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.

Central Peninsula General Hospital Inc. (NPI 1528062429)

Field	Value
Entity Type	Organization
Organization	Central Peninsula General Hospital Inc.
Address	250 Hospital Pl
City	Soldotna
State	AK
ZIP	99669
Taxonomy	Rural Acute Care Hospital
NPI Enumerated	June 8, 2005

Payer Source	Total Paid
Medicaid	$58.4M
Medicare	$0

Key Findings

CENTRAL PENINSULA GENERAL HOSPITAL INC. is effectively a single-payer Medicaid hospital: there is no Medicare billing on file and the facility reports $58.4M in lifetime Medicaid revenue. This concentration means analyses of volume and financial performance must be interpreted through the Medicaid lens rather than a mixed Medicare/Medicaid profile.

Revenue is heavily concentrated in emergency department evaluation-and-management codes: the precomputed top 3 Medicaid codes (99285, 99284, 99283) account for 51.4% of the provider’s total Medicaid revenue. Individually those codes are large line items—99285 ($10.6M, 22.7K claims, $467 avg paid/claim), 99284 ($8.4M, 28.3K claims, $297 avg paid/claim) and 99283 ($4.7M, 21K claims, $225 avg paid/claim)—indicating ED visits are the primary revenue driver.

The facility’s code mix points to a high-acuity emergency and acute-observation operation with significant imaging and short-stay throughput. CT abdomen/pelvis with contrast (74177, $3.9M, 3.5K claims), CT head without contrast (70450, $1.6M, 2.7K claims), and hospital observation per hour (G0378, $2.1M, 2.5K claims) sit near the top of the revenue list, consistent with a rural acute care hospital that stabilizes, images, and observes ED patients.

Behavioral health and substance-use services are a material secondary service line: H0047 (alcohol/other drug services) generated $2.3M (9.4K claims) and H0015 (intensive outpatient substance use treatment) appears in the top codes ($393.4K, 8.4K claims). Group and individual psychotherapy codes 90853 ($679.6K) and 90837 ($713.1K) further show ongoing behavioral health capacity embedded within the hospital’s Medicaid billing.

Despite ED codes dominating revenue, the provider does not appear to be an extreme statewide outlier