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.

Denali Family Services (NPI 1336260132)

Field	Value
Entity Type	Organization
Organization	Denali Family Services
Address	1251 Muldoon Rd Ste 116
City	Anchorage
State	AK
ZIP	99504
Taxonomy	Mental Health Clinic/Center (Including Community Mental Health Center)
NPI Enumerated	April 2, 2007

Payer Source	Total Paid
Medicaid	$39.2M
Medicare	$0

Key Findings

DENALI FAMILY SERVICES is overwhelmingly Medicaid-focused: it has no Medicare billing on file and reports $39.2M in lifetime Medicaid revenue, making Medicaid the sole material payer in the dataset and indicating a de facto single-payer operating profile for public behavioral health programs. This concentration in a single public program will shape contract negotiations and risk exposure to Medicaid policy changes.

Revenue concentration is extremely high: the provider’s top three Medicaid codes (H0018, H2019, 90837) together account for 91.2% of its total Medicaid revenue. That narrow code mix implies that most of the organization’s financial performance depends on a few service lines rather than a broad portfolio of outpatient E/M or primary care services.

H0018 is the dominant revenue driver: 104.8K claims generated $22.2M (56.6% of Medicaid revenue), and the provider ranks #1 of 11 in-state (100th percentile; notably above typical state volume for this code). This indicates DENALI operates a substantial short-term residential behavioral health program billed per diem (without room and board), and that residential services are the organization’s core business line.

H2019 and 90837 together constitute the remaining bulk of major services: H2019 produced $11.7M (29.7%) from 46.6K claims and ranks #3 of 38 in-state (95th percentile; typical, unremarkable volume), while 90837 produced $1.9M (4.9%) from 16.8K claims and ranks #6 of 147 in-state (97th percentile; notably above typical state volume). These patterns show a mix of intensive therapeutic behavioral services billed by time (H2019) and high-volume longer psychotherapy sessions (90837), suggesting both residential and outpatient psychotherapy/TBS capacity.

Competitive standing is uneven across service lines: DENALI is a clear market leader for H0018 in Alaska but is a high-volume yet not exclusive provider for H2019 and 90837 (top percentiles but not sole provider). For payers or analysts, that means DENALI could be a preferred partner for residential placements while remaining one of several regional vendors for TBS and psychotherapy.

Secondary service lines contribute little revenue but show above-average presence in some categories: T1016 (case management) accounts for $402.3K (1.0% of revenue) and ranks #12 of 88 in-state (87th percentile), indicating relatively strong case management activity despite its small revenue share. Conversely, H2020 contributes $1.5M (3.8%) but ranks #5 of 6 (20th percentile), signaling that the provider’s use of therapeutic behavioral services billed per diem is modest relative to the few peers who bill that code.

Operational posture implied by the code mix: heavy per-diem residential billing (H0018) plus large-volume minute-based therapeutic services (H2019) and substantial long psychotherapy sessions (90837) point to a program that combines residential treatment capacity with intensive, time-based outpatient or wraparound therapeutic interventions. That combination suggests infrastructure for both short-term stays and high-touch behavioral interventions, which has implications for staffing models (residential staff + TBS therapists) and utilization management.

Tenure and registration stability: the NPI was enumerated on 2007-04-02 (~19 years ago), indicating long-standing presence in the market. Combined with the provider’s top-state ranking on H0018, the longevity supports the view that DENALI is an established residential behavioral health provider in Alaska rather than a recent entrant.

Medicaid: Complete Services Breakdown

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

21 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	104,780	$210	$22.2M
H2019	Therapeutic behavioral services, per 15 minutes	46,630	$250	$11.7M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	16,800	$110	$1.9M
H2020	Therapeutic behavioral services, per diem	5,200	$280	$1.5M
T1016	Case management, each 15 minutes	8,750	$50	$402.3K
90846	A provider meets with the patient’s family without the patient present to counsel the family on the psychological issues affecting the patient and the family.	2,840	$100	$283.6K
90834	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…	2,470	$90	$222.1K
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…	3,780	$60	$219.5K
90847	A provider meets with the patient’s family with the patient present to counsel the family on the psychological issues affecting the patient and the family. The provider supplies psychotherapy to the…	2,240	$100	$215.3K
H0031	Mental health assessment, by non-physician	280	$400	$111.6K

Showing 1–10 of 21

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

Denali Family Services — 2 of 21 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

21 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	23,880	$260	$8.4M
H2020	Therapeutic behavioral services, per diem	5	10	17,020	$280	$4.7M
H2019	Therapeutic behavioral services, per 15 minutes	3	40	3,660	$250	$3.1M
H2021	Community-based wrap-around services, per 15 minutes	57	80	1,070	$330	$1.3M
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…	283	490	680	$260	$1M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	6	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	12	90	1,620	$150	$606.4K
H0023	Alcohol and/or drug outreach	29	40	1,310	$180	$521.5K
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…	201	440	580	$170	$458.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	28	60	1,070	$80	$392.9K

Showing 1–10 of 21

Nearby Providers

Other providers in the same ZIP code as Denali Family Services, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Assisted Living Transitions	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$16.2M
Frontier Home Health Care	AK	Assisted Living Facility (Mental Illness)	$0	$11.3M
Reliance Care Inc	AK	Supports Brokerage Agency	$0	$8.4M
Denali Family Services	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$7.3M
Northern Light Adult Day Services, LLC	AK	Alzheimer Center (Dementia Center)	$0	$7.2M
Just Kids, Inc	AK	Pediatric Dentistry	$0	$5M
Anchorage School District	AK	Local Education Agency (LEA)	$0	$5M
Caring Companions LLC	AK	Home Health Agency	$0	$3.9M
Ad Partners Ii, LLC	AK	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.8M
Abacus Care Coordination	AK	Case Management Agency	$0	$2.7M

Denali Family Services — Billing Profile & Reimbursement Data

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Denali Family Services — 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

Nearby Providers

Frequently Asked Questions

References