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.

Maniilaq Association (NPI 1316995210)

Key Findings

Field	Value
Entity Type	Organization
Organization	Maniilaq Association
Address	436 5th & Ted Stevens Way
City	Kotzebue
State	AK
ZIP	99752
Taxonomy	Critical Access Hospital
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$55.1M
Medicare	$0

MANIILAQ ASSOCIATION bills exclusively to Medicaid in the available data set — there is "none below" for Medicare and $55.1M in total Medicaid revenue — indicating this provider functions as an effectively single-payer (Medicaid-focused) operation in the Medicare/Medicaid landscape. As a Critical Access Hospital with no Medicare billing on file, analysts should treat this profile as dominated by state Medicaid flows rather than mixed federal payer patterns.

Revenue concentration is high: the precomputed top three Medicaid codes account for 41.8% of the provider's Medicaid revenue, driven by C9803 at $8.8M (18.4%), G0463 at $6M (12.6%), and 87635 at $5.1M (10.8%). This concentration means a substantial share of the hospital’s Medicaid dollars come from a small set of outpatient clinic and lab/testing services.

The code mix points to a hybrid outpatient clinic and laboratory operation integrated with hospital outpatient services: G0463 (hospital outpatient clinic visit) is $6M and 87635 (SARS–CoV–2 NAAT) is $5.1M, while C9803 (outpatient specimen collection for SARS–CoV–2) is the largest single line at $8.8M. Together these top lines suggest core service lines include laboratory testing and hospital outpatient assessments rather than high-volume inpatient DRG activity.

MANIILAQ appears to be a statewide leader for SARS–CoV–2 specimen collection: C9803 ranks #1 of 11 providers in-state (100th percentile) and is explicitly described as "notably above typical state volume". That ranking frames the provider as a dominant testing/collection site within Alaska for this code, which has material revenue impact at $8.8M.

Several other testing and COVID-related codes are also high-volume: 87635 ranks #4 of 96 providers in-state (97th percentile) with $5.1M revenue, and U0002 ranks #3 of 16 (87th percentile) with $1.8M revenue. These high ranks across multiple laboratory codes indicate the facility functions as a regional testing hub during the period covered by the data.

Primary care and low-acuity outpatient activity is a substantial component of the Medicaid mix. Codes such as 99211 ($4.2M, rank #3 of 89, 98th percentile), 99213 ($1.9M, rank #25 of 485, 95th percentile), and 99212 ($446.9K, rank #14 of 214, 94th percentile) show the provider delivers large volumes of established-patient visits and low-complexity clinic encounters within the Medicaid population.

Emergency and urgent care services are also present but relatively less dominant: 99283 ($2.3M, rank #16 of 45, 66th percentile), 99282 ($918.9K, rank #15 of 29, 50th percentile), and 99284 ($393.5K, rank #14 of 42, 68th percentile) indicate steady ED billing participation but generally middle-of-the-pack statewide rankings. This pattern is consistent with a community hospital that maintains an ED but derives larger Medicaid revenue from outpatient clinic and laboratory work.

The provider’s NPI was enumerated on 2006-05-04 (~20 years ago), reflecting long tenure as an enrolled Medicaid billing entity. Combined with its Critical Access Hospital taxonomy and the concentrated outpatient/lab revenue profile, this longevity supports the interpretation of MANIILAQ as an established community health system with sustained Medicaid-dependent service lines rather than a recently emergent specialty or ambulatory-only operator.

Medicaid: Complete Services Breakdown

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

176 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	16,650	$530	$8.8M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	15,040	$400	$6M
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…	18,990	$270	$5.1M
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.	21,750	$190	$4.2M
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.	11,370	$330	$3.7M
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.	14,340	$160	$2.3M
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	6,860	$280	$1.9M
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…	14,500	$130	$1.9M
U0002	2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc	4,280	$420	$1.8M
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…	4,240	$380	$1.6M

Showing 1–10 of 176

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

Maniilaq Association — 5 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

176 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.	14	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.	13	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.	16	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	4	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.	20	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	4	30	1,280	$210	$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…	4	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.	15	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.	15	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…	25	490	680	$260	$1M

Showing 1–10 of 176

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Guardian Flight LLC	AK	Air Ambulance	$352.4K	$5.4M
Maniilaq Association	AK	Mental Health Counselor	$0	$3M
City Of Kotzebue	AK	Land Ambulance	$68.3K	$824.3K
Maniilaq Association	AK	Case Management Agency	$0	$295.8K
April Savage	AK	Clinical Social Worker	$35.1K	$0

Maniilaq Association — Billing Profile & Reimbursement Data

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Maniilaq Association — 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
Maniilaq Association	AK	Dentist	$0	$6.8M
Maniilaq Association	AK	Rural Acute Care Hospital	$0	$5.8M
Maniilaq Association	AK	Rural Health Clinic/Center	$0	$3.2M
Maniilaq Association	AK	Community/Behavioral Health Agency	$0	$2.3M
David Zumbro	AK	Ophthalmology Physician	$67.2K	$0
Charles Edwards	AK	Podiatrist	$45.9K	$0
Youssef Barbour	AK	Internal Medicine Physician	$7K	$0