Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Alpena › NPI 1679094353
Physician

Alcona Citizens for Health, INC.

Alcona Citizens for Health, INC. was paid $580K by Medicaid between Feb 2018 and Sep 2024, across 50 billing codes. Its largest line is G0467, community health center visit, returning patient — 70% of everything it billed.

33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
ALPENA, MI 49707
33aNPI1679094353assigned 07/03/2017
28Total paid$580K
24GClaims50,877
24DCodes billed50
24AFirst – last monthFeb 2018 – Sep 2024
Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#194 of 826
Median peer was paid$98K
This provider vs. median5.9×

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

$0$10K$20K2018201920202021202220232024
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
YearClaimsPaid
2018574$8K
20192,360$55K
20203,204$88K
20218,449$115K
202215,178$140K
202316,639$136K
2024incomplete4,473$38K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 70% 8,511 8,031 $407K
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 8.1% 3,082 2,968 $47K
99392 Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) 4.9% 1,064 1,061 $28K
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 4.5% 432 431 $26K
99213 Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity 3.6% 1,952 1,879 $21K
99391 Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) 2.7% 964 950 $16K
99393 Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) 1.9% 317 315 $11K
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 1.3% 147 115 $7K
96110 Developmental screening, with scoring and documentation, per standardized instrument 1.2% 1,477 1,474 $7K
90460 Immunization administration through 18 years of age via any route, first or only component 1.1% 1,621 1,607 $6K
90837 Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient <1% 55 42 $2K
87428 <1% 65 63 $1K
38 more codes
36415 Collection of venous blood by venipuncture <1% 554 $655.83
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A <1% 59 $328.56
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine <1% 83 $294.00
90670 <1% 267 $225.00
0031A <1% 35 $215.98
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) <1% 17 $117.00
90686 <1% 290 $101.70
90688 <1% 17 $89.20
92587 <1% 13 $51.52
87807 <1% 12 $32.55
90473 <1% 40 $30.00
83037 <1% 13 $24.12
99177 <1% 51 $5.54
1033F 0% 1,522 $0.00
3078F 0% 2,494 $0.00
90461 0% 1,040 $0.00
90633 0% 77 $0.00
3077F 0% 12 $0.00
99173 0% 13 $0.00
90681 0% 27 $0.00
90710 0% 12 $0.00
1000F 0% 2,747 $0.00
90744 0% 42 $0.00
3352F 0% 215 $0.00
3074F 0% 2,680 $0.00
2001F 0% 4,839 $0.00
3351F 0% 85 $0.00
1036F 0% 2,185 $0.00
3079F 0% 298 $0.00
2000F 0% 2,999 $0.00
1031F 0% 1,614 $0.00
3008F 0% 3,315 $0.00
1034F 0% 257 $0.00
2010F 0% 2,880 $0.00
1220F 0% 246 $0.00
90698 0% 96 $0.00
91303 0% 14 $0.00
3075F 0% 30 $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)
Same official

Other billing entities under SPENCER, NANCY

Full network →

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.