Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alaska for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alaska only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alaska (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

South Central Family Practice Clinic PC (NPI 1003967753)

Field	Value
Entity Type	Organization
Organization	South Central Family Practice Clinic PC
Address	161 N Binkley St
City	Soldotna
State	AK
ZIP	99669
Taxonomy	Family Medicine Physician
NPI Enumerated	January 16, 2007

Payer Source	Total Paid
Medicaid	$254.6K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	1,620	$120	$185.8K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	900	$70	$66.3K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	20	$130	$2.4K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	480	$0	$0
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	130	$0	$0
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	660	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alaska Distribution

South Central Family Practice Clinic PC — 0 of 3 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alaska

Full comparison — all codes billed, vs. Alaska median

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	220	490	680	$260	$1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	127	440	580	$170	$458.7K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	112	130	130	$190	$99.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	51	130	250	$20	$83.8K
81002	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dip stick, and shakes off the excess urine. Alternatively, the analyst may place drops of the urine specimen…	10	20	70	$50	$40.1K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	4	20	110	$1	$200

Nearby Providers

Other providers in the same ZIP code as South Central Family Practice Clinic PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Peninsula General Hospital Inc.	AK	Rural Acute Care Hospital	$0	$58.4M
Hope Community Resources Inc	AK	Respite Care	$0	$42.9M
Frontier Community Services	AK	Developmentally Disabled Services Day Training Agency	$0	$41.8M
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$17.1M
Riverside Assisted Living Soldotna, Inc.	AK	Assisted Living Facility	$0	$11.2M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5.9M
Riverquest Group Home, Inc.	AK	Respite Care	$0	$4.4M
Aaa Alaska Cab, Inc.	AK	Taxi	$0	$3.8M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$2.6M
Kenai Peninsula Borough	AK	Land Ambulance	$780K	$1.4M

South Central Family Practice Clinic PC — Billing Profile & Reimbursement Data

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South Central Family Practice Clinic PC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References