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.

Medical Network Of Alaska, LLC (NPI 1013551456)

Field	Value
Entity Type	Organization
Organization	Medical Network Of Alaska, LLC
Address	10543 Kenai Spur Hwy
City	Kenai
State	AK
ZIP	99611
Taxonomy	Family Medicine Physician
NPI Enumerated	October 29, 2019

Payer Source	Total Paid
Medicaid	$313.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 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…	1,080	$130	$140.9K
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	3,190	$20	$67K
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	1,550	$40	$60.5K
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…	360	$80	$28.7K
99203	The provider sees a new 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 provider…	110	$80	$8.8K
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…	30	$170	$4.4K
99204	The provider sees a new 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 provider…	20	$190	$2.8K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	130	$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

Medical Network Of Alaska, LLC — 0 of 7 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	25	100	360	$340	$1.2M
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…	289	490	680	$260	$1M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	9	90	140	$230	$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…	171	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…	105	130	130	$190	$99.1K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	83	130	250	$20	$83.8K
99203	The provider sees a new 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 provider…	67	130	110	$120	$53.5K
99204	The provider sees a new 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 provider…	87	100	50	$180	$33.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Medical Network Of Alaska, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Network Of Alaska, LLC	AK	Specialist	$0	$4.3M
Medical Network Of Alaska, LLC	AK	Urgent Care Clinic/Center	$0	$811.6K
Medical Network Of Alaska, LLC	AK	Obstetrics & Gynecology Physician	$0	$543.2K
Blake Galler	AK	Dermatology Physician	$448K	$0
Hugh Hall	AZ	Foot & Ankle Surgery Podiatrist	$364.5K	$21.7K
Douglas Prevost	AK	Orthopaedic Surgery Physician	$367.6K	$0
Ian Brimhall	AZ	Orthopaedic Surgery Physician	$210.5K	$109K
Daniel Davignon	AK	Diagnostic Radiology Physician	$248.8K	$21.1K
Jared Kirkham	AK	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$238.9K	$0
Medical Network Of Alaska, LLC	AK	Endocrinology, Diabetes & Metabolism Physician	$0	$224.2K

Nearby Providers

Other providers in the same ZIP code as Medical Network Of Alaska, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenaitze Indian Tribe	AK	Community/Behavioral Health Agency	$0	$41.4M
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$13.9M
Kenai Kids Therapy Inc	AK	Physical Therapist	$0	$11.7M
Aspen Creek Kenai LLC	AK	Assisted Living Facility	$0	$7.1M
Jac Enterprises, Inc.	AK	Assisted Living Facility	$0	$5.6M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5M
Robert E. Mcalpine, D.m.d., P.C.	AK	Dental Clinic/Center	$0	$4.1M
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$3.2M
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$3M
R Lynn Carlson Md PC Medicenter	AK	Family Medicine Physician	$0	$2.1M

Medical Network Of Alaska, LLC — Billing Profile & Reimbursement Data

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Medical Network Of Alaska, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References