Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MI › SUTTONS BAY › CRYSTAL LAKE CLINIC P.C.

CRYSTAL LAKE CLINIC P.C.

NPI: 1164945978 · SUTTONS BAY, MI 49682 · Family Medicine Physician · NPI assigned 07/24/2017

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

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

$253K
Total Medicaid Paid
5,874
Total Claims
5,491
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date07/24/2017

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

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,598 1,509 $119K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,311 2,129 $117K
99215 Prolong outpt/office vis 125 121 $13K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 154 150 $2K
90686 77 77 $1K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 13 13 $1K
96160 26 25 $61.22
96127 12 12 $33.24
G8420 Bmi is documented within normal parameters and no follow-up plan is required 287 270 $0.01
3008F 46 46 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 44 42 $0.00
3079F 18 17 $0.00
3074F 28 24 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 897 826 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 224 217 $0.00
3078F 14 13 $0.00