Clinic
Alcona Citizens for Health, INC.
Alcona Citizens for Health, INC. was paid $167K by Medicaid between Mar 2018 and Nov 2020, across 18 billing codes. Its largest line is 90837, psychotherapy session, about an hour — 40% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC.
CHEBOYGAN, MI 49721
CHEBOYGAN, MI 49721
33aNPI1770084576assigned 02/27/2018
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$167K
24GClaims6,827
24DCodes billed18
24AFirst – last monthMar 2018 – Nov 2020
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in Michigan
Rank by total paid#165 of 241
Median peer was paid$477K
This provider vs. median0.4×
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 | 1,191 | $15K | |
| 2019 | 2,330 | $60K | |
| 2020 | 3,306 | $92K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 90837 | Psychotherapy session, about an hourPsychotherapy, 53 minutes with patient | 40% | 1,836 | 894 | $67K |
| 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 | 20% | 2,565 | 1,326 | $34K |
| 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 | 11% | 681 | 629 | $18K |
| 90832 | Psychotherapy session, about 30 minutesPsychotherapy, 30 minutes with patient | 4.9% | 290 | 255 | $8K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 3.7% | 213 | 209 | $6K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 3.0% | 104 | 104 | $5K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 2.8% | 101 | 101 | $5K |
| Q3014 | Telehealth originating site facility fee | 2.7% | 224 | 198 | $5K |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 2.7% | 107 | 71 | $4K |
| 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 | 2.5% | 95 | 91 | $4K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 1.7% | 80 | 80 | $3K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 1.3% | 29 | 29 | $2K |
6 more codes
| 90791 | Psychiatric diagnostic evaluation | 1.1% | 62 | $2K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | 1.1% | 247 | $2K |
| G0466 | Community health center visit, new patient | <1% | 17 | $883.26 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 21 | $275.20 |
| 90473 | <1% | 12 | $15.00 | |
| 90461 | 0% | 143 | $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 | Pickford, MI | $320K |
| Alcona Citizens for Health, INC. | Cheboygan, MI | $287K |
| 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.