Medicaid Provider Spending

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

ALCONA CITIZENS FOR HEALTH, INC

NPI: 1669857926 · PICKFORD, MI 49774 · Family Medicine Physician · NPI assigned 07/28/2015

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

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

$320K
Total Medicaid Paid
7,767
Total Claims
6,540
Beneficiaries
16
Codes Billed
2018-01
First Month
2020-01
Last Month

Provider Details

Authorized OfficialSPENCER, NANCY (CEO)
NPI Enumeration Date07/28/2015

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. 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 4,072 $167K
2019 3,610 $149K
2020 85 $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 2,617 2,276 $199K
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 1,183 741 $100K
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 228 223 $21K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 1,422 1,287 $0.00
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 694 650 $0.00
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 345 335 $0.00
36415 Collection of venous blood by venipuncture 257 249 $0.00
90632 95 95 $0.00
90834 Psychotherapy, 45 minutes with patient 156 120 $0.00
90688 43 43 $0.00
90837 Psychotherapy, 53 minutes with patient 635 432 $0.00
90460 Immunization administration through 18 years of age via any route, first or only component 37 36 $0.00
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 12 12 $0.00
90832 Psychotherapy, 30 minutes with patient 14 12 $0.00
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 13 13 $0.00
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 16 16 $0.00