRANKFORT MI $234K
CRYSTAL LAKE CLINIC P.C. WILLIAMSBURG MI $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,747 $143K
2019 2,912 $131K
2020 2,289 $93K
2021 2,869 $144K
2022 4,510 $173K
2023 5,470 $189K
2024 5,030 $147K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 7,652 7,130 $562K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 6,000 5,557 $297K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 780 777 $74K
99215 Prolong outpt/office vis 375 360 $30K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 282 281 $24K
99406 1,291 1,183 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 98 96 $8K
83036 Hemoglobin; glycosylated (A1C) 781 779 $4K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 400 386 $3K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 53 49 $3K
90686 128 124 $2K
90688 102 98 $1K
90756 32 32 $749.15
96160 243 240 $647.97
0001A 12 12 $458.50
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 12 12 $292.50
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 37 26 $279.94
96127 92 92 $256.89
90674 12 12 $225.04
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 15 15 $164.99
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $147.71
99000 14 14 $130.70
81003 28 27 $46.11
81002 12 12 $25.92
2014F 317 317 $0.27
3078F 442 428 $0.27
3074F 367 359 $0.22
3079F 99 98 $0.21
3075F 148 146 $0.19
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,348 3,110 $0.04
91300 19 14 $0.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required 785 732 $0.02
3008F 392 379 $0.01
3077F 28 26 $0.01
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 185 180 $0.00
3044F 128 128 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 290 284 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 736 719 $0.00
G9002 Coordinated care fee, maintenance rate 64 57 $0.00
G8477 Most recent blood pressure has a systolic measurement of >= 140 mmhg and/or a diastolic measurement of >= 90 mmhg 15 14 $0.00