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.

Mat-su Valley Medical Center LLC (NPI 1417975061)

Field	Value
Entity Type	Organization
Organization	Mat-su Valley Medical Center LLC
Address	2500 S Woodworth Loop
City	Palmer
State	AK
ZIP	99645
Taxonomy	General Acute Care Hospital
NPI Enumerated	July 18, 2006

Payer Source	Total Paid
Medicaid	$67.4M
Medicare	$0

Key Findings

This facility is effectively a single‑payer Medicaid hospital in the available data: there is no Medicare billing on file and total Medicaid revenue is $67.4M, so Medicaid accounts for the entirety of recorded federal program reimbursements. Analysts should treat its reported activity as Medicaid‑dominated when evaluating payer mix or setting reimbursement benchmarks.

Revenue is concentrated in a small set of high-volume ED and observation codes: the precomputed top three Medicaid codes account for 46.4% of total Medicaid revenue, led by 99284 ($12M, 21.6%), 99285 ($7.7M, 13.8%), and G0378 ($6.1M, 11.0%). This concentration signals that nearly half of Medicaid revenue flows from a few acute‑care service lines.

The code mix reflects a heavy emergency-department and acute evaluation footprint: 99284 (40.3K claims, $297 avg paid/claim), 99285 (15.6K claims, $490 avg paid/claim) and 99283 (30.5K claims, $146 avg paid/claim) together show very large ED visit volumes and both moderate and high medical decision‑making activity. Combined with the observation hours code G0378, the pattern is consistent with a hospital operating a busy ED that also places patients into observation status.

G0378 (7.1K claims, $864 avg paid/claim; $6.1M, 11.0% of Medicaid revenue) ranks #2 of 15 providers in‑state at the 93th percentile, which indicates stronger than typical use of hospital observation services in the state. That ranking supports the interpretation that the facility manages significant short‑stay inpatient throughput in addition to ED visits.

Imaging and ancillary diagnostics are material revenue drivers: 74177 ($3.3M, 6.0%), 70450 ($2.0M, 3.6%), and 71275 ($1.1M, 2.0%) appear in the top codes, and 72125 (2.5K claims, $306 avg paid/claim; $753.4K, 1.4%) ranks #1 of 18 providers in‑state at the 100th percentile and is labeled as notably above typical state volume. High volumes of CT and advanced imaging plus a high CMP claim volume (80053: 53.3K claims, $8 avg paid/claim; $426.5K, 0.8%, rank #3 of 69, 97th percentile) indicate substantive internal diagnostic capacity.

The provider reports notable procedure and implant revenue lines: C1713 (1.6K claims, $1551 avg paid/claim; $2.4M, 4.3%) ranks #1 of 4 in‑state at the 100th percentile, and 41899 ($3.1M, 5.6%) also contributes meaningfully. These entries point to operative services (including implantable devices and procedures coded under unspecific dental/adjacent‑structure procedure codes) as an additional source of Medicaid revenue beyond ED and imaging.

Competitive standing is mixed depending on the service line: for core ED codes the provider typically ranks in the upper‑mid range statewide (e.g., 99284 at the 85th percentile and 99285 at the 77th percentile), which suggests solid but not statewide dominance in ED volume. By contrast, several specialty codes (C1713 and 72125 at the 100th percentile, 80053 at the 97th percentile, and 71260 at the 94th percentile) show the provider is a top in‑state performer for specific procedures or diagnostics.

The provider has an established tenure in national registries (NPI enumerated 2006-07-18 (~20 years ago)), which combined with the concentrated Medicaid revenue profile and strong in‑state rankings on several codes supports its characterization as a longstanding regional acute‑care hospital with particular strengths in ED throughput, observation services, advanced imaging, and select procedural lines.

Medicaid: Complete Services Breakdown

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

291 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	40,260	$300	$12M
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.	15,620	$490	$7.7M
G0378	Hospital observation service, per hour	7,080	$860	$6.1M
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.	30,540	$150	$4.5M
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.	8,090	$410	$3.3M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	2,070	$1,510	$3.1M
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	1,550	$1,550	$2.4M
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.	6,680	$300	$2M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,150	$80	$1.7M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	23,510	$60	$1.4M

Showing 1–10 of 291

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

Mat-su Valley Medical Center LLC — 3 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

291 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.	7	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.	9	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.	7	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.	3	10	870	$1,460	$2M
G0378	Hospital observation service, per hour	2	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.	3	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	8	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…	9	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.	12	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.	4	20	4,510	$130	$1.1M

Showing 1–10 of 291

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mat-su Valley Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat Su Valley Medical Center LLC	AK	Urgent Care Clinic/Center	$0	$2M
Robert Johnston	AK	Physician Assistant	$38.4K	$0
Shelis Jorgensen	AK	Family Nurse Practitioner	$32.3K	$0
Oren Pedersen	AK	Physician Assistant	$32.3K	$0
Katrina Camastra	NJ	Family Nurse Practitioner	$23.4K	$0
Marti Anliker	AK	Family Nurse Practitioner	$20K	$0
Jay Bryngelson	OR	Certified Registered Nurse Anesthetist	$14.8K	$0
Martin Cook	AK	Internal Medicine Physician	$12.9K	$0
Matthew Mau	CO	Physician Assistant	$7.5K	$0
Trisha Kernodle	AK	Family Nurse Practitioner	$6.1K	$0

Nearby Providers

Other providers in the same ZIP code as Mat-su Valley Medical Center LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Emergency Medicine Physicians Corp	AK	Emergency Medicine Physician	$0	$14.3M
Co Occuring Disorders Institute	AK	Community/Behavioral Health Agency	$0	$7.3M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.1M
Matanuska-susitna Borough School District	AK	Local Education Agency (LEA)	$0	$6M
Matanuska Susitna Borough	AK	Land Ambulance	$1.2M	$4.2M
Ak Nurtured Living LLC	AK	Assisted Living Facility	$0	$5.4M
Knik Tribe	AK	Community/Behavioral Health Agency	$0	$3.8M
Daybreak Incorporated	AK	Case Management Agency	$0	$3.6M
City & Borough Of Juneau Alaska	AK	Land Ambulance	$580.5K	$2.4M
Mat-su Valley Iii LLC	AK	Internal Medicine Physician	$0	$1.7M

Mat-su Valley Medical Center LLC — Billing Profile & Reimbursement Data

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Mat-su Valley Medical Center LLC — 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