Crystal Lake Clinic P.C.

Crystal Lake Clinic P.C. was paid $51K by Medicaid between Jan 2018 and Aug 2019, across 4 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 71% of everything it billed.

33Billing provider infoCRYSTAL LAKE CLINIC P.C.
WILLIAMSBURG, MI 49690

33aNPI1386028769assigned 07/15/2015

33bProvider typeFamily Medicine Physician

28Total paid$51K

24GClaims1,034

24DCodes billed4

24AFirst – last monthJan 2018 – Aug 2019

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#479 of 826

Median peer was paid$98K

This provider vs. median0.5×

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	634	$30K
2019	400	$21K

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	71%	785	703	$36K
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	28%	217	198	$14K
90688		<1%	17	17	$214.08
90471	Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine	<1%	15	15	$91.00

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)

Same official

Other billing entities under NIELSEN, RICHARD

Full network →

Provider	Location	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
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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.