Medicaid Provider Spending

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

CRYSTAL LAKE CLINIC P.C.

NPI: 1770537748 · FRANKFORT, MI 49635 · Family Medicine Physician · NPI assigned 05/22/2006

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

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

$234K
Total Medicaid Paid
4,931
Total Claims
4,640
Beneficiaries
17
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialNIELSEN, RICHARD (PRESIDENT)
NPI Enumeration Date05/22/2006

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 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. WILLIAMSBURG MI $51K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 726 $36K
2019 670 $35K
2020 369 $22K
2021 514 $34K
2022 878 $45K
2023 909 $34K
2024 865 $28K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,058 1,942 $160K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,335 1,249 $70K
99215 Prolong outpt/office vis 12 12 $1K
90686 73 69 $929.38
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 97 92 $747.39
99406 59 54 $463.98
90688 18 18 $217.64
96127 12 12 $32.82
96160 13 12 $4.74
3074F 76 73 $0.07
3079F 47 47 $0.02
3078F 14 14 $0.02
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 862 803 $0.02
G8420 Bmi is documented within normal parameters and no follow-up plan is required 82 78 $0.01
3008F 78 73 $0.01
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 18 17 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 77 75 $0.00