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.

Mat-su Emergency Medicine Physicians Corp (NPI 1073548129)

Field	Value
Entity Type	Organization
Organization	Mat-su Emergency Medicine Physicians Corp
Address	2500 S Woodworth Loop
City	Palmer
State	AK
ZIP	99645
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$14.3M
Medicare	$0

Key Findings

This provider is effectively single‑payer in scope: there is no Medicare billing on file while total Medicaid revenue is $14.3M, so all documented federal program activity for MAT‑SU EMERGENCY MEDICINE PHYSICIANS CORP is driven by Medicaid. Analysts should treat this entity as a Medicaid-focused emergency medicine operation rather than a mixed Medicare/Medicaid competitor.

The practice mix is concentrated on emergency department evaluation and management: the three top Medicaid procedures are 99285, 99284, and 99283, with 99285 showing 32.4K claims ($199 avg paid/claim) generating $6.4M, 99284 showing 39K claims ($154 avg paid/claim) generating $6M, and 99283 showing 20.7K claims ($86 avg paid/claim) generating $1.8M. These volumes and code descriptions indicate the organization functions primarily as an ED group handling a broad spectrum of acuity from low (99283) to high (99285).

Revenue concentration is extreme: the precomputed top‑3 Medicaid codes account for 99.5% of the provider’s total Medicaid revenue, with 99285 at 45.1%, 99284 at 42.0%, and 99283 at 12.5% of Medicaid dollars. This tight dependence on three ED E/M codes means overall Medicaid revenue will move in step with changes in ED visit mix or state reimbursement for those specific CPTs.

State competitive standing is solid but not dominant: 99285 ranks #4 of 36 providers in‑state (91th percentile) and 99284 ranks #8 of 42 providers (83th percentile), while 99283 ranks #13 of 45 (73th percentile). Each of those codes is labeled in the source as "typical, unremarkable volume for this code," which suggests MAT‑SU is a meaningful, higher‑volume ED provider in Alaska but not an outlier or market monopolist.

The practice shows standard ancillary utilization consistent with ED care: 93010 (ECG interpretation) appears across 16.1K claims at $4 avg paid/claim for $64.4K in revenue (0.5% of Medicaid revenue), indicating frequent, low‑paid cardiac screening tied to the ED visits rather than a separate high‑margin service line. Other small or zero‑revenue entries—G8950 with 12 claims and $0 revenue (ranks #1 of 1 providers in‑state, 0th percentile; no state peer volume comparison available) and 99282 with 13 claims producing $767 (0.0% of revenue; ranks #29 of 29, 0th percentile)—further show the revenue base is overwhelmingly concentrated in the primary ED E/M codes.

Tenure and stability: the provider’s NPI was enumerated on 2006-07-11 (~20 years ago), indicating long‑standing presence in the market; the combination of two decades of activity and large Medicaid ED volumes suggests established referral and operational processes for emergency care.

From a contracting and network strategy perspective, the business is highly exposed to shifts in Medicaid ED reimbursement and case mix because 99.5% of Medicaid dollars are tied to three ED E/M codes. Any payer negotiations, utilization management changes, or policy updates that affect reimbursement for 99285, 99284, or 99283 would disproportionately affect this provider’s revenue profile and should be prioritized in risk assessments.

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
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.	32,380	$200	$6.4M
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.	39,030	$150	$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.	20,700	$90	$1.8M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	16,100	$1	$64.4K
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.	10	$60	$770
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	10	$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

Mat-su Emergency Medicine Physicians Corp — 0 of 5 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
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.	8	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.	4	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.	13	50	4,500	$170	$2.5M
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.	29	30	3,420	$220	$1.1M
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	4	20	530	$10	$40.8K
G8950	Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented	1	10	10	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mat-su Emergency Medicine Physicians Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Taylor Mccorkle	MI	Emergency Medicine Physician	$138.3K	$0
Elizabeth Hamilton	NH	Emergency Medicine Physician	$109.2K	$0
Jaron Coombs	AK	Emergency Medicine Physician	$107.9K	$0
Russell Johanson	AK	Emergency Medicine Physician	$105.9K	$0
Meghan Lindstrom	AK	Emergency Medicine Physician	$105.6K	$0
Kili O'bryant	AK	Emergency Medicine Physician	$101K	$0
Ryan Biornstad	AK	Emergency Medicine Physician	$96.6K	$0
Jared Vedros	AK	Emergency Medicine Physician	$88.6K	$0
Kevin Delduca	AK	Emergency Medicine Physician	$88.2K	$0
Eli Lessard	AK	Emergency Medicine Physician	$81.4K	$0

Nearby Providers

Other providers in the same ZIP code as Mat-su Emergency Medicine Physicians Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Valley Medical Center LLC	AK	General Acute Care Hospital	$0	$67.4M
Co Occuring Disorders Institute	AK	Community/Behavioral Health Agency	$0	$7.3M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.1M
Matanuska-susitna Borough School District	AK	Local Education Agency (LEA)	$0	$6M
Matanuska Susitna Borough	AK	Land Ambulance	$1.2M	$4.2M
Ak Nurtured Living LLC	AK	Assisted Living Facility	$0	$5.4M
Knik Tribe	AK	Community/Behavioral Health Agency	$0	$3.8M
Daybreak Incorporated	AK	Case Management Agency	$0	$3.6M
City & Borough Of Juneau Alaska	AK	Land Ambulance	$580.5K	$2.4M
Mat-su Valley Iii LLC	AK	Internal Medicine Physician	$0	$1.7M

Mat-su Emergency Medicine Physicians Corp — Billing Profile & Reimbursement Data

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Mat-su Emergency Medicine Physicians Corp — 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