Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC, P.C.

NPI: 1316177611 · KINGSLEY, MI 49649 · Family Medicine Physician · NPI assigned 07/21/2009

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

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

$669K
Total Medicaid Paid
15,583
Total Claims
14,655
Beneficiaries
34
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date07/21/2009

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
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 1,682 $97K
2019 2,003 $100K
2020 1,471 $71K
2021 1,579 $94K
2022 1,909 $88K
2023 3,686 $129K
2024 3,253 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,635 5,216 $427K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,381 3,208 $180K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 207 206 $19K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 195 194 $16K
99406 798 718 $6K
99215 Prolong outpt/office vis 47 45 $5K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 40 40 $3K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 375 368 $3K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 39 39 $3K
90686 143 141 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 49 49 $1K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 40 40 $934.00
90688 48 46 $717.16
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 44 44 $574.98
90756 18 18 $482.55
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 25 25 $313.15
90472 Immunization administration, each additional vaccine (list separately) 14 14 $175.70
83036 Hemoglobin; glycosylated (A1C) 26 26 $168.84
96127 40 40 $108.61
92551 14 14 $98.40
81002 24 24 $60.48
3079F 182 181 $0.18
3074F 296 286 $0.13
3078F 253 247 $0.11
G8420 Bmi is documented within normal parameters and no follow-up plan is required 656 613 $0.09
3075F 80 80 $0.08
2014F 74 74 $0.04
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,057 1,900 $0.03
3008F 382 366 $0.02
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 86 83 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 161 158 $0.00
4004F 45 43 $0.00
99173 14 14 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 95 95 $0.00