Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC, PC

NPI: 1306190475 · MANTON, MI 49663 · Family Medicine Physician · NPI assigned 10/29/2012

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

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

$725K
Total Medicaid Paid
21,310
Total Claims
19,655
Beneficiaries
32
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date10/29/2012

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 MANISTEE MI $1.02M
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 1,846 $89K
2019 2,183 $96K
2020 1,763 $79K
2021 1,948 $108K
2022 3,146 $115K
2023 4,603 $125K
2024 5,821 $113K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,476 5,060 $381K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 5,310 4,909 $277K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 366 366 $33K
99406 1,309 1,189 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 124 121 $8K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 101 100 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 256 255 $2K
90686 107 107 $2K
90756 62 62 $1K
83036 Hemoglobin; glycosylated (A1C) 158 158 $858.91
90688 60 60 $833.10
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 27 26 $649.53
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 25 $346.86
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 13 12 $150.59
96127 26 26 $72.02
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 12 12 $69.32
81002 26 26 $56.81
81003 41 40 $56.10
3074F 501 467 $0.47
3079F 436 412 $0.42
3078F 475 446 $0.29
3075F 339 318 $0.21
3008F 664 605 $0.06
3077F 41 38 $0.01
G8420 Bmi is documented within normal parameters and no follow-up plan is required 764 688 $0.00
3044F 61 57 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 112 109 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 173 172 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,466 3,058 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 728 683 $0.00
4004F 39 36 $0.00