Physician
Alcona Citizens for Health, INC.
Alcona Citizens for Health, INC. was paid $36K by Medicaid between Sep 2019 and Jan 2020, across 10 billing codes. Its largest line is G0467, community health center visit, returning patient — 66% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
PETOSKEY, MI 49770
PETOSKEY, MI 49770
33aNPI1275079725assigned 01/09/2017
33bProvider typePediatrics Physician
28Total paid$36K
24GClaims1,374
24DCodes billed10
24AFirst – last monthSep 2019 – Jan 2020
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#258 of 349
Median peer was paid$321K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 1,044 | $27K | |
| 2020 | 330 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| G0467 | Community health center visit, returning patientFederally 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 | 66% | 566 | 495 | $24K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 14% | 269 | 240 | $5K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 6.2% | 74 | 74 | $2K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.1% | 81 | 79 | $2K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 4.6% | 41 | 41 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.9% | 180 | 180 | $658.00 |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 40 | 40 | $219.04 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 13 | 13 | $91.00 |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 20 | 20 | $68.55 |
| 90461 | 0% | 90 | 90 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBAUMGARDER, CHRISTINE (CEO)