Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC P.C.

NPI: 1376927756 · TRAVERSE CITY, MI 49685 · Family Medicine Physician · NPI assigned 07/15/2015

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

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

$706K
Total Medicaid Paid
14,729
Total Claims
14,056
Beneficiaries
27
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date07/15/2015

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. 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 1,970 $103K
2019 1,749 $94K
2020 1,289 $73K
2021 1,640 $109K
2022 2,194 $98K
2023 2,913 $104K
2024 2,974 $124K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 5,933 5,623 $470K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3,141 2,980 $175K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 229 229 $23K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 108 108 $9K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 99 97 $7K
99215 Prolong outpt/office vis 64 61 $6K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 474 471 $5K
90686 255 254 $4K
99406 310 288 $2K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 13 13 $2K
90688 113 108 $1K
90756 48 48 $1K
90674 12 12 $281.30
90656 16 16 $221.15
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 2,340 2,216 $123.60
83036 Hemoglobin; glycosylated (A1C) 12 12 $68.52
96160 28 28 $44.22
G9002 Coordinated care fee, maintenance rate 29 28 $0.11
3079F 61 60 $0.04
3074F 65 63 $0.03
G8420 Bmi is documented within normal parameters and no follow-up plan is required 735 702 $0.00
3008F 39 37 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 90 89 $0.00
G0008 Administration of influenza virus vaccine 12 12 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 287 286 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 185 185 $0.00
3078F 31 30 $0.00