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.

Yukon-kuskokwim Health Corporation (NPI 1063567691)

Key Findings

Field	Value
Entity Type	Organization
Organization	Yukon-kuskokwim Health Corporation
Address	700 Chief Eddie Hoffman Hwy
City	Bethel
State	AK
ZIP	99559
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	January 24, 2007

Payer Source	Total Paid
Medicaid	$205.3M
Medicare	$0

YUKON-KUSKOKWIM HEALTH CORPORATION is effectively a single-payer Medicaid provider: it has no Medicare billing on file and reports Total Medicaid revenue of $205.3M, indicating Medicaid is the dominant — and for Medicare absent — source of fee-for-service revenue for this entity. The provider’s NPI was enumerated 2007-01-24 (~19 years ago), showing long-standing operational presence in the market.

Revenue concentration around a few service lines is material: the precomputed top-3 Medicaid codes account for 31.3% of the provider’s total Medicaid revenue. Those top three codes are 99213 ($17M revenue, 99.9K claims, $170 avg paid/claim, 10.8%), 87070 ($16.4M revenue, 33.7K claims, $486 avg paid/claim, 10.4%), and 80053 ($15.6M revenue, 32.6K claims, $479 avg paid/claim, 10.0%).

The code mix indicates a combined outpatient-primary-care, emergency, and high-volume laboratory operation: very large volumes for clinic E/M codes (99213 at 99.9K claims and 99214 at 62.4K claims) coexist with exceptionally high volumes for lab panels and cultures (87070 33.7K claims, 80053 32.6K claims, 87491 38.9K claims). This pattern is consistent with a rural acute care hospital that anchors primary care, preventive services, and on-site diagnostic laboratory capacity for its community.

Yukon-Kuskokwim’s competitive standing in-state is frequently dominant: multiple high-revenue codes rank at the top of statewide lists and are described as “extreme outlier” or “notably above typical.” Examples include 87070 (rank #1 of 22 providers, 100th percentile; extreme outlier), 99283 (rank #1 of 45 providers, 100th percentile; extreme outlier), 99214 (rank #1 of 440 providers, 100th percentile; extreme outlier), and 71046 (rank #1 of 51 providers, 100th percentile; extreme outlier), indicating the provider is a major-volume center in Alaska for both clinical and diagnostic services.

Several preventive and ambulatory procedures are significant revenue drivers and show unusually high state volume: 90471 (27.3K claims, $10M revenue) ranks #1 of 105 providers (100th percentile; extreme outlier) and 99213 (99.9K claims, $17M revenue) ranks #3 of 485 providers (100th percentile; extreme outlier). These figures point to an extensive immunization and outpatient clinic throughput that likely supports population health programs and routine primary care access.

Laboratory services constitute a central business line: high-revenue lab codes such as 87070 ($16.4M, 33.7K claims), 80053 ($15.6M, 32.6K claims), 87491 ($10.2M, 38.9K claims, 95th percentile; notably above typical), and 87086 ($4.5M, 25.2K claims) together underline a substantial in-house lab capacity that likely reduces referral outflows and captures testing revenue locally. Several lab tests also rank at or near the top statewide (80076 rank #1 of 14, 86480 rank #1 of 6), reinforcing the provider’s role as a regional lab hub.

Emergency and imaging throughput are also large contributors: the ED E/M codes 99283 (92.8K claims, $11.6M revenue, rank #1 of 45, 100th percentile; extreme outlier) and 99282 (35.2K claims, $8.3M revenue, rank #1 of 29, 100th percentile; extreme outlier) plus chest x‑ray 71046 (32.6K claims, $4.7M revenue, rank #1 of 51, 100th percentile; extreme outlier) together suggest a busy emergency department with integrated radiology services that handle high patient volumes. This supports the profile of a rural acute care hospital providing front-line urgent care and diagnostics.

From a payer/contracting perspective the facility’s Medicaid concentration and code-level dominance create both opportunity and exposure: with Total Medicaid revenue of $205.3M and no Medicare billing on file, reimbursement negotiations, risk-sharing, or value-based arrangements will primarily hinge on Medicaid rates and program terms. The long tenure since NPI enumeration (2007-01-24 (~19 years ago)) combined with repeated “extreme outlier” statewide rankings suggests entrenched operational scale in Alaska that payers should treat as a strategic regional provider when modeling network access and budget impact.

Medicaid: Complete Services Breakdown

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

290 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	99,900	$170	$17M
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	33,700	$490	$16.4M
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	32,630	$480	$15.6M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	92,790	$130	$11.6M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	38,910	$260	$10.2M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	27,350	$370	$10M
81001	Urinalysis is used to detect substances or cellular material in the urine associated with different metabolic and kidney disorders. It is used to detect urinary tract infections (UTI) and other…	30,650	$300	$9.3M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	35,230	$240	$8.3M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	9,400	$630	$6M
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	11,300	$500	$5.6M

Showing 1–10 of 290

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

Yukon-kuskokwim Health Corporation — 16 of 25 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

290 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99284	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making.	6	40	5,090	$240	$3.5M
99285	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a high level of medical decision making.	15	40	2,210	$300	$3.2M
99283	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a low level of medical decision making.	1	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	14	20	1,530	$750	$1.9M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	11	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	7	30	1,280	$210	$1.3M
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…	86	100	360	$340	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	1	30	3,420	$220	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	8	20	4,510	$130	$1.1M
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…	3	490	680	$260	$1M

Showing 1–10 of 290

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Physician Assistant	$0	$61.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Yukon Kuskokwim Health Corp	AK	Endodontics	$0	$30.2M
Yukon Kuskokwim Health Corp	AK	Mental Health Counselor	$0	$29.5M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$13.2M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$7.8M
Yukon Kuskokwim Health Corp	AK	Optometrist	$0	$7M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$5.7M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$3.6M
Denise Tran	AK	Family Nurse Practitioner	$80.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Transportation Broker	$0	$96.3M
Southern Home Care Services, Inc.	AK	In Home Supportive Care Agency	$0	$68.7M
Yukon Kuskokwim Health Corp	AK	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Bethel Family Clinic	AK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$831.3K
City Of Bethel	AK	Land Ambulance	$23K	$686.2K
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$303.6K
Matthew Warren	AK	Diagnostic Radiology Physician	$39K	$0
Jackie-joe Lindo	AK	Family Nurse Practitioner	$28.6K	$0
Isaac Kalistook	AK	Optometrist	$13.3K	$0

Yukon-kuskokwim Health Corporation — Billing Profile & Reimbursement Data

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Yukon-kuskokwim Health Corporation — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References