CRYSTAL CARE OF IRONTON, LLC

NPI 1801254883, organization, Coal Grove, OH, Skilled Nursing Facility

Evidence tier

network structure with a list link

Part of provider network D1-00083, ranked 83 nationally.

score 60 of 100, rank 4197, $0 at stake

Provider networks

D1-00083 ranked 83

79 providers around Los Angeles, CA: 5 hospices, 1 home health agency, 73 nursing facilities.

National provider registry

From the CMS NPPES Registry, refreshed daily.

Name	CRYSTAL CARE OF IRONTON, LLC (also CRYSTAL CARE OF COAL GROVE)
Type	Organization
Status	Active
NPI issued	February 4, 2016, last updated February 4, 2016
Practice location	813 1/2 MARION PIKE, Coal Grove, OH 45638-3070, 740-532-0449
Mailing address	2968 JERICHO PL, Delaware, OH 43015-3175
Authorized official	Paul Bergsten (Ceo)
Specialties	Skilled Nursing Facility (314000000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes

code	what it is	paid	share	per patient-month	typical	rank among providers
97530	Therapy procedure using functional activities	$3K	100%	$24	$124 (top 5% from $387)	too few months to rank
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	$0	0%	$0.00	$76 (top 5% from $314)	too few months to rank
97535	Training for self-care or home management, each 15 minutes	$0	0%	$0.00	$48 (top 5% from $459)	too few months to rank

In this area

399 providers in OH carry an indicator in the public record, with $341.5M at stake between them. The most common is part of a provider network, on 338 of them, followed by named in an enforcement record on 43. 21 are tier 1: documented action, then payment.

tier	provider	at stake	why
1	LAKKARAJ RAJASEKHAR West Chester, OH, ranked 10	$226K	Listed on the Medicare revocation list since September 30, 2020. Medicaid still paid claims in 45 later months, $226,119 in total. and 1 more
1	EBONY GIBSON Cleveland, OH, ranked 137	$122K	Listed on the OIG exclusion list since November 20, 2022. Medicaid still paid claims in 2 later months, $122,425 in total.
1	GREATER CINCINNATI PAIN MANAGEMENT Cincinnati, OH, ranked 253	$17K	Listed on the KY Medicaid exclusion list since October 31, 2020. Medicaid still paid claims in 7 later months, $16,688 in total.
1	MITCHELL SIMONS Cincinnati, OH, ranked 256	$16K	Listed on the KY Medicaid exclusion list since October 31, 2020. Medicaid still paid claims in 6 later months, $16,320 in total.
1	TOWN STREET MEDICAL, LLC Columbus, OH, ranked 285	$10K	Listed on the Medicare revocation list since November 20, 2024. Medicaid still paid claims in 1 later month, $10,250 in total.
1	ROBERT FLOREA Columbus, OH, ranked 288	$0	Adjudicated (convicted, sentenced) per a state attorney general release dated October 31, 2024. No Medicaid payments in the last 12 observed months. and 4 more
1	ROBERT LOVE Piqua, OH, ranked 316	$6K	Listed on the Medicare revocation list since April 30, 2021. Medicaid still paid claims in 2 later months, $5,510 in total.
1	ADVANCED SPINE & PAIN MANAGEMENT INC Cincinnati, OH, ranked 326	$5K	Listed on the KY Medicaid exclusion list and the Medicare revocation list since May 5, 2022. Medicaid still paid claims in 1 later month, $4,960 in total.

All 399 in OH

Recent enforcement in OH

All releases

Department of Justice and HHS-OIG releases for this state, newest first. Each opens in a new tab.

DOJCivil settlementJun 23, 2026

Ohio Dentist Agrees to Pay $500,000 to Resolve Allegations of Submitting False Claims to Medicaid

Meckler billed the Ohio Department of Medicaid for services provided by Ball, who was excluded from the Medicaid program, by listing Meckler as the rendering provider instead of Ball.

DOJSentencedJun 15, 2026

Ohio Doctor Ordered to Pay Nearly $1M for Facilitating Fraud on Medicare

A physician working as an independent contractor for a telemedicine company signed doctor's orders for durable medical equipment braces and genetic testing without meaningfully reviewing patient records or performing required in-person assessments, and those orders were used to bill Medicare more than $1,842,524.

DOJCivil settlementApr 2, 2026

Trinity Hospital Agrees to Pay $1.7M to Resolve Alleged Stark Law Violations

Trinity agreed to pay $1.7 million to resolve allegations that from 2014 through 2020 it made improper financial contributions to two referring physicians through office space rental arrangements that exceeded fair market value, in violation of the Stark Law.

DOJComplaint filedFeb 20, 2026

Justice Department Sues OhioHealth for Anticompetitive Healthcare Contracts That Increase Costs for Ohio Patients

The Justice Department and Ohio Attorney General filed a civil antitrust complaint alleging OhioHealth used its market power to impose contractual restrictions that prevent insurers from offering lower-cost health plans and limit access to price information.

DOJSentencedJan 14, 2026

Ohio Doctor Sentenced to Prison for $14M Healthcare Fraud Scheme

A licensed Ohio physician employed by two Florida telemedicine companies signed pre-completed orders for durable medical equipment and cancer genetic testing, falsely affirming he had examined the patients, causing more than $14.5 million in fraudulent Medicare claims.

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.