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.

Peacehealth (NPI 1396705539)

Key Findings

Field	Value
Entity Type	Organization
Organization	Peacehealth
Address	3100 Tongass Ave
City	Ketchikan
State	AK
ZIP	99901
Taxonomy	Critical Access Hospital
NPI Enumerated	March 23, 2006

Payer Source	Total Paid
Medicaid	$34.3M
Medicare	$0

PEACEHEALTH in KETCHIKAN is effectively a single-payer Medicaid provider: there is no Medicare billing on file while lifetime Medicaid revenue totals $34.3M, indicating the facility’s patient mix and payer relationships are overwhelmingly Medicaid-driven rather than balanced across Medicare and Medicaid. This makes Medicaid reimbursement dynamics central to any revenue forecasting or contracting analysis for this site.

Revenue concentration is high: the top three Medicaid codes by revenue account for 42.5% of the provider’s total Medicaid revenue. That level of concentration suggests a small set of services—chiefly emergency care and advanced imaging—drive a disproportionate share of Medicaid receipts and therefore represent key levers for financial performance or utilization management.

The code mix indicates a hospital with a significant emergency and imaging footprint. High-revenue codes include 99285, 99284, and CT abdomen/pelvis codes such as 74177 and 74176, reflecting frequent high-acuity emergency department visits and substantial use of CT imaging for abdominal/pelvic indications. Combined with observation revenue under G0378 and ED-related IV administration codes (96361/96365/96374), the pattern is consistent with an acute care Critical Access Hospital managing urgent presentations.

PEACEHEALTH reports sizable volumes of basic and ancillary diagnostic services: 80053 (CMP) and 85025 (CBC) appear in the top codes with 17.4K and 20.6K claims respectively, and 84484 (troponin) and 87631 (multiplex respiratory panel) also contribute. These lab and radiology volumes support the emergency- and inpatient-focused care profile implied by the ED and CT codes, signaling routine throughput of diagnostic workups for acute presentations.

On competitive standing within Alaska, PEACEHEALTH is generally a modest-to-typical participant for most high-revenue Medicaid codes. For example, 99285 ranks #10 of 36 providers (74th percentile) and 74177 ranks #12 of 28 (59th percentile), while many diagnostic and infusion-related codes sit between roughly the 50th–90th state percentiles. The only distinctly elevated outpatient therapy volume is 97110, which ranks #8 of 116 providers (94th percentile) and is labeled notably above typical state volume, indicating local strength in therapeutic exercise services.

There are a few relatively lower-state-rank items that point to service niches rather than dominance: 41899 (dental procedure) ranks #6 of 8 providers (29th percentile) and 74176 ranks #11 of 16 (33rd percentile), suggesting limited competition or lower adoption of those specific services locally. Overall, the ranking pattern shows PEACEHEALTH typically operates at unremarkable to above-typical volumes across diverse acute care and ancillary service lines rather than ranking as a statewide outlier for most codes.

The presence and scale of observation billing (G0378, 1.4K claims, $1.2M revenue) alongside substantial ED visits and frequent IV/infusion administration codes (96361/96365/96374/96375) indicate the hospital frequently manages patients in short-term observation or receives sustained IV therapies. This operational mix aligns with the Critical Access Hospital taxonomy and suggests reliance on ED-to-observation flows as a steady revenue and utilization stream.

PEACEHEALTH’s NPI was enumerated around 2006-03-23 (approximately 20 years ago), indicating long-term presence in the market. That tenure supports established referral and payer relationships in the region, which is consistent with the sustained Medicaid revenue base of $34.3M and recurring high-volume codes like ED E/M and core diagnostic testing.

Medicaid: Complete Services Breakdown

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

188 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	7,960	$660	$5.3M
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.	2,590	$1,230	$3.2M
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.	7,400	$420	$3.1M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	720	$3,360	$2.4M
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.	7,680	$250	$1.9M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,690	$570	$1.5M
G0378	Hospital observation service, per hour	1,390	$860	$1.2M
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	11,630	$80	$953.3K
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.	17,410	$50	$818.3K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	4,780	$160	$774.7K

Showing 1–10 of 188

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

Peacehealth — 0 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

188 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.	19	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.	10	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.	19	50	4,500	$170	$2.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	6	10	870	$1,460	$2M
G0378	Hospital observation service, per hour	9	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.	12	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	5	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…	10	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.	17	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.	11	20	4,510	$130	$1.1M

Showing 1–10 of 188

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	WA	General Acute Care Hospital	$0	$81.6M
Peacehealth	WA	Rural Acute Care Hospital	$0	$47.1M
Peacehealth	WA	Internal Medicine Physician	$0	$26.1M
Peacehealth	WA	Surgery Physician	$0	$13.5M
Peacehealth	WA	Multi-Specialty Clinic/Center	$0	$12.4M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
Peacehealth	WA	Ambulatory Surgical Clinic/Center	$473.2K	$795.5K
John Zimmermann	AK	Medical Oncology Physician	$1.2M	$570
Sarah Anderson	WA	Diagnostic Radiology Physician	$360.6K	$0
Lars Crabo	WA	Diagnostic Radiology Physician	$279.8K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
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
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$16.8M
Ketchikan Indian Corporation	AK	Primary Care Clinic/Center	$0	$15.3M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$11.8M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.5M
Akeela Inc	AK	Community/Behavioral Health Agency	$0	$5.5M
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

Peacehealth — 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