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.

Southcentral Foundation (NPI 1144274986)

Field	Value
Entity Type	Organization
Organization	Southcentral Foundation
Address	225 Eagle St
City	Anchorage
State	AK
ZIP	99501
Taxonomy	Rehabilitation Clinic/Center
NPI Enumerated	May 19, 2006

Payer Source	Total Paid
Medicaid	$17M
Medicare	$0

Key Findings

SOUTHCENTRAL FOUNDATION reports no Medicare billing on file and all documented federal billing activity is through Medicaid, with lifetime Medicaid revenue of $17M; this makes the organization effectively a Medicaid-focused provider in the available claims dataset. The lack of Medicare revenue indicates payer concentration on Medicaid rather than a mixed Medicare/Medicaid ambulatory practice profile.

Revenue is extremely concentrated in a single Medicaid service line: the top 3 Medicaid codes account for 96.5% of the provider's total Medicaid revenue, and H2015 alone represents $15.7M (92.1% of Medicaid revenue). This concentration signals that the organization’s financial performance is heavily dependent on continued volume and payment for H2015 services.

Operationally, the code mix points to a behavioral health/community support model rather than a general medical outpatient clinic. H2015 (Comprehensive community support services, per 15 minutes) dominates with 31.5K claims and $498 avg paid/claim, supplemented by psychotherapy (90832: 798 claims, $316 avg paid/claim) and standard office E/M visits (99213: 1.5K claims, $331 avg paid/claim), indicating frequent, time-based community support encounters together with psychotherapy and some office-based care.

Competitive standing for the top code is strong statewide: the provider ranks #3 of 64 for H2015 and sits in the 97th percentile, described in the source as notably above typical state volume for this code. By contrast, the other top revenue drivers are comparatively modest in the market — 99213 ranks #182 of 485 (63th percentile) and 90832 ranks #35 of 102 (66th percentile) — suggesting market leadership specifically in community support services but only typical participation for E/M and individual psychotherapy.

Service mix beyond the top code is diversified but low in revenue share: T1016 (case management) and H0046 (mental health services, NOS) appear in the top-25 list but together account for small single-digit percentages of Medicaid revenue, and group psychotherapy (90853) and lower-level E/M codes (99212, 99214) contribute minimal revenue relative to H2015. This pattern indicates that while the center offers a range of behavioral health services, those services are ancillary to a dominant community support program.

The provider has long tenure in the NPI registry, enumerated on 2006-05-19 (~20 years ago), which supports interpretation of the observed billing footprint as an established, persistent operating profile rather than a short-term or newly established program. Longevity combined with a concentrated code mix suggests institutionalized workflows around H2015 service delivery.

There are a few notable data artifacts in the claims detail that are relevant to operational analysis: 36415 shows 84 claims with $0 avg paid/claim, which may reflect non-reimbursed lab draw entries or bundled billing practices in the dataset, and the very high per-claim average for H2015 ($498) underscores the revenue impact of time-based, per-15-minute community support billing. Both items are important when modeling sensitivity to reimbursement changes or contract negotiations because they affect realized revenue per encounter.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2015	Comprehensive community support services, per 15 minutes	31,510	$500	$15.7M
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…	1,530	$330	$506.1K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	800	$320	$252.2K
T1016	Case management, each 15 minutes	520	$400	$209.7K
H0046	Mental health services, not otherwise specified	490	$330	$159.3K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	490	$260	$127.9K
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…	660	$130	$84K
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…	30	$380	$12.2K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	80	$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

Southcentral Foundation — 1 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	3	60	4,510	$230	$1.8M
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…	182	490	680	$260	$1M
T1016	Case management, each 15 minutes	59	90	1,620	$150	$606.4K
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…	384	440	580	$170	$458.7K
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…	36	60	1,070	$80	$392.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	35	100	330	$170	$226.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	56	210	160	$230	$148.2K
H0046	Mental health services, not otherwise specified	40	70	560	$120	$97.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	95	130	250	$20	$83.8K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southcentral Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$20.3M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$15M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$13.4M
Southcentral Foundation	AK	Mental Illness Community Based Residential Treatment Facility	$0	$13.3M
Southcentral Foundation	AK	Primary Care Clinic/Center	$0	$12.5M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$12.1M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$11.1M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$11M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$10.2M

Nearby Providers

Other providers in the same ZIP code as Southcentral Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Alaska Inc.	AK	Personal Care Attendant	$0	$25.7M
Narcotic Drug Treatment Center, Inc.	AK	Methadone Clinic	$151.2K	$21.7M
Municipality Of Anchorage	AK	Land Ambulance	$3.7M	$14M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$16.3M
Northbridge, LLC	AK	Community/Behavioral Health Agency	$0	$14.3M
Mckinley Care LLC	AK	Assisted Living Facility	$0	$8.6M
Mary Heiman	AK	Case Manager/Care Coordinator	$0	$5.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$3.8M
Pacific Cataract And Laser Institute Of Alaska Inc PC	AK	Ambulatory Surgical Clinic/Center	$1.4M	$2.2M
Oral Surgery Associates Of Alaska	AK	Oral and Maxillofacial Surgery (Dentist)	$0	$3M

Southcentral Foundation — 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