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.

Norton Sound Health Corporation (NPI 1225101041)

Key Findings

Field	Value
Entity Type	Organization
Organization	Norton Sound Health Corporation
Address	1000 Greg Kruschek Ave
City	Nome
State	AK
ZIP	99762
Taxonomy	Critical Access Hospital
NPI Enumerated	November 17, 2006

Payer Source	Total Paid
Medicaid	$63.3M
Medicare	$0

This provider is effectively single‑payer on record: there is no Medicare billing on file while Medicaid revenue totals $63.3M, indicating Medicaid is the primary commercial source supporting the facility’s operations and service lines. Analysts should treat Medicaid activity as the dominant financial signal when modeling this entity’s patient mix and reimbursement exposure.

Revenue concentration is high: the precomputed top 3 Medicaid codes by revenue account for 45.1% of this provider's total Medicaid revenue. The single largest code, 87635, generates $10.4M (21.5% of Medicaid revenue), followed by 99284 at $5.8M (12.1%) and 99283 at $5.6M (11.6%), showing a small set of services drives nearly half of Medicaid receipts.

The mix of top codes signals a strong emergency department and acute diagnostic footprint: 99284 (6.1K claims, $949 avg paid/claim, $5.8M) and 99283 (10.3K claims, $543 avg paid/claim, $5.6M) are major revenue contributors, while 99285 contributes an additional $1.6M. These volumes and dollar magnitudes are consistent with a Critical Access Hospital functioning as the region’s primary ED and urgent evaluation site.

Laboratory and infectious disease testing are a material operational focus: 87635 (SARS–CoV–2 PCR) alone produces $10.4M and ranks #2 of 96 in-state (99th percentile; extreme outlier), and related rapid and molecular tests such as 87804 and 87880 (each ranked #2 in-state at very high percentiles) show extraordinarily high testing volumes. This pattern points to significant onsite lab capacity and a role as a central testing hub for respiratory and sexually transmitted infections in the region.

Administration of medications and short infusions is a notable service line: 96372 has 13.9K claims with $2.2M revenue and ranks #2 of 77 (99th percentile; extreme outlier), and companion infusion/administration codes 96374 and 96365 together add meaningful Medicaid revenue. These figures indicate frequent injection/infusion procedures and outpatient therapeutic administration are routine activities at the facility.

High‑value imaging is present but not dominant statewide: CT codes 70450 ($1.2M, $1418 avg paid/claim) and 74177 ($1.2M, $2924 avg paid/claim) show the hospital performs advanced imaging locally, yet their in‑state ranks (18 of 28 and 19 of 28, respectively) place the provider in lower to mid competitive positions for those modalities. This suggests capability to image acute cases locally while a smaller share of statewide imaging volume concentrates at other centers.

Routine diagnostics and chronic disease monitoring are high‑volume supports to acute care: comprehensive metabolic panel 80053 (15.2K claims, $3M), CBC 85025 (16K claims, $1.7M), TSH 84443 (5.5K claims, $906.5K), and A1C 83036 (5K claims, $616K) collectively reflect steady outpatient and inpatient lab throughput that supports both ED and primary care functions at the hospital.

The provider has long tenure in the Medicare/Medicaid system, with its NPI enumerated on 2006-11-17 (~20 years ago) and a Critical Access Hospital taxonomy; combined with the Medicaid concentration and the high ranks on specific lab and administration codes, this profile is consistent with a longstanding rural hub that delivers broad emergency, diagnostic, and basic infusion services to its community.

Medicaid: Complete Services Breakdown

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

196 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	65,240	$160	$10.4M
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.	6,150	$950	$5.8M
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.	10,350	$540	$5.6M
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.	15,250	$200	$3M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	13,900	$160	$2.2M
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	11,320	$160	$1.8M
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.	5,670	$310	$1.8M
85025	A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…	16,050	$110	$1.7M
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.	1,250	$1,290	$1.6M
87591	The lab analyst performs a lab test for Neisseria gonorrhoeae, also called GC, using amplified nucleic acid probe technique.	7,610	$200	$1.5M

Showing 1–10 of 196

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

Norton Sound Health Corporation — 4 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

196 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.	20	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.	24	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.	17	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	15	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.	19	30	2,190	$390	$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…	2	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.	9	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.	12	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…	78	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.	8	90	140	$230	$1M

Showing 1–10 of 196

Norton Sound 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton Sound Health Corporation	AK	Air Ambulance	$0	$9.1M
Norton Sound Health Corporation	AK	Critical Access Hospital	$0	$7.2M

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Norton Sound Health Corp	AK	Community Health Clinic/Center	$0	$11.3M
Norton Sound Health Corp	AK	General Practice Dentistry	$0	$9.2M
Norton Sound Health Corp	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.4M
Norton Sound Health Corp	AK	Community Health Clinic/Center	$0	$1.6M
Tundra Kids Dentistry LLC	AK	Pediatric Dentistry	$0	$1.3M
City Of Nome	AK	Land Ambulance	$17.1K	$386.1K
Last Frontier Eye Care	AK	Optometrist	$0	$342.2K
Teresa Straub	AK	Family Medicine Physician	$77.6K	$0
Jennifer Tappin-addison	AK	Nurse Practitioner	$5.7K	$0