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.

Alaska Native Tribal Health Consortium (NPI 1437368891)

Field	Value
Entity Type	Organization
Organization	Alaska Native Tribal Health Consortium
Address	4315 Diplomacy Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2007

Payer Source	Total Paid
Medicaid	$397.1M
Medicare	$0

Key Findings

This provider is effectively single‑payer: there is no Medicare billing on file and lifetime Medicaid revenue equals $397.1M, so all recorded federal fee‑for‑service activity in the dataset is through Medicaid. That concentration makes Medicaid the primary operational and reimbursement driver for the organization.

Revenue is highly concentrated in a small set of codes: the top three Medicaid codes (99211, 87635, 80053) together account for 52.1% of total Medicaid revenue. Specifically, 99211 accounts for $73.6M (24.2%), 87635 accounts for $64.6M (21.3%), and 80053 accounts for $20.1M (6.6%), signaling that a few high‑volume outpatient and lab services dominate topline Medicaid receipts.

The code mix points to a combined outpatient clinic and laboratory hub model: 99211 (256.4K claims, $73.6M) and G0463 (55.1K claims, $19M) reflect substantial hospital outpatient/clinic throughput, while high volumes of lab codes — for example 87635 (119.8K claims, $64.6M), 80053 (67.8K claims, $20.1M), 87491 (54.5K claims, $7.4M), and 87389 (36.1K claims, $7.4M) — indicate an integrated, high‑capacity diagnostic laboratory operation supporting those visits. This mix suggests core operations are outpatient assessment/management plus large-scale diagnostic testing.

The provider is a dominant statewide player for many Medicaid services: 99211 ranks #1 of 89 providers in‑state (100th percentile; extreme outlier) and 87635 ranks #1 of 96 providers in‑state (100th percentile; extreme outlier). Multiple additional lab and screening codes (for example 87081, 87389, 87491, 82306, 83540, 84443) also rank at or near #1 with 100th percentiles or comparable extreme outlier labels, indicating a market position as Alaska’s primary source for many routine and infectious‑disease laboratory services.

Emergency department evaluation and management is a material revenue stream: 99283 shows 86.3K claims and $17.9M revenue (rank #2 of 45, 98th percentile), 99284 shows 53.9K claims and $4.4M (rank #2 of 42, 98th percentile), and 99282 shows 18K claims and $8M (rank #2 of 29, 96th percentile). Those volumes and ranks imply significant ED throughput and suggest the hospital plays an important acute care and emergency access role in the state Medicaid network.

Beyond outpatient visits and lab testing, the billing pattern includes procedural and administration activity consistent with an integrated hospital outpatient service line: 96374 (20.6K claims, $9.6M; rank #2 of 21, 95th percentile), 96372 (12.7K claims, $5.7M; rank #3 of 77, 97th percentile), and radiology/contrast supply Q9967 (10.6K claims, $5.5M; rank #3 of 19) all appear in the top codes, indicating routine infusion/injection and imaging support services are also significant.

The provider’s statewide statistical profile includes many explicit “extreme outlier” and high‑percentile labels across core lab and outpatient codes (examples: 99211, 87635, 87081, 87389, 87491, 82306 are all described as extreme outliers or 100th percentile). This pattern supports the interpretation that the organization functions as a central diagnostic and outpatient hub for Medicaid patients in Alaska, and that its removal or capacity change would likely create a large coverage gap for these services.

The NPI was enumerated on 2007-05-22 (~19 years ago), indicating long tenure in the market; when combined with the $397.1M in Medicaid revenue and state‑leading volumes across multiple codes, this suggests an established, stable provider role in Alaska’s Medicaid delivery network rather than a recent entrant or niche operation.

Medicaid: Complete Services Breakdown

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

506 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	256,410	$290	$73.6M
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…	119,850	$540	$64.6M
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.	67,810	$300	$20.1M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	55,100	$350	$19M
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.	86,300	$210	$17.9M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	20,640	$460	$9.6M
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.	18,010	$450	$8M
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	13,710	$570	$7.8M
87389	The lab analyst performs a test to screen for human immunodeficiency virus, called HIV. The test screens for antigens of the HIV 1 virus and antibodies to the HIV 1 and HIV 2 viruses using an…	36,080	$210	$7.4M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	54,510	$140	$7.4M

Showing 1–10 of 506

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

Alaska Native Tribal Health Consortium — 20 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

506 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A0140	Non-emergency transportation and air travel (private or commercial) intra or inter state	5	10	31,430	$490	$35.7M
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.	2	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.	5	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.	2	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	12	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.	8	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	1	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…	1	100	360	$340	$1.2M
A0170	Transportation ancillary: parking fees, tolls, other	5	10	19,920	$20	$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.	2	30	3,420	$220	$1.1M

Showing 1–10 of 506

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Native Tribal Health Consortium	AK	Ambulatory Surgical Clinic/Center	$1.4M	$13.2M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$3.2M
Darrell Baskin	TX	Ophthalmology Physician	$2.2M	$0
Aaron Kusano	AK	Radiation Oncology Physician	$1.1M	$0
Sayuri Cheruvu	IN	Medical Oncology Physician	$934.1K	$0
John Yordy	AK	Radiation Oncology Physician	$549.6K	$0
Matthew Labarbera	OR	Cardiovascular Disease Physician	$373.7K	$4.4K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$31.8M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$25.1M
Cook Inlet Tribal Council, Inc	AK	Community/Behavioral Health Agency	$0	$24.3M
Assets Incorporated	AK	Mental Health Counselor	$0	$21.7M

Alaska Native Tribal Health Consortium — Billing Profile & Reimbursement Data

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Alaska Native Tribal 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