Physician
Alcona Citizens for Health, INC
Alcona Citizens for Health, INC was paid $320K by Medicaid between Jan 2018 and Jan 2020, across 16 billing codes. Its largest line is G0467, community health center visit, returning patient — 62% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC
PICKFORD, MI 49774
PICKFORD, MI 49774
33aNPI1669857926assigned 07/28/2015
33bProvider typeFamily Medicine Physician
28Total paid$320K
24GClaims7,767
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2020
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#264 of 826
Median peer was paid$98K
This provider vs. median3.3×
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 | 4,072 | $167K | |
| 2019 | 3,610 | $149K | |
| 2020 | 85 | $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 | 62% | 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 | 31% | 1,183 | 741 | $100K |
| G0466 | Community health center visit, new patientFederally 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 | 6.7% | 228 | 223 | $21K |
| 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 | 0% | 1,422 | 1,287 | $0.00 |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 0% | 694 | 650 | $0.00 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 0% | 345 | 335 | $0.00 |
| 36415 | Collection of venous blood by venipuncture | 0% | 257 | 249 | $0.00 |
| 90632 | 0% | 95 | 95 | $0.00 | |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 0% | 156 | 120 | $0.00 |
| 90688 | 0% | 43 | 43 | $0.00 | |
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 0% | 635 | 432 | $0.00 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 0% | 37 | 36 | $0.00 |
4 more codes
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | 0% | 12 | $0.00 |
| 90832 | Psychotherapy session, about 30 minutes | 0% | 14 | $0.00 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 0% | 13 | $0.00 |
| 99203 | Doctor's office visit, new patient (routine) | 0% | 16 | $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. | 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.