Medicaid Provider Spending

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

ALCONA CITIZENS FOR HEALTH, INC.

NPI: 1215438015 · CHEBOYGAN, MI 49721 · Federally Qualified Health Center (FQHC) · NPI assigned 02/27/2018

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

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

$287K
Total Medicaid Paid
17,304
Total Claims
12,244
Beneficiaries
24
Codes Billed
2018-03
First Month
2020-07
Last Month

Provider Details

Authorized OfficialSPENCER, NANCY (CEO)
NPI Enumeration Date02/27/2018

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 $167K
ALCONA CITIZENS FOR HEALTH, INC. CHEBOYGAN MI $145K
ALCONA CITIZENS FOR HEALTH, INC. ALPENA MI $122K
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 7,574 $74K
2019 7,134 $146K
2020 2,596 $66K

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 6,668 4,346 $109K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,447 1,682 $49K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,368 944 $40K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 913 700 $32K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 559 465 $17K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 416 320 $14K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 173 137 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 1,774 1,356 $6K
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 106 98 $5K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 197 172 $3K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 314 226 $2K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 105 93 $959.70
87280 71 69 $444.40
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 53 53 $329.00
90473 109 109 $225.00
90461 952 752 $0.00
90670 223 164 $0.00
90710 117 84 $0.00
90633 68 57 $0.00
3351F 84 77 $0.00
90688 13 13 $0.00
90680 59 41 $0.00
90686 453 245 $0.00
90698 62 41 $0.00