Crystal Lake Clinic P.C.

Crystal Lake Clinic P.C. was paid $253K by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 47% of everything it billed.

33Billing provider infoCRYSTAL LAKE CLINIC P.C.
SUTTONS BAY, MI 49682

33aNPI1164945978assigned 07/24/2017

33bProvider typeFamily Medicine Physician

28Total paid$253K

24GClaims5,874

24DCodes billed16

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#291 of 826

Median peer was paid$98K

This provider vs. median2.6×

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	413	$19K
2019	536	$28K
2020	629	$32K
2021	696	$42K
2022	890	$36K
2023	1,702	$53K
2024incomplete	1,008	$43K

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	47%	1,598	1,509	$119K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	46%	2,311	2,129	$117K
99215	Doctor's office visit, returning patient (complex)Prolong outpt/office vis	5.2%	125	121	$13K
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	154	150	$2K
90686		<1%	77	77	$1K
99396	Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years	<1%	13	13	$1K
96160		<1%	26	25	$61.22
96127		<1%	12	12	$33.24
G8420	Bmi is documented within normal parameters and no follow-up plan is required	<1%	287	270	$0.01
3008F		0%	46	46	$0.00
G8419	Bmi documented outside normal parameters, no follow-up plan documented, no reason given	0%	44	42	$0.00
3079F		0%	18	17	$0.00

4 more codes

3074F		0%	28	$0.00
G8417	Bmi is documented above normal parameters and a follow-up plan is documented	0%	897	$0.00
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	0%	224	$0.00
3078F		0%	14	$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.	Elk Rapids, MI	$240K
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.