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.

Kodiak Island Health Care Foundation (NPI 1326047044)

Field	Value
Entity Type	Organization
Organization	Kodiak Island Health Care Foundation
Address	1911 E Rezanof Dr.
City	Kodiak
State	AK
ZIP	99615
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	July 14, 2005

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	4,070	$290	$1.2M
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	3,120	$40	$134.3K
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…	1,330	$80	$109.4K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	540	$190	$103.3K
0001A	N/A	60	$480	$28.4K
0002A	N/A	60	$470	$26.3K
90832	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…	50	$360	$19K
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,…	10	$330	$4.3K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	10	$280	$3.9K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	230	$10	$1.4K

Showing 1–10 of 18

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

Kodiak Island Health Care Foundation — 0 of 14 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	93	490	680	$260	$1M
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…	151	440	580	$170	$458.7K
90832	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…	86	100	330	$170	$226.4K
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…	63	80	190	$120	$201.9K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	27	30	330	$200	$189K
G0467	Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which…	5	20	1,780	$40	$187K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	34	110	200	$140	$184.1K
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,…	201	210	160	$230	$148.2K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	65	130	130	$190	$99.1K
0002A	N/A	16	30	80	$420	$84.8K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as Kodiak Island Health Care Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kodiak Area Native Association	AK	Community Health Clinic/Center	$0	$21.8M
Providence Health & Services Washington	AK	Critical Access Hospital	$0	$11.4M
Hope Community Resources Inc	AK	Respite Care	$0	$4.1M
Kodiak Island Ambulatory Care Clinic Inc.	AK	Urgent Care Clinic/Center	$0	$2.6M
Kodiak Area Native Association	AK	Dental Clinic/Center	$0	$2M
Providence Health & Services Washington	AK	Community/Behavioral Health Agency	$0	$1.5M
Eyecare Excellence A Professional Corporation	AK	Optometrist	$0	$703.3K
Arctic Physical Therapy Services, Inc.	AK	Physical Therapy Clinic/Center	$0	$341.2K
City Of Kodiak	AK	Land Ambulance	$105.5K	$214.9K
North Pacific Medical Center	AK	Family Medicine Physician	$0	$294.5K

Kodiak Island Health Care Foundation — Billing Profile & Reimbursement Data

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Kodiak Island Health Care Foundation — Billing Profile & Reimbursement Data

Sign up for Kodiak Island Health Care Foundation — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References