Physician
Alcona Citizens for Health, INC
Alcona Citizens for Health, INC was paid $67K by Medicaid between Jan 2018 and Aug 2023, across 12 billing codes. Its largest line is G0467, community health center visit, returning patient — 85% of everything it billed.
33Billing provider infoALCONA CITIZENS FOR HEALTH, INC
INDIAN RIVER, MI 49749
INDIAN RIVER, MI 49749
33aNPI1831567643assigned 09/10/2015
33bProvider typeFamily Medicine Physician
28Total paid$67K
24GClaims3,099
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other Family Medicine Physician providers in Michigan
Rank by total paid#453 of 826
Median peer was paid$98K
This provider vs. median0.7×
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 | 798 | $24K | |
| 2019 | 1,026 | $27K | |
| 2020 | 347 | $7K | |
| 2021 | 682 | $3K | |
| 2022 | 177 | $4K | |
| 2023 | 69 | $2K |
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 | 85% | 1,625 | 1,375 | $58K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 7.3% | 345 | 314 | $5K |
| 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 | 6.0% | 640 | 575 | $4K |
| 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 | 1.1% | 15 | 15 | $723.72 |
| 90688 | <1% | 12 | 12 | $160.56 | |
| 1000F | 0% | 98 | 83 | $0.00 | |
| 2001F | 0% | 96 | 82 | $0.00 | |
| 3008F | 0% | 96 | 82 | $0.00 | |
| 2010F | 0% | 100 | 86 | $0.00 | |
| 3074F | 0% | 33 | 30 | $0.00 | |
| 3079F | 0% | 12 | 12 | $0.00 | |
| 3078F | 0% | 27 | 25 | $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 | $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. | 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.