Medicaid Provider Spending

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

ALCONA CITIZENS FOR HEALTH, INC.

NPI: 1053434274 · ALPENA, MI 49707 · Internal Medicine Physician · NPI assigned 04/10/2007

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

Authorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more

$122K
Total Medicaid Paid
14,024
Total Claims
10,509
Beneficiaries
27
Codes Billed
2018-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSPENCER, NANCY (CEO)
NPI Enumeration Date04/10/2007

Related Entities

Other providers sharing the same authorized official: SPENCER, NANCY

ProviderCityStateTotal Paid
ALCONA CITIZENS FOR HEALTH, INC. HARRISVILLE MI $25.56M
ALCONA CITIZENS FOR HEALTH, INC. ALPENA MI $580K
ALCONA CITIZENS FOR HEALTH, INC PICKFORD MI $320K
ALCONA CITIZENS FOR HEALTH, INC. CHEBOYGAN MI $287K
ALCONA CITIZENS FOR HEALTH, INC. CHEBOYGAN MI $167K
ALCONA CITIZENS FOR HEALTH, INC. CHEBOYGAN MI $145K
ALCONA CITIZENS FOR HEALTH, INC CHEBOYGAN MI $106K
ALCONA CITIZENS FOR HEALTH, INC ANN ARBOR MI $80K
ALCONA CITIZENS FOR HEALTH, INC. HARRISVILLE MI $80K
ALCONA CITIZENS FOR HEALTH INC PLYMOUTH MI $71K
ALCONA CITIZENS FOR HEALTH, INC INDIAN RIVER MI $67K
ALCONA CITIZENS FOR HEALTH, INC. OSSINEKE MI $44K
ALCONA CITIZENS FOR HEALTH, INC. ALPENA MI $43K
ALCONA CITIZENS FOR HEALTH, INC. OSCODA MI $38K
ALCONA CITIZENS FOR HEALTH, INC. ALPENA MI $34K
LAKESIDE BIRTH CENTER LLC LAKE TAPPS WA $14K
ALCONA CITIZENS FOR HEALTH, INC. HARRISVILLE MI $13K
ALCONA CITIZENS FOR HEALTH, INC PELLSTON MI $10K
ALCONA CITIZENS FOR HEALTH, INC. CHEBOYGAN MI $3K
ALCONA CITIZENS FOR HEALTH, INC ALPENA MI $998.22

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $0.00
2019 1,617 $1K
2021 5,593 $26K
2022 2,952 $41K
2023 2,271 $34K
2024 1,530 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
G0467 Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 5,426 3,740 $118K
G0470 Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit 150 120 $2K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,587 1,462 $621.00
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,541 1,436 $303.10
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 15 15 $89.89
90688 45 45 $89.20
90832 Psychotherapy, 30 minutes with patient 18 17 $75.28
90837 Psychotherapy, 53 minutes with patient 33 25 $75.28
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 29 29 $14.00
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 37 35 $13.69
81003 60 59 $12.36
99308 Subsequent nursing facility care, per day, straightforward 1,764 627 $0.00
1000F 430 384 $0.00
2001F 506 429 $0.00
1034F 241 215 $0.00
2010F 521 441 $0.00
3079F 200 181 $0.00
3008F 502 425 $0.00
3075F 130 122 $0.00
3074F 312 273 $0.00
1031F 46 39 $0.00
1033F 18 13 $0.00
3078F 289 262 $0.00
3077F 54 52 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 13 13 $0.00
G9002 Coordinated care fee, maintenance rate 43 36 $0.00
G0466 Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit 14 14 $0.00