Medicaid Provider Spending

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

ALCONA CITIZENS FOR HEALTH, INC.

NPI: 1316161516 · OSCODA, MI 48750 · Internal Medicine Physician · NPI assigned 04/12/2007

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

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

$38K
Total Medicaid Paid
9,315
Total Claims
8,256
Beneficiaries
22
Codes Billed
2018-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialSPENCER, NANCY (CEO)
NPI Enumeration Date04/12/2007

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. 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. 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 152 $0.00
2019 1,534 $3K
2020 1,332 $7K
2021 3,409 $7K
2022 1,261 $9K
2023 1,028 $8K
2024 599 $4K

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 3,576 3,090 $35K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 2,241 1,977 $2K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 967 923 $551.04
90837 Psychotherapy, 53 minutes with patient 38 26 $451.68
90688 58 58 $53.52
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 50 50 $28.00
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 14 12 $27.93
90460 Immunization administration through 18 years of age via any route, first or only component 19 19 $21.00
81003 22 20 $12.36
3079F 125 116 $0.00
3008F 326 288 $0.00
3074F 216 195 $0.00
1000F 294 264 $0.00
2001F 325 288 $0.00
3075F 83 77 $0.00
1034F 162 148 $0.00
1031F 184 164 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 15 12 $0.00
2010F 326 289 $0.00
Q3014 Telehealth originating site facility fee 19 19 $0.00
3078F 195 177 $0.00
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 60 44 $0.00