Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC, PC

NPI: 1679844849 · TRAVERSE CITY, MI 49685 · Family Medicine Physician · NPI assigned 01/20/2012

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

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

$1.30M
Total Medicaid Paid
31,346
Total Claims
29,449
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date01/20/2012

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 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 3,073 $160K
2019 3,364 $152K
2020 2,683 $130K
2021 3,419 $193K
2022 4,931 $209K
2023 7,965 $279K
2024 5,911 $174K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 8,299 7,822 $643K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 8,285 7,683 $448K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 646 646 $60K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 557 556 $47K
99215 Prolong outpt/office vis 389 384 $38K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 160 160 $12K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 1,239 1,226 $11K
90686 504 502 $8K
0002A 133 133 $5K
0001A 125 124 $4K
99406 587 545 $4K
90688 214 212 $3K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 78 75 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 367 321 $3K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 28 28 $2K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 125 122 $2K
90674 58 57 $1K
90756 39 39 $826.46
90682 14 14 $670.78
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 14 14 $412.43
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $338.73
81003 127 122 $192.99
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 16 16 $191.94
96127 63 62 $172.02
83036 Hemoglobin; glycosylated (A1C) 24 24 $154.40
90472 Immunization administration, each additional vaccine (list separately) 12 12 $148.40
81002 55 54 $112.32
96160 25 25 $14.74
3074F 494 463 $0.48
3079F 264 258 $0.35
3078F 412 386 $0.32
91300 269 221 $0.30
3075F 119 116 $0.18
G8420 Bmi is documented within normal parameters and no follow-up plan is required 1,425 1,316 $0.05
3008F 441 412 $0.05
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 3,859 3,486 $0.03
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 282 275 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 942 901 $0.00
3077F 25 25 $0.00
4004F 46 43 $0.00
G9002 Coordinated care fee, maintenance rate 12 12 $0.00
3080F 25 25 $0.00
94760 109 107 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 317 312 $0.00
G8418 Bmi is documented below normal parameters and a follow-up plan is documented 75 68 $0.00
98967 34 32 $0.00