Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CRYSTAL LAKE CLINIC, P.C.

NPI: 1902851777 · BEAR LAKE, MI 49614 · Family Medicine 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

$336K
Total Medicaid Paid
8,424
Total Claims
8,041
Beneficiaries
20
Codes Billed
2018-01
First Month
2024-11
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 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. 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 1,245 $71K
2019 1,006 $45K
2020 732 $36K
2021 591 $33K
2022 1,163 $48K
2023 1,774 $57K
2024 1,913 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 3,023 2,863 $213K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,137 2,025 $107K
99215 Prolong outpt/office vis 84 79 $6K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 38 38 $4K
99406 341 311 $2K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 140 140 $1K
90686 99 99 $1K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 12 12 $964.68
90460 Immunization administration through 18 years of age via any route, first or only component 25 25 $583.42
90688 21 21 $269.38
3074F 282 276 $0.26
3078F 248 245 $0.20
3079F 84 84 $0.08
G8420 Bmi is documented within normal parameters and no follow-up plan is required 74 72 $0.04
3008F 260 252 $0.03
3075F 13 13 $0.00
G8419 Bmi documented outside normal parameters, no follow-up plan documented, no reason given 14 14 $0.00
G8427 Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications 249 249 $0.00
G8476 Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg 13 12 $0.00
G8417 Bmi is documented above normal parameters and a follow-up plan is documented 1,267 1,211 $0.00