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 Health Services Inc. (NPI 1184725210)

Field	Value
Entity Type	Organization
Organization	Mat - Su Health Services Inc.
Address	1363 W Spruce Ave
City	Wasilla
State	AK
ZIP	99654
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	September 25, 2006

Payer Source	Total Paid
Medicaid	$24.4M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (Medicare revenue: none) and $24.4M in lifetime Medicaid revenue, making it effectively a Medicaid-centric operation rather than a dual-payer practice. The absence of Medicare activity means competitive and utilization analysis should focus on Medicaid flows and in-state peers.

Revenue is highly concentrated: the top three Medicaid codes account for 46.7% of the provider’s Medicaid revenue, led by 90837 ($4.1M, 17.0%), 99213 ($3.8M, 15.7%), and H2021 ($3.4M, 14.0%). This concentration indicates a small set of services drive nearly half of Medicaid receipts.

The code mix points to an outpatient behavioral-health and community-support model: large psychotherapy volumes (90837, 90834, 90832), high utilization of community-based wrap-around and support services (H2021, H2015, H2019), and substantial case management/assessment activity (T1016, H0031). The presence of E/M visits (99213, 99214) alongside these behavioral codes suggests integration of routine medical/assessment visits with therapy and psychosocial support.

On competitive standing within Alaska, the provider is a major statewide participant for several services: 90837 ranks #3 of 147 providers in-state (99th percentile; extreme outlier), H0031 ranks #2 of 68 (99th percentile; extreme outlier), and T1007 ranks #2 of 75 (99th percentile; extreme outlier). Other high-volume codes also sit at elevated percentiles (e.g., 99213 at 97th percentile), indicating dominant share in multiple Medicaid service lines.

Several codes are labeled as notably or extremely above typical state volume, signaling statistical outlier behavior in concentrated service lines: H2021 is 95th percentile (notably above typical), 90834 is 98th percentile (typical but high volume relative to peers), and 98968 is 100th percentile (notably above typical for that code). These flags point to both unusually large psychotherapy throughput and strong activity in specialized tele/telephone and screening services.

Payer-level price and intensity signals are mixed: high average paid per claim for H0031 ($449 avg paid/claim) and 98968 ($224 avg paid/claim) sit alongside lower per-unit payments for high-volume time-based services (e.g., G0467 at $43 avg paid/claim and G0470 at $44 avg paid/claim). This pattern suggests the provider’s revenue mix combines fewer, higher-paid assessment encounters with many lower-paid, time-based community or bundled visits.

Operationally, the provider appears to run a high-volume, time-intensive behavioral-health operation: large claim counts such as 26.3K claims for 90837 and 21.9K claims for H2021 (and 18.5K for H2015) indicate substantial use of 15-minute or session-based billing units that scale with patient contact time. The prevalence of case management (T1016) and crisis intervention (S9484) alongside psychotherapy supports a service model focused on continuous community-based support rather than episodic specialty care.

The NPI was enumerated on 2006-09-25 (~20 years ago), indicating long tenure in the market; combined with persistent high volumes and top-state ranks across multiple codes, this tenure is consistent with an established behavioral-health provider with sustained Medicaid-facing operations.

Medicaid: Complete Services Breakdown

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

47 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,310	$160	$4.1M
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…	22,180	$170	$3.8M
H2021	Community-based wrap-around services, per 15 minutes	21,860	$160	$3.4M
H2015	Comprehensive community support services, per 15 minutes	18,480	$150	$2.8M
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…	8,790	$180	$1.5M
H2019	Therapeutic behavioral services, per 15 minutes	10,930	$130	$1.4M
90834	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…	10,630	$130	$1.3M
H0031	Mental health assessment, by non-physician	2,840	$450	$1.3M
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	6,820	$130	$907.3K
T1016	Case management, each 15 minutes	11,360	$60	$681.6K

Showing 1–10 of 47

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 Health Services Inc. — 9 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

47 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	13	40	3,660	$250	$3.1M
H2015	Comprehensive community support services, per 15 minutes	7	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	5	80	1,070	$330	$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…	61	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…	15	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.	32	90	140	$230	$1M
S9484	Crisis intervention mental health services, per hour	8	40	500	$580	$844.5K
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…	3	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	9	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…	28	440	580	$170	$458.7K

Showing 1–10 of 47

Nearby Providers

Other providers in the same ZIP code as Mat - Su Health Services 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
Set Free Alaska, Inc.	AK	Substance Abuse Rehabilitation Facility	$0	$21.5M
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

Mat - Su Health Services 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