Physician
Crystal Lake Clinic P.C.
Crystal Lake Clinic P.C. was paid $2.10M by Medicaid between Jan 2018 and Dec 2024, across 59 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 45% of everything it billed.
33Billing provider infoCRYSTAL LAKE CLINIC P.C.
BENZONIA, MI 49616
BENZONIA, MI 49616
33aNPI1316991755assigned 05/20/2006
33bProvider typeInternal Medicine Physician
28Total paid$2.10M
24GClaims46,438
24DCodes billed59
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#60 of 816
Median peer was paid$70K
This provider vs. median30×
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 | 3,572 | $185K | |
| 2019 | 4,920 | $199K | |
| 2020 | 7,286 | $340K | |
| 2021 | 7,261 | $379K | |
| 2022 | 8,879 | $436K | |
| 2023 | 8,703 | $360K | |
| 2024incomplete | 5,817 | $203K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 45% | 17,572 | 16,356 | $940K |
| 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 | 44% | 12,258 | 11,371 | $931K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 3.1% | 2,037 | 1,971 | $66K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 2.1% | 490 | 489 | $45K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 1.5% | 300 | 295 | $31K |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 382 | 379 | $10K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 101 | 101 | $9K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | <1% | 95 | 94 | $8K |
| 99406 | <1% | 1,118 | 1,024 | $8K | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 821 | 809 | $6K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 66 | 66 | $6K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 127 | 125 | $6K |
47 more codes
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 320 | $4K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 90 | $4K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 44 | $4K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 64 | $4K |
| 90686 | <1% | 389 | $3K | |
| 0001A | <1% | 68 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 268 | $2K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 158 | $2K |
| 0002A | <1% | 51 | $2K | |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 28 | $2K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 120 | $2K |
| 90688 | <1% | 133 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 52 | $2K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 226 | $1K |
| 90674 | <1% | 28 | $594.47 | |
| 99201 | <1% | 21 | $569.34 | |
| 99211 | Office or other outpatient visit for the evaluation and management of an established patient, minimal severity | <1% | 25 | $396.19 |
| 90756 | <1% | 13 | $242.61 | |
| 96160 | <1% | 69 | $235.80 | |
| 81002 | <1% | 109 | $173.65 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 42 | $140.49 |
| 87807 | <1% | 13 | $132.38 | |
| 99000 | <1% | 19 | $115.67 | |
| 81003 | <1% | 81 | $114.71 | |
| 92551 | <1% | 14 | $91.56 | |
| 96127 | <1% | 12 | $25.21 | |
| 3078F | <1% | 413 | $0.26 | |
| 3074F | <1% | 386 | $0.21 | |
| 91300 | <1% | 138 | $0.17 | |
| G9002 | Coordinated care fee, maintenance rate | <1% | 117 | $0.11 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,418 | $0.07 |
| 3075F | <1% | 93 | $0.06 | |
| 3008F | <1% | 496 | $0.04 | |
| 3079F | <1% | 107 | $0.04 | |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 3,138 | $0.02 |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 1,108 | $0.00 |
| 90680 | 0% | 14 | $0.00 | |
| 94760 | 0% | 27 | $0.00 | |
| 90698 | 0% | 15 | $0.00 | |
| 90651 | 0% | 12 | $0.00 | |
| 3044F | 0% | 14 | $0.00 | |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 686 | $0.00 |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 361 | $0.00 |
| 99173 | 0% | 14 | $0.00 | |
| 90461 | 0% | 12 | $0.00 | |
| 4004F | 0% | 28 | $0.00 | |
| 90670 | 0% | 17 | $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)
| Provider | Location | Paid |
|---|---|---|
| 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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.