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.

Arctic Slope Native Association Ltd (NPI 1306933643)

Key Findings

Field	Value
Entity Type	Organization
Organization	Arctic Slope Native Association Ltd
Address	7000 Uula Street
City	Barrow
State	AK
ZIP	99723
Taxonomy	Critical Access Hospital
NPI Enumerated	October 6, 2006

Payer Source	Total Paid
Medicaid	$17.7M
Medicare	$0

This facility has no Medicare billing on file and is effectively a Medicaid-centric provider: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $17.7M. Analysts should treat this entity as single‑payer operationally for Medicare/Medicaid comparisons and focus competitive/volume analysis on Medicaid activity.

Revenue concentration is high: the precomputed top three Medicaid codes by revenue account for 58.9% of this provider's total Medicaid revenue, driven by 99211 ($5.6M, 32.8%), 99282 ($2.3M, 13.3%), and 99212 ($2.2M, 12.9%). This concentration indicates that a majority of Medicaid dollars flow through routine outpatient and lower-acuity E/M services rather than specialty procedures.

The code mix points to a primary care and emergency care–focused operational model: high revenue and claim counts for 99211 (19.1K claims, $291 avg paid/claim), 99212 (5.1K claims, $428 avg paid/claim), and multiple ED E/M codes (99281–99284, notably 99282 at 5.8K claims) indicate the site operates significant outpatient clinic volume alongside emergency department throughput. The prominence of basic E/M codes suggests staffing and workflows oriented to frequent, lower-acuity visits and triage-level emergency care.

Competitive standing in-state is strong for several E/M codes: 99212 ranks #3 of 214 providers in-state at the 99th percentile (labeled an "extreme outlier"), and 99211 ranks #4 of 89 providers at the 97th percentile (described as typical but high volume). By contrast, 99282 sits at the 75th percentile (#8 of 29), indicating above-average but not dominant statewide positioning for that ED E/M level. These rank patterns mark the provider as a major volume source for basic outpatient E/M services within Alaska.

Emergency-department activity is a notable secondary revenue stream: 99281 generated $1.9M (11.1% of Medicaid revenue) with 9.9K claims and ranks #2 of 16 providers in-state at the 93th percentile (characterized as "notably above typical" volume). High claim counts paired with multiple ED E/M codes (99281–99284) imply the organization manages substantial low- to moderate-acuity ED caseloads that materially contribute to Medicaid revenue.

The provider delivers point-of-care infusion and injection services as part of its service mix: codes 96375 ($562.1K), 96374 ($499.9K), 96372 ($175.8K), and 96365 ($92.6K) appear across the top codes, signaling on-site IV push and injection capabilities for therapeutic, prophylactic, or diagnostic substances. These line items suggest operational capacity for ambulatory infusion or episodic in-clinic therapies in addition to E/M visits.

On-site lab and diagnostic capacity is evident but not dominant: high claim volumes for SARS–COV–2 testing 87635 (10.7K claims, $483K, 2.8% of Medicaid revenue) and routine lab codes such as 80053, 87591, and 87491 indicate a functioning laboratory/testing throughput that supports clinical operations and public-health testing needs. Advanced imaging exists at low volumes (e.g., 70450 at $120.6K and 74177 at $95K), implying access to CT services though they are not major revenue drivers.

Tenure and stability: the NPI was enumerated on 2006-10-06 (~20 years ago), indicating long-standing enrollment in federal provider systems. Coupled with concentrated Medicaid revenue and persistent high-volume outpatient codes, this suggests an established regional provider profile serving ongoing primary care and emergency needs in Barrow, AK.

Medicaid: Complete Services Breakdown

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

115 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	19,140	$290	$5.6M
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.	5,790	$390	$2.3M
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,…	5,120	$430	$2.2M
99281	The provider sees a patient for the lowest level emergency department visit.	9,920	$190	$1.9M
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.	3,000	$420	$1.3M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	2,060	$270	$562.1K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	2,350	$210	$499.9K
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…	10,730	$50	$483K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	430	$650	$280.6K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	910	$250	$226.4K

Showing 1–10 of 115

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

Arctic Slope Native Association Ltd — 3 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

115 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.	33	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.	32	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.	25	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.	26	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…	5	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.	8	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.	13	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…	103	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.	4	90	140	$230	$1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	12	20	2,210	$160	$976.1K

Showing 1–10 of 115

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Arctic Slope Native Association	AK	Dental Clinic/Center	$0	$1.7M
Paul Raymond	AK	Family Medicine Physician	$175K	$0
David Trowbridge	AK	Cardiovascular Disease Physician	$88.3K	$0
Zachary Bear	OH	Otolaryngology Physician	$61.2K	$0
Farah Madhani-lovely	NV	Critical Care Medicine (Internal Medicine) Physician	$43.1K	$0
Youssef Barbour	AK	Internal Medicine Physician	$7K	$0

Arctic Slope Native Association Ltd — Billing Profile & Reimbursement Data

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Arctic Slope Native Association Ltd — 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
Arctic Slope Native Association	AK	Critical Access Hospital Clinic/Center	$0	$1M
Heidi Shinn	AK	Physical Therapist	$53.9K	$0