Medicaid Provider Spending

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

ALCONA CITIZENS FOR HEALTH, INC.

NPI: 1326055450 · HARRISVILLE, MI 48740 · Dentist · NPI assigned 08/02/2006

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

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

$25.56M
Total Medicaid Paid
1,687,363
Total Claims
1,474,044
Beneficiaries
212
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSPENCER, NANCY (CEO)
NPI Enumeration Date08/02/2006

Related Entities

Other providers sharing the same authorized official: SPENCER, NANCY

ProviderCityStateTotal Paid
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. 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 142,762 $3.78M
2019 108,525 $3.12M
2020 90,431 $2.74M
2021 267,038 $3.91M
2022 382,758 $4.11M
2023 375,947 $4.17M
2024 319,902 $3.74M

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 241,157 202,362 $11.02M
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 56,523 34,676 $2.70M
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 77,148 70,300 $1.84M
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 115,954 102,348 $1.65M
90837 Psychotherapy, 53 minutes with patient 23,868 15,920 $750K
D1110 Prophylaxis - adult 7,679 7,666 $653K
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 10,888 10,801 $639K
D0140 Limited oral evaluation - problem focused 4,472 4,424 $404K
D0120 Periodic oral evaluation - established patient 8,807 8,790 $401K
D7140 Extraction, erupted tooth or exposed root 4,822 2,210 $367K
90834 Psychotherapy, 45 minutes with patient 13,374 9,873 $267K
99396 Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years 6,927 6,899 $255K
D1120 Prophylaxis - child 6,282 6,278 $254K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 5,873 5,841 $237K
90832 Psychotherapy, 30 minutes with patient 15,078 11,001 $231K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 5,491 5,460 $221K
D0150 Comprehensive oral evaluation - new or established patient 3,035 3,030 $214K
D1206 Topical application of fluoride varnish 7,586 7,581 $194K
90791 Psychiatric diagnostic evaluation 5,093 4,971 $194K
99394 Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) 4,657 4,623 $175K
99395 Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years 5,611 5,577 $153K
Q3014 Telehealth originating site facility fee 9,895 9,172 $136K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 1,126 778 $123K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1,328 893 $121K
99215 Prolong outpt/office vis 3,138 3,056 $110K
G0469 Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health 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 mental health visit 2,066 2,029 $107K
J1050 Injection, medroxyprogesterone acetate, 1 mg 1,583 1,570 $105K
87636 Infectious agent detection by nucleic acid; SARS-CoV-2 and influenza virus types A and B 1,597 1,560 $100K
D0274 Bitewings - four radiographic images 4,087 4,081 $91K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 4,113 4,059 $91K
D2150 Silver amalgam - two surfaces, primary or permanent 894 712 $90K
87428 5,109 4,842 $70K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 14,452 13,561 $69K
90460 Immunization administration through 18 years of age via any route, first or only component 11,985 11,834 $65K
D2331 717 466 $64K
G9002 Coordinated care fee, maintenance rate 3,505 2,997 $62K
90792 Psychiatric diagnostic evaluation with medical services 1,010 1,005 $61K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 3,315 3,293 $61K
D1351 Sealant - per tooth 2,130 730 $54K
D0330 Panoramic radiographic image 1,063 1,060 $52K
90651 2,104 2,060 $50K
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 4,567 4,399 $48K
90632 1,746 1,723 $47K
D2140 540 410 $47K
D0220 Intraoral - periapical first radiographic image 5,067 4,980 $45K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1,496 1,494 $45K
D2160 402 342 $42K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 3,105 3,022 $41K
D0272 Bitewings - two radiographic images 1,742 1,739 $39K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 8,177 8,056 $39K
D0210 Intraoral - complete series of radiographic images 1,283 1,144 $39K
90688 4,950 4,912 $38K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 8,553 7,671 $36K
G9001 Coordinated care fee, initial rate 886 879 $35K
90715 2,820 2,783 $26K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 173 148 $25K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 2,277 2,253 $25K
