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.

Community Connections, Inc. (NPI 1366625436)

Field	Value
Entity Type	Organization
Organization	Community Connections, Inc.
Address	721 Stedman St
City	Ketchikan
State	AK
ZIP	99901
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 12, 2007

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-only operator: there is no Medicare billing on file and total Medicaid revenue is $16.8M, indicating the organization’s clinical and financial exposure is concentrated in state Medicaid programs rather than Medicare. The NPI was enumerated 2007-12-12 (~19 years ago), so this is an established provider with a long enrollment history in the Medicaid market.

Revenue is extremely concentrated in a small set of service lines: the precomputed top three Medicaid codes account for 92.9% of the provider’s Medicaid revenue, showing the business depends heavily on a narrow set of reimbursable services. Specifically, H2019 accounts for $7.8M (46.6% of Medicaid revenue), H0018 accounts for $7.1M (42.4%), and 90837 contributes $644.5K (3.8%).

The code mix points to a dual operational focus on community-based therapeutic services and short-term residential behavioral health care: H2019 (Therapeutic behavioral services, per 15 minutes) and H0018 (short-term residential per diem) together make up the vast majority of billed Medicaid activity, implying the provider operates both in-home/community interventions and non-hospital residential treatment capacity. The presence of multiple psychotherapy CPTs (90837, 90832, 90834) and family therapy codes (90846, 90847) indicates an integrated continuum that includes individual, family, and group psychotherapy in addition to residential and therapeutic behavioral services.

Competitive standing within the state is above average for the top lines: H2019 ranks #5 of 38 providers (89th percentile; typical, unremarkable volume) which places the provider near the top tier of in-state H2019 billers, and H0018 ranks #4 of 11 providers (70th percentile; typical, unremarkable volume) indicating a solid, upper‑middle presence among short-term residential providers. The psychotherapy code 90837 ranks #26 of 147 providers (83th percentile; typical, unremarkable volume), reflecting a meaningful presence in outpatient psychotherapy relative to peers.

Payer mix risk and strategic implications: with no Medicare revenue and $16.8M in Medicaid receipts, the organization is single-payer dependent, exposing it to Medicaid policy, rate, and utilization shifts. Given that two codes (H2019 and H0018) together represent the majority of revenue, any changes to coverage policy, prior authorization, or rate-setting for these specific codes would materially affect overall revenue.

Service-level breadth beyond the two dominant codes is limited but present: T1016 (case management) appears with $487.9K (2.9% of revenue) and Q3014 (telehealth originating site fee) produces $33.5K (0.2%), suggesting the provider offers wraparound case management and some telehealth-enabled services, but these are small contributors compared with therapeutic and residential revenue. Other billed psychotherapy and assessment codes (e.g., 90832, 90846, H0031) collectively represent modest activity and indicate ancillary clinical services rather than major revenue drivers.

Operational scale: the provider recorded very high claim volumes for its two primary codes (H2019: 27.7K claims; H0018: 31.7K claims), which, combined with the per-claim payment levels reported ($283 avg paid/claim for H2019 and $225 avg paid/claim for H0018), explains the large dollar shares even without Medicare business. These volumes position the organization as a high-volume Medicaid supplier of therapeutic behavioral and residential services in Alaska.

Statistical standing across secondary codes is mixed and generally characterized as typical rather than extreme: many codes are labeled “typical, unremarkable volume” at mid-to-high percentiles (for example, 90837 at 83th percentile and T1016 at 89th percentile), while several assessment and lower-revenue codes (e.g., H0031 at 45th percentile, 90834 at 36th percentile) show moderate or below-median activity, indicating the provider’s scope beyond its core services is limited and not an outlier in the state.

Medicaid: Complete Services Breakdown

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

13 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	27,700	$280	$7.8M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	31,690	$230	$7.1M
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…	5,280	$120	$644.5K
T1016	Case management, each 15 minutes	9,210	$50	$487.9K
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…	2,800	$60	$170.6K
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.	1,670	$100	$163.9K
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…	2,230	$60	$133.9K
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…	770	$120	$88.7K
H0031	Mental health assessment, by non-physician	160	$380	$61.7K
H0046	Mental health services, not otherwise specified	840	$40	$34.5K

Showing 1–10 of 13

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

Community Connections, Inc. — 0 of 13 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

13 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	4	10	23,880	$260	$8.4M
H2019	Therapeutic behavioral services, per 15 minutes	5	40	3,660	$250	$3.1M
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…	26	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	11	90	1,620	$150	$606.4K
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…	26	60	1,070	$80	$392.9K
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…	57	90	370	$180	$361K
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…	15	100	330	$170	$226.4K
H0031	Mental health assessment, by non-physician	38	70	180	$440	$191.4K
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…	15	40	370	$150	$132.4K
H0046	Mental health services, not otherwise specified	24	70	560	$120	$97.9K

Showing 1–10 of 13

Related Providers

Other providers that share a Tax Identification Number (TIN) with Community Connections, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$11.8M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$2.4M

Nearby Providers

Other providers in the same ZIP code as Community Connections, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Resilient Youth & Community (ryc)	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25M
Community Connections, Inc.	AK	Developmentally Disabled Services Day Training Agency	$0	$19M
Ketchikan Indian Corporation	AK	Primary Care Clinic/Center	$0	$15.3M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.5M
Akeela Inc	AK	Community/Behavioral Health Agency	$0	$5.5M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
Nes Washington, Inc.	AK	Emergency Medicine Physician	$0	$2.1M
Linsenmayer Dentistry, LLC	AK	Pediatric Dentistry	$0	$2M
Capitolmed LLC	AK	Internal Medicine Physician	$0	$1.6M

Community Connections, Inc. — Billing Profile & Reimbursement Data

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Community Connections, Inc. — 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