Physician
Alcona Citizens for Health, INC.
Alcona Citizens for Health, INC. was paid $38K by Medicaid between Aug 2018 and Sep 2024, across 22 billing codes. Its largest line is G0467, community health center visit, returning patient — 93% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
OSCODA, MI 48750
OSCODA, MI 48750
33aNPI1316161516assigned 04/12/2007
33bProvider typeInternal Medicine Physician
28Total paid$38K
24GClaims9,315
24DCodes billed22
24AFirst – last monthAug 2018 – Sep 2024
Compared with peers
Next to other Internal Medicine Physician providers in Michigan
Rank by total paid#479 of 816
Median peer was paid$70K
This provider vs. median0.5×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SPENCER, NANCY controls 20+ related entities in our dataset. Read more
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 | |
|---|---|---|---|
| 2018 | 152 | $0.00 | |
| 2019 | 1,534 | $3K | |
| 2020 | 1,332 | $7K | |
| 2021 | 3,409 | $7K | |
| 2022 | 1,261 | $9K | |
| 2023 | 1,028 | $8K | |
| 2024incomplete | 599 | $4K |
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 | 93% | 3,576 | 3,090 | $35K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 4.3% | 2,241 | 1,977 | $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 | 1.4% | 967 | 923 | $551.04 |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 1.2% | 38 | 26 | $451.68 |
| 90688 | <1% | 58 | 58 | $53.52 | |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 50 | 50 | $28.00 |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 14 | 12 | $27.93 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 19 | 19 | $21.00 |
| 81003 | <1% | 22 | 20 | $12.36 | |
| 3079F | 0% | 125 | 116 | $0.00 | |
| 3008F | 0% | 326 | 288 | $0.00 | |
| 3074F | 0% | 216 | 195 | $0.00 |
10 more codes
| 1000F | 0% | 294 | $0.00 | |
| 2001F | 0% | 325 | $0.00 | |
| 3075F | 0% | 83 | $0.00 | |
| 1034F | 0% | 162 | $0.00 | |
| 1031F | 0% | 184 | $0.00 | |
| G2025 | Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | 0% | 15 | $0.00 |
| 2010F | 0% | 326 | $0.00 | |
| Q3014 | Telehealth originating site facility fee | 0% | 19 | $0.00 |
| 3078F | 0% | 195 | $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 | 0% | 60 | $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 officialSPENCER, NANCY (CEO)
| Provider | Location | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.