99496 696 690 $23K
90620 966 966 $20K
99495 744 743 $19K
D2330 203 146 $18K
99381 806 805 $18K
90746 519 502 $17K
90677 404 404 $15K
90472 Immunization administration, each additional vaccine (list separately) 2,307 2,250 $14K
D2335 107 87 $13K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 2,541 2,484 $12K
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory 1,438 1,428 $12K
80305 2,859 2,601 $10K
90670 2,406 2,395 $10K
81025 3,463 3,368 $9K
0001A 294 293 $9K
83037 1,777 1,768 $9K
D2161 75 69 $8K
0002A 251 251 $8K
98929 358 230 $8K
81003 11,724 11,285 $8K
0031A 589 410 $8K
90686 3,560 3,533 $7K
D4910 79 79 $7K
0064A 208 208 $7K
92587 918 915 $7K
90750 89 89 $7K
D0230 Intraoral - periapical each additional radiographic image 1,678 901 $7K
0012A 201 200 $6K
17110 184 171 $6K
G9007 Coordinated care fee, scheduled team conference 679 650 $6K
0011A 251 250 $6K
91322 57 57 $6K
0124A 164 161 $5K
36415 Collection of venous blood by venipuncture 3,621 3,537 $5K
99383 131 131 $4K
99406 994 969 $4K
J1885 Injection, ketorolac tromethamine, per 15 mg 3,088 2,817 $4K
96110 Developmental screening, with scoring and documentation, per standardized instrument 480 480 $4K
90480 134 134 $4K
93000 925 913 $4K
87807 793 762 $4K
90658 225 225 $4K
0004A 107 107 $4K
90707 337 337 $3K
D0145 Oral evaluation for a patient under three years of age 115 115 $3K
D2332 33 27 $3K
99382 93 93 $3K
D0191 165 165 $3K
99308 Subsequent nursing facility care, per day, straightforward 3,804 1,586 $3K
92551 936 929 $3K
0071A 70 70 $2K
90734 1,099 1,073 $2K
90656 398 397 $2K
D2940 26 24 $2K
0134A 59 59 $2K
90473 884 880 $2K
0054A 66 66 $2K
0072A 57 57 $2K
20610 81 80 $2K
90619 643 640 $2K
90739 28 28 $2K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 335 327 $1K
91320 16 16 $1K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 221 216 $1K
85018 1,141 1,138 $945.82
83036 Hemoglobin; glycosylated (A1C) 233 228 $862.14
90853 Group psychotherapy (other than of a multiple-family group) 146 99 $780.49
82044 335 329 $739.09
82947 583 556 $702.05
87280 101 97 $696.97
99001 439 420 $632.03
90732 14 14 $600.00
90785 148 148 $471.00
0034A 14 14 $454.32
0013A 12 12 $434.28
99201 39 39 $402.90
90716 143 143 $347.41
83655 104 103 $330.99
99442 26 23 $293.55
D1354 14 12 $293.00
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 187 162 $273.26
96380 14 14 $239.35
81002 279 261 $238.69
96127 184 184 $238.48
99441 29 29 $204.73
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg 50 49 $181.81
98968 17 13 $140.01
99177 1,643 1,640 $115.97
85610 61 49 $114.52
J2919 Injection, methylprednisolone sodium succinate, 5 mg 25 25 $112.12
J0696 Injection, ceftriaxone sodium, per 250 mg 76 66 $107.67
86580 20 17 $98.24
90662 82 82 $98.00
97802 95 93 $85.00
98967 14 13 $54.03
96160 2,049 2,039 $8.32
92558 31 31 $5.33
3060F 2,102 1,651 $0.18
1159F 615 517 $0.01
3354F 3,146 3,039 $0.00
90647 585 581 $0.00
90696 628 624 $0.00
3351F 11,988 11,777 $0.00
3008F 91,927 79,739 $0.00
3074F 70,840 62,645 $0.00
3353F 6,877 6,734 $0.00
2000F 94,079 81,023 $0.00
1101F 2,114 2,110 $0.00
1000F 88,974 76,124 $0.00
3080F 6,409 5,987 $0.00
3079F 28,600 26,272 $0.00
1220F 16,793 16,151 $0.00
3044F 307 300 $0.00
90680 1,379 1,374 $0.00
1034F 27,666 22,875 $0.00
90723 141 141 $0.00
3352F 9,934 9,820 $0.00
3075F 14,965 14,084 $0.00
2001F 103,906 89,350 $0.00
1031F 26,449 24,382 $0.00
2010F 91,474 78,971 $0.00
4000F 395 385 $0.00
1036F 58,418 50,914 $0.00
90697 624 623 $0.00
91303 279 278 $0.00
90698 918 914 $0.00
91301 191 191 $0.00
90744 591 588 $0.00
G2025 Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only 107 99 $0.00
91307 132 126 $0.00
91306 172 172 $0.00
90381 12 12 $0.00
91305 171 167 $0.00
Q9992 Injection, buprenorphine extended-release (sublocade), greater than 100 mg 13 12 $0.00
90461 6,382 6,279 $0.00
99173 1,142 1,141 $0.00
90710 1,158 1,152 $0.00
91312 160 158 $0.00
3288F 2,343 2,337 $0.00
2028F 514 508 $0.00
90633 1,812 1,798 $0.00
3078F 59,269 53,069 $0.00
3077F 8,562 7,979 $0.00
97803 17 16 $0.00
91313 59 59 $0.00
1033F 15,969 14,901 $0.00
90685 230 226 $0.00
99408 30 30 $0.00
90700 480 479 $0.00
91300 620 576 $0.00
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 14 13 $0.00
G0511 Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month 18 18 $0.00
99080 43 43 $0.00
3725F 372 363 $0.00
90846 Family psychotherapy without the patient present, 50 minutes 15 12 $0.00