Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC P.C.

NPI: 1316991755 · BENZONIA, MI 49616 · Internal Medicine Physician · NPI assigned 05/20/2006

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

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

$2.10M
Total Medicaid Paid
46,438
Total Claims
43,539
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date05/20/2006

Related Entities

Other providers sharing the same authorized official: NIELSEN, RICHARD

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 5,817 $203K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 17,572 16,356 $940K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 12,258 11,371 $931K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 2,037 1,971 $66K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 490 489 $45K
99215 Prolong outpt/office vis 300 295 $31K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 382 379 $10K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 101 101 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 95 94 $8K
99406 1,118 1,024 $8K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 821 809 $6K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 66 66 $6K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 127 125 $6K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 320 316 $4K
99308 Subsequent nursing facility care, per day, straightforward 90 84 $4K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 44 44 $4K
99309 Subsequent nursing facility care, per day, low to moderate complexity 64 62 $4K
90686 389 382 $3K
0001A 68 68 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 268 240 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 158 156 $2K
0002A 51 51 $2K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 28 28 $2K
90472 Immunization administration, each additional vaccine (list separately) 120 119 $2K
90688 133 131 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 52 49 $2K
83036 Hemoglobin; glycosylated (A1C) 226 225 $1K
90674 28 28 $594.47
99201 21 21 $569.34
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 25 25 $396.19
90756 13 13 $242.61
96160 69 69 $235.80
81002 109 104 $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 42 41 $140.49
87807 13 13 $132.38
99000 19 19 $115.67
81003 81 80 $114.71
92551 14 14 $91.56
96127 12 12 $25.21
3078F 413 389 $0.26
3074F 386 366 $0.21
91300 138 123 $0.17
G9002 Coordinated care fee, maintenance rate 117 113 $0.11
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,418 1,312 $0.07
3075F 93 89 $0.06
3008F 496 458 $0.04
3079F 107 102 $0.04
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,138 2,901 $0.02
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 1,108 1,044 $0.00
90680 14 14 $0.00
94760 27 27 $0.00
90698 15 15 $0.00
90651 12 12 $0.00
3044F 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 686 664 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 361 353 $0.00
99173 14 14 $0.00
90461 12 12 $0.00
4004F 28 26 $0.00
90670 17 17 $0.00