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.

Alaska Native Tribal Health Consortium (NPI 1235348343)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alaska Native Tribal Health Consortium
Address	4315 Diplomacy Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$33.1M
Medicare	$0

This provider has no Medicare billing on file (none) and reports $33.1M in lifetime Medicaid revenue, making it effectively a Medicaid‑focused entity in our dataset. The NPI was enumerated 2007-05-22 (~19 years ago), indicating a long-standing presence in Anchorage and sustained Medicaid activity over many years.

Medicaid revenue is highly concentrated in a small set of evaluation-and-management and emergency care codes: the top three Medicaid codes (99284, 99213, 99285) together account for 49.1% of the provider's total Medicaid revenue. Individually those codes represent $7.2M (99284, 23.5%), $4.1M (99213, 13.2%), and $3.8M (99285, 12.3%), signaling that a large share of receipts derives from ED visits and routine outpatient E/M encounters.

The procedure mix is consistent with an integrated general acute care hospital that handles substantial emergency department volume plus routine outpatient care, inpatient follow-ups, pathology, and imaging. High-revenue codes include ED E/M levels (99284, 99285, 99283), outpatient E/M (99213, 99214, 99212), inpatient subsequent care (99232, 99233), surgical pathology (88305, 88307), and diagnostic imaging (71046, 74177, ), indicating a broad acute-care service line rather than a narrow specialty focus.

Competitive standing within Alaska is strong on several outpatient and diagnostic services: 99213 ranks #7 of 485 providers in-state at the 99th percentile (notably above typical state volume), and 99212 ranks #1 of 214 providers at the 100th percentile (extreme outlier, far above typical state volume). Imaging and pathology also show dominance for certain codes—71046 ranks #2 of 51 at the 98th percentile (extreme outlier) and 88305 ranks #1 of 20 at the 100th percentile (notably above typical state volume)—supporting the view that this provider is a major in-state supplier for both routine imaging and surgical pathology.

Emergency care volumes are elevated compared with peers but show mixed acuity: 99284 ($7.2M) ranks #5 of 42 at the 90th percentile (notably above typical state volume), while 99285 ($3.8M) ranks #8 of 36 at the 80th percentile (typical, unremarkable volume). Additional ED/inpatient critical-care codes such as 99283 and 99291 also appear in the top billing mix, suggesting the ED handles a range of acuity levels from low to critical.

Several codes are statistical outliers that underscore concentrated service strengths beyond ED visits: 88305 and 88307 (surgical pathology) both rank at or near the top in-state (88305 #1 of 20, 100th percentile; 88307 #1 of 10, 100th percentile), and 71046 (chest radiographs) is an extreme outlier (rank #2 of 51, 98th percentile). These labels — extreme outlier and notably above typical state volume — point to unusually high throughput in pathology and basic imaging compared with other Alaska providers.

Because nearly half of Medicaid revenue is concentrated in three E/M/ED codes and the provider reports no Medicare revenue, its fiscal profile is concentrated by both payer and service line. This concentration could make overall revenue sensitive to Medicaid reimbursement changes or utilization shifts in emergency and outpatient E/M services, given that the top three codes together account for 49.1% of Medicaid revenue.

Medicaid: Complete Services Breakdown

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

135 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	44,170	$160	$7.2M
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…	42,280	$100	$4.1M
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.	15,960	$240	$3.8M
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…	20,960	$150	$3M
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.	32,990	$90	$2.9M
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	19,130	$100	$2M
88305	The physician, typically a pathologist, performs a level IV examination of a surgical pathology specimen. The examination includes accessioning the specimen into the lab, which involves formally…	11,680	$120	$1.4M
93306	The provider uses transducers to obtain two–dimensional (2D) images of the heart structures through the chest wall. He evaluates the anatomy and function of all four heart chambers, valves, adjacent…	7,180	$120	$875.6K
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.	6,350	$140	$856.8K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1,630	$390	$634.5K

Showing 1–10 of 135

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

Alaska Native Tribal Health Consortium — 10 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

135 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.	5	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.	8	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.	6	50	4,500	$170	$2.5M
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.	7	30	2,190	$390	$1.3M
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.	18	30	3,420	$220	$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…	7	490	680	$260	$1M
S9484	Crisis intervention mental health services, per hour	35	40	500	$580	$844.5K
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	4	30	2,180	$200	$672K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	3	20	210	$330	$567.6K
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…	9	440	580	$170	$458.7K

Showing 1–10 of 135

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$31.8M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$25.1M
Cook Inlet Tribal Council, Inc	AK	Community/Behavioral Health Agency	$0	$24.3M
Assets Incorporated	AK	Mental Health Counselor	$0	$21.7M

Alaska Native Tribal Health Consortium — Billing Profile & Reimbursement Data

Sign up for Alaska Native Tribal Health Consortium — Billing Profile & Reimbursement Data policy alerts

Alaska Native Tribal Health Consortium — Billing Profile & Reimbursement Data

Sign up for Alaska Native Tribal Health Consortium — Billing Profile & Reimbursement Data policy alerts

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
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Native Tribal Health Consortium	AK	Ambulatory Surgical Clinic/Center	$1.4M	$13.2M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$3.2M
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Aaron Kusano	AK	Radiation Oncology Physician	$1.1M	$0
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
John Yordy	AK	Radiation Oncology Physician	$549.6K	$0
Matthew Labarbera	OR	Cardiovascular Disease Physician	$373.7K	$4.4K