Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC P.C.

NPI: 1417902057 · INTERLOCHEN, MI 49643 · Pediatrics Physician · NPI assigned 05/23/2006

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

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

$1.47M
Total Medicaid Paid
36,390
Total Claims
34,336
Beneficiaries
58
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date05/23/2006

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, 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 8,300 $350K
2019 5,299 $250K
2020 2,494 $123K
2021 2,326 $137K
2022 4,669 $193K
2023 7,465 $252K
2024 5,837 $168K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 9,509 8,823 $748K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,250 7,690 $449K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 660 660 $63K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 464 462 $39K
99215 Prolong outpt/office vis 362 352 $39K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 326 326 $25K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 295 294 $24K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 301 301 $23K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 266 259 $17K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,610 1,595 $12K
90472 Immunization administration, each additional vaccine (list separately) 481 474 $7K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 350 346 $5K
99406 444 422 $3K
90686 529 529 $3K
92551 307 307 $2K
90460 Immunization administration through 18 years of age via any route, first or only component 99 97 $2K
90688 135 133 $2K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 159 149 $1K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 103 103 $1K
90756 51 51 $1K
99188 115 115 $830.23
81002 387 370 $817.95
96160 486 480 $787.05
D0190 39 39 $566.48
96127 199 198 $512.53
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 19 19 $468.16
81003 270 253 $431.41
90674 13 13 $309.44
94760 419 374 $269.04
90670 220 214 $205.11
83036 Hemoglobin; glycosylated (A1C) 12 12 $89.24
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,844 3,463 $23.96
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 869 848 $11.92
G9002 Coordinated care fee, maintenance rate 166 165 $0.42
2014F 295 295 $0.26
3074F 557 531 $0.25
3078F 478 459 $0.19
3079F 236 227 $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) 15 14 $0.15
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,224 1,118 $0.06
3077F 31 28 $0.05
3008F 488 459 $0.01
3075F 44 43 $0.01
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 329 322 $0.00
99173 312 312 $0.00
90633 56 56 $0.00
90648 25 25 $0.00
4004F 54 50 $0.00
90461 29 27 $0.00
90707 33 33 $0.00
90734 44 44 $0.00
90685 12 12 $0.00
90696 15 15 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 113 100 $0.00
90716 35 35 $0.00
90651 26 26 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 166 155 $0.00
90698 14 14 $0.00