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    OpenPayerNPI Medicare & MedicaidNorthbridge, LLC
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    Northbridge, LLC — Billing Profile & Reimbursement Data

    NPI 1407153984 · Anchorage, AK · Community/Behavioral Health Agency

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    Northbridge, LLC is a community/behavioral health agency provider located in Anchorage, Alaska. This profile covers 0 Medicare and 3 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationNorthbridge, LLC
    Address310 K St Ste 200
    CityAnchorage
    StateAK
    ZIP99501
    TaxonomyCommunity/Behavioral Health Agency
    NPI EnumeratedFebruary 18, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$14.3M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and is effectively a single-payer Medicaid operation, with total Medicaid revenue of $14.3M reported; there is therefore no Medicare/Medicaid mix to compare. Analysts should treat the entity as dependent on Medicaid program flows for revenue and network participation.

    Revenue is highly concentrated in a very small set of waiver habilitation codes: the precomputed top 3 Medicaid codes (T2016, T2021, T2017) account for 100.0% of the provider's total Medicaid revenue. Dollar highlights include T2016 at $10.9M (76.3% of Medicaid revenue), T2021 at $2.6M (18.5%), and T2017 at $739.9K (5.2%).

    The code mix (T2016 – Habilitation, residential, waiver; per diem; T2021 – Day habilitation, waiver; per 15 minutes; and T2017 – Habilitation, residential, waiver; 15 minutes) indicates the business is focused on waiver habilitation services with a dominant residential/per‑diem component and a material day‑habilitation offering. This profile is consistent with a community/behavioral health agency operating residential group homes or supported living under Medicaid waiver arrangements and running accompanying day programs.

    T2016 is the single largest driver: 32.9K claims at $331 avg paid/claim produced $10.9M in revenue and represents 76.3% of this provider's Medicaid revenue. The provider ranks #11 of 31 in-state for T2016 (67th percentile), which the data labels as "typical, unremarkable volume for this code," indicating meaningful scale but not statewide dominance for residential habilitation per diem.

    T2021 shows substantial day habilitation activity: 18.2K claims at $145 avg paid/claim generating $2.6M (18.5% of Medicaid revenue). It ranks #22 of 61 providers in-state (65th percentile) and is also characterized as "typical, unremarkable volume for this code," suggesting a solid but not outsized presence in the in‑state day habilitation market.

    T2017 is a much smaller contributor with 2.8K claims at $265 avg paid/claim for $739.9K (5.2% of Medicaid revenue); it ranks #30 of 34 providers in-state (12th percentile). Although the data labels its standing as "typical, unremarkable volume for this code," the low percentile and rank indicate relatively modest engagement in 15‑minute residential habilitation billing compared with peers.

    From a competitive-risk perspective, the combination of single-payer exposure (no Medicare billing), heavy dependence on a single per‑diem residential code (T2016 at 76.3%), and the top-3 concentration at 100.0% creates revenue concentration risk: operational or policy changes to waiver residential rates or utilization would disproportionately affect this provider’s revenue. The current in‑state ranks for the top codes (67th, 65th, and 12th percentiles) imply the provider is a modest participant rather than a dominant statewide leader across these service lines.

    The provider appears established: NPI enumeration date is 2011-02-18 (~15 years ago), and the sustained Medicaid billing levels ($14.3M lifetime revenue) suggest a persistent focus on waiver habilitation services rather than a recent or transient entrant to these markets. This tenure supports expectations of operational continuity in its residential and day habilitation programs.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    T2016Habilitation, residential, waiver; per diem32,910$330$10.9M
    T2021Day habilitation, waiver; per 15 minutes18,200$150$2.6M
    T2017Habilitation, residential, waiver; 15 minutes2,790$270$739.9K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Alaska median

    3 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2016Habilitation, residential, waiver; per diem113022,540$360$13M
    T2017Habilitation, residential, waiver; 15 minutes303017,510$250$6.5M
    T2021Day habilitation, waiver; per 15 minutes226011,640$150$3.5M

    Nearby Providers

    Other providers in the same ZIP code as Northbridge, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Access Alaska Inc.AKPersonal Care Attendant$0$25.7M
    Narcotic Drug Treatment Center, Inc.AKMethadone Clinic$151.2K$21.7M
    Southcentral FoundationAKCommunity/Behavioral Health Agency$0$20.3M
    Municipality Of AnchorageAKLand Ambulance$3.7M$14M
    Southcentral FoundationAKRehabilitation Clinic/Center$0$17M
    Division Of Alaskan Pioneer HomesAKAssisted Living Facility$0$16.3M
    Mckinley Care LLCAKAssisted Living Facility$0$8.6M
    Mary HeimanAKCase Manager/Care Coordinator$0$5.2M
    Southcentral FoundationAKMulti-Specialty Clinic/Center$0$3.8M
    Pacific Cataract And Laser Institute Of Alaska Inc PCAKAmbulatory Surgical Clinic/Center$1.4M$2.2M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Alaska Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Alaska Distribution
    Northbridge, LLC — 0 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alaska