Physician
Crystal Lake Clinic P.C.
Crystal Lake Clinic P.C. was paid $1.47M by Medicaid between Jan 2018 and Dec 2024, across 58 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 51% of everything it billed.
33Billing provider infoCRYSTAL LAKE CLINIC P.C.
INTERLOCHEN, MI 49643
INTERLOCHEN, MI 49643
33aNPI1417902057assigned 05/23/2006
33bProvider typePediatrics Physician
28Total paid$1.47M
24GClaims36,390
24DCodes billed58
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#91 of 349
Median peer was paid$321K
This provider vs. median4.6×
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 | 8,300 | $350K | |
| 2019 | 5,299 | $250K | |
| 2020 | 2,494 | $123K | |
| 2021 | 2,326 | $137K | |
| 2022 | 4,669 | $193K | |
| 2023 | 7,465 | $252K | |
| 2024incomplete | 5,837 | $168K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 51% | 9,509 | 8,823 | $748K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 31% | 8,250 | 7,690 | $449K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 4.3% | 660 | 660 | $63K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 2.7% | 464 | 462 | $39K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.6% | 362 | 352 | $39K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 1.7% | 326 | 326 | $25K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.6% | 295 | 294 | $24K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.5% | 301 | 301 | $23K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.2% | 266 | 259 | $17K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 1,610 | 1,595 | $12K |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 481 | 474 | $7K |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 350 | 346 | $5K |
46 more codes
| 99406 | <1% | 444 | $3K | |
| 90686 | <1% | 529 | $3K | |
| 92551 | <1% | 307 | $2K | |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 99 | $2K |
| 90688 | <1% | 135 | $2K | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 159 | $1K |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 103 | $1K |
| 90756 | <1% | 51 | $1K | |
| 99188 | <1% | 115 | $830.23 | |
| 81002 | <1% | 387 | $817.95 | |
| 96160 | <1% | 486 | $787.05 | |
| D0190 | <1% | 39 | $566.48 | |
| 96127 | <1% | 199 | $512.53 | |
| 87426 | Infectious agent antigen detection, SARS-CoV-2 (COVID-19) | <1% | 19 | $468.16 |
| 81003 | <1% | 270 | $431.41 | |
| 90674 | <1% | 13 | $309.44 | |
| 94760 | <1% | 419 | $269.04 | |
| 90670 | <1% | 220 | $205.11 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 12 | $89.24 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | <1% | 3,844 | $23.96 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | <1% | 869 | $11.92 |
| G9002 | Coordinated care fee, maintenance rate | <1% | 166 | $0.42 |
| 2014F | <1% | 295 | $0.26 | |
| 3074F | <1% | 557 | $0.25 | |
| 3078F | <1% | 478 | $0.19 | |
| 3079F | <1% | 236 | $0.16 | |
| S0257 | Counseling and discussion regarding advance directives or end of life care planning and decisions, with patient and/or surrogate (list separately in addition to code for appropriate evaluation and management service) | <1% | 15 | $0.15 |
| G8420 | Bmi is documented within normal parameters and no follow-up plan is required | <1% | 1,224 | $0.06 |
| 3077F | <1% | 31 | $0.05 | |
| 3008F | <1% | 488 | $0.01 | |
| 3075F | <1% | 44 | $0.01 | |
| G8476 | Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | 0% | 329 | $0.00 |
| 99173 | 0% | 312 | $0.00 | |
| 90633 | 0% | 56 | $0.00 | |
| 90648 | 0% | 25 | $0.00 | |
| 4004F | 0% | 54 | $0.00 | |
| 90461 | 0% | 29 | $0.00 | |
| 90707 | 0% | 33 | $0.00 | |
| 90734 | 0% | 44 | $0.00 | |
| 90685 | 0% | 12 | $0.00 | |
| 90696 | 0% | 15 | $0.00 | |
| G8418 | Bmi is documented below normal parameters and a follow-up plan is documented | 0% | 113 | $0.00 |
| 90716 | 0% | 35 | $0.00 | |
| 90651 | 0% | 26 | $0.00 | |
| G8419 | Bmi documented outside normal parameters, no follow-up plan documented, no reason given | 0% | 166 | $0.00 |
| 90698 | 0% | 14 | $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. | Benzonia, MI | $2.10M |
| 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.