Alpena Express Care and Family Practice, PLC

Alpena Express Care and Family Practice, PLC was paid $461K by Medicaid between Sep 2019 and Dec 2024, across 7 billing codes. Its largest line is 99310, Prolong nursin fac eval 15m — 70% of everything it billed.

33Billing provider infoALPENA EXPRESS CARE AND FAMILY PRACTICE, PLC
ALPENA, MI 49707

33aNPI1992981559assigned 01/14/2008

33bProvider typeFamily Medicine Physician

28Total paid$461K

24GClaims11,644

24DCodes billed7

24AFirst – last monthSep 2019 – Dec 2024

Compared with peers

Next to other Family Medicine Physician providers in Michigan

Rank by total paid#222 of 826

Median peer was paid$98K

This provider vs. median4.7×

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.

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
2019	77	$5K
2020	1,233	$40K
2021	1,226	$84K
2022	2,916	$112K
2023	2,546	$80K
2024incomplete	3,646	$140K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99310	Prolong nursin fac eval 15m	70%	7,580	4,548	$325K
99308	Subsequent nursing facility care, per day, straightforward	16%	2,733	2,682	$73K
99309	Subsequent nursing facility care, per day, low to moderate complexity	8.5%	875	819	$39K
99306	Prolong nursin fac eval 15m	3.7%	280	279	$17K
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	1.1%	65	60	$5K
99441		<1%	93	59	$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	<1%	18	16	$613.86

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 officialDARGIS, DAVID (OWNER)