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.

Southeast Alaska Regional Health Consortium (NPI 1417671967)

Field	Value
Entity Type	Organization
Organization	Southeast Alaska Regional Health Consortium
Address	1720 Crest St
City	Juneau
State	AK
ZIP	99801
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	September 28, 2022

Payer Source	Total Paid
Medicaid	$45M
Medicare	$0

Key Findings

This provider is effectively single-payer in the available data: there is no Medicare billing on file while Medicaid lifetime revenue is $45M, so all documented public reimbursement in the dataset comes from Medicaid. Analysts should treat Medicaid trends as representative of the provider’s overall scale and financial footprint given the absence of Medicare activity.

Medicaid revenue is extremely concentrated: the precomputed top 3 Medicaid codes account for 99.9% of this provider’s total Medicaid revenue, indicating that a very small set of services drives nearly the entire reported Medicaid income stream. That concentration means changes to reimbursement, utilization, or policy for those specific codes would have outsized impact on the provider’s revenue.

H0020 is the overwhelmingly dominant Medicaid code for this provider: 51.9K claims, $859 avg paid/claim, $44.6M revenue (99.0% of this provider's total Medicaid revenue). The H0020 description (methadone administration and/or service) and this dollar volume indicate the organization operates at scale as an opioid treatment program or similar substance-use treatment vendor with heavy methadone dispensing activity.

Despite H0020’s dominance, the provider’s volume for that code is not an outlier statewide: H0020 ranks #4 of 8 providers in-state (57th percentile) and is labeled as typical / unremarkable volume for this code. In other words, the provider is a large Medicaid revenue generator through methadone services internally, but it is a modest-to-typical participant among the limited set of in-state methadone providers rather than an extreme statewide outlier.

Secondary Medicaid codes are small relative to H0020 but reflect complementary services: H0033 (251 claims, $1001 avg paid/claim, $251.3K revenue; 0.6% of Medicaid revenue; ranks #17 of 20, 16th percentile) and H2021 (387 claims, $400 avg paid/claim, $154.8K revenue; 0.3% of Medicaid revenue; ranks #52 of 76, 32th percentile) indicate limited use of direct-observed oral medication administration and community-based wrap-around services. These volumes and percentiles are described as typical or unremarkable, suggesting these services supplement rather than diversify the provider’s core revenue base.

Other listed codes (T1007: 205 claims, $245 avg, $50.2K revenue, 0.1%; H0001: 13 claims, $82 avg, $1.1K revenue, 0.0%) are immaterial to total Medicaid dollars but align with an organization that provides intake/assessment and treatment planning in the substance-use domain. The presence of assessment and treatment-plan codes alongside methadone administration supports a program model that combines medication-assisted treatment with basic outpatient care functions.

NPI tenure is relatively short: the provider was enumerated on 2022-09-28 (~4 years ago). Given that recent enumeration coupled with a concentrated Medicaid revenue stream, analysts should consider whether the provider scaled rapidly within a narrow service line after enrollment or represents a reorganized/renamed program that began billing under this NPI date.

From a competitive-standing perspective, the provider is a material Medicaid player by dollar volume within its niche due to the $44.6M tied to H0020, but it is not a statewide dominant outlier for that code (rank #4 of 8, 57th percentile). For payer strategy and network planning, treat this entity as a specialized, Medicaid-focused opioid treatment provider with typical in-state volumes rather than a broadly diversified behavioral-health system.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	51,890	$860	$44.6M
H0033	Oral medication administration, direct observation	250	$1,000	$251.3K
H2021	Community-based wrap-around services, per 15 minutes	390	$400	$154.8K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	210	$250	$50.2K
H0001	Alcohol and/or drug assessment	10	$80	$1.1K

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

Southeast Alaska Regional Health Consortium — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0020	Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program)	4	10	36,340	$80	$10.5M
H0033	Oral medication administration, direct observation	17	20	3,510	$60	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	52	80	1,070	$330	$1.3M
H0001	Alcohol and/or drug assessment	21	20	70	$290	$124K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	40	80	240	$180	$109.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southeast Alaska Regional Health Consortium, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Alaska Regional Health Consortium	AK	Critical Access Hospital	$0	$59.8M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$38.9M
Southeast Alaska Regional Health Consortium	AK	Federally Qualified Health Center (FQHC)	$0	$19.9M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$18.9M
South East Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$12.2M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$8.3M
Southeast Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$8M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$5.3M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$5M

Nearby Providers

Other providers in the same ZIP code as Southeast Alaska Regional Health Consortium, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	AK	Community/Behavioral Health Agency	$0	$52.8M
Bartlett Regional Hospital	AK	General Acute Care Hospital	$0	$29.5M
Jamhi Health & Wellness, Inc	AK	Community/Behavioral Health Agency	$0	$28.7M
Tides LLC	AK	Developmentally Disabled Services Day Training Agency	$0	$19.1M
Guardian Flight LLC	AK	Air Ambulance	$1.9M	$6.6M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$4.8M
One Source Home Care Services LLC	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$4.7M
Bartlett Regional Hospital	AK	Community/Behavioral Health Agency	$0	$4.3M
Cornerstone Home Health, Inc.	AK	Supports Brokerage Agency	$0	$4M
Bartlett Regional Hospital	AK	Substance Abuse Rehabilitation Facility	$0	$3.1M

Southeast Alaska Regional Health Consortium — Billing Profile & Reimbursement Data

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Southeast Alaska Regional Health Consortium — 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