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.

Set Free Alaska, Inc. (NPI 1073841789)

Field	Value
Entity Type	Organization
Organization	Set Free Alaska, Inc.
Address	7010 E Bogard Rd Bldg 1
City	Wasilla
State	AK
ZIP	99654
Taxonomy	Substance Abuse Rehabilitation Facility
NPI Enumerated	November 19, 2009

Payer Source	Total Paid
Medicaid	$21.5M
Medicare	$0

Key Findings

Medicare presence: none (no Medicare billing on file), while all recorded federal-fee-for-service revenue for this NPI is from Medicaid ($21.5M). This makes SET FREE ALASKA effectively a single-payer (Medicaid) outpatient behavioral health/substance use services provider in the claims data available, so Medicaid policy and managed-Medicaid contracting will drive most reimbursement risk and opportunity.

Revenue concentration is high: the top three Medicaid codes (H0047, 90853, 90837) together account for 81.4% of the provider's reported Medicaid revenue. H0047 alone represents $12.4M (57.7% of Medicaid revenue), 90853 $3.9M (18.2%), and 90837 $1.2M (5.4%), indicating a narrow set of services supplies the bulk of cash flow.

Service-line profile: the coding mix is centered on substance use and group psychotherapy services — H0047 (Alcohol and/or other drug abuse services), 90853 (group psychotherapy), and 90837 (long individual psychotherapy) dominate revenue. The prominence of group sessions (41.7K claims for 90853) together with high-volume AOD coding suggests the operation is structured around high-throughput group-based addiction treatment augmented by individual psychotherapy.

Competitive standing in-state is strong for key codes: the provider ranks #2 of 59 for 90853 (98th percentile, labeled an extreme outlier) and #3 of 37 for H0047 (94th percentile, notably above typical state volume). These placements indicate SET FREE ALASKA is a major statewide provider for group psychotherapy and AOD services, respectively, and is materially larger than most peers on those service lines.

Price and utilization dynamics: H0047 is both high-volume (29.4K claims) and high-paid per claim ($422 avg paid/claim), making it the single largest revenue driver ($12.4M). By contrast, 90853 has far more claims (41.7K) but a much lower average paid per claim ($94), meaning revenue leadership is a function of both utilization mix and per-claim payment levels across service types.

Broader service footprint beyond the top three: the provider also bills substantial volumes for outreach and community supports (H0023 7.8K claims, H2015 8.4K claims), case management (T1016 5.2K claims) and wrap-around services (H2021 3.3K claims). This mix signals a continuum of community-based and care-coordination activity in addition to clinic-based group and individual therapy, consistent with programs that combine AOD treatment and behavioral health support.

Operational concentration risk and strategic implications: with 81.4% of Medicaid revenue tied to three codes and a single-payer dependency, changes in Medicaid reimbursement, prior authorization, or program eligibility for AOD/group psychotherapy could disproportionately affect revenue. The provider’s position as an in-state volume leader for 90853 and H0047 is an advantage for negotiating with managed Medicaid, but also concentrates exposure to policy shifts targeting those service lines.

Tenure and market presence: the NPI was enumerated on 2009-11-19 (~17 years ago), indicating an established provider presence in the state market. Combined with the high percentile rankings on core codes, the longevity supports the interpretation that SET FREE ALASKA has built sustained capacity and referral channels for Medicaid-funded substance use and group psychotherapy services.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	29,410	$420	$12.4M
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	41,690	$90	$3.9M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10,830	$110	$1.2M
H0023	Alcohol and/or drug outreach	7,790	$100	$802.3K
H2015	Comprehensive community support services, per 15 minutes	8,360	$60	$534.9K
T1016	Case management, each 15 minutes	5,160	$80	$397.1K
H2021	Community-based wrap-around services, per 15 minutes	3,260	$110	$371.5K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	4,410	$80	$343.9K
S9485	Crisis intervention mental health services, per diem	380	$890	$342.4K
H0031	Mental health assessment, by non-physician	650	$400	$257.9K

Showing 1–10 of 20

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

Set Free Alaska, Inc. — 1 of 20 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	3	40	4,130	$460	$3.6M
H2019	Therapeutic behavioral services, per 15 minutes	30	40	3,660	$250	$3.1M
H0033	Oral medication administration, direct observation	14	20	3,510	$60	$2.1M
H2015	Comprehensive community support services, per 15 minutes	19	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	23	80	1,070	$330	$1.3M
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	12	30	1,000	$260	$695.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	11	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	24	90	1,620	$150	$606.4K
H0023	Alcohol and/or drug outreach	7	40	1,310	$180	$521.5K
H0038	Self‑help/peer services, per 15 minutes	4	10	1,120	$200	$442.1K

Showing 1–10 of 20

Nearby Providers

Other providers in the same ZIP code as Set Free Alaska, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Services For Children & Adults	AK	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Mat - Su Health Services Inc.	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Hope Community Resources Inc	AK	Respite Care	$0	$19.3M
Community Medical Services Montana Private LLC	AK	Methadone Clinic	$395.9K	$18.9M
Alaska Home Care	AK	Home Health Agency	$0	$14.1M
True North Recovery Inc	AK	Community/Behavioral Health Agency	$0	$11.5M
Pediatric Dentistry Of Alaska	AK	Dental Clinic/Center	$0	$11.4M
Backcountry Therapeutics LLC	AK	Occupational Therapist	$0	$11M
True North Recovery Inc	AK	Community/Behavioral Health Agency	$0	$10.4M

Set Free Alaska, Inc. — Billing Profile & Reimbursement Data

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Set Free Alaska, Inc. — 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

Nearby Providers

Frequently Asked Questions

References