CRYSTAL LAKE CLINIC, P.C.
NPI: 1316177611
· KINGSLEY, MI 49649
· 207Q00000X
$669K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total 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
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
|
5,635 |
5,216 |
$427K |
| 99213 |
|
3,381 |
3,208 |
$180K |
| 99396 |
|
207 |
206 |
$19K |
| 99395 |
|
195 |
194 |
$16K |
| 99406 |
|
798 |
718 |
$6K |
| 99215 |
Prolong outpt/office vis |
47 |
45 |
$5K |
| 99394 |
|
40 |
40 |
$3K |
| 90471 |
|
375 |
368 |
$3K |
| 99393 |
|
39 |
39 |
$3K |
| 90686 |
|
143 |
141 |
$2K |
| 90460 |
|
49 |
49 |
$1K |
| 87426 |
|
40 |
40 |
$934.00 |
| 90688 |
|
48 |
46 |
$717.16 |
| 87880 |
|
44 |
44 |
$574.98 |
| 90756 |
|
18 |
18 |
$482.55 |
| 87804 |
|
25 |
25 |
$313.15 |
| 90472 |
|
14 |
14 |
$175.70 |
| 83036 |
|
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 |
Calc bmi norm parameters |
656 |
613 |
$0.09 |
| 3075F |
|
80 |
80 |
$0.08 |
| 2014F |
|
74 |
74 |
$0.04 |
| G8417 |
Calc bmi abv up param f/u |
2,057 |
1,900 |
$0.03 |
| 3008F |
|
382 |
366 |
$0.02 |
| G8476 |
Bp sys <140 and dias <90 |
86 |
83 |
$0.00 |
| G8427 |
Docrev cur meds by elig clin |
161 |
158 |
$0.00 |
| 4004F |
|
45 |
43 |
$0.00 |
| 99173 |
|
14 |
14 |
$0.00 |
| G8419 |
Calc bmi out nrm param nof/u |
95 |
95 |
$0.00 |