Physician
Alcona Citizens for Health, INC.
Alcona Citizens for Health, INC. was paid $43K by Medicaid between Apr 2024 and Sep 2024, across 18 billing codes. Its largest line is G0467, community health center visit, returning patient — 92% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
ALPENA, MI 49707
ALPENA, MI 49707
33aNPI1750159158assigned 12/14/2023
33bProvider typePediatrics Physician
28Total paid$43K
24GClaims4,011
24DCodes billed18
24AFirst – last monthApr 2024 – Sep 2024
Compared with peers
Next to other Pediatrics Physician providers in Michigan
Rank by total paid#251 of 349
Median peer was paid$321K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 4,011 | $43K |
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 | 92% | 558 | 510 | $40K |
| 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 | 2.5% | 12 | 12 | $1K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 2.3% | 195 | 182 | $988.55 |
| 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 | 1.3% | 151 | 147 | $574.07 |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 1.0% | 44 | 44 | $442.44 |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 66 | 66 | $145.17 |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 32 | 31 | $72.79 |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 47 | 47 | $39.56 |
| 2010F | 0% | 379 | 357 | $0.00 | |
| 3074F | 0% | 366 | 345 | $0.00 | |
| 2001F | 0% | 526 | 477 | $0.00 | |
| 1031F | 0% | 72 | 70 | $0.00 |
6 more codes
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. | 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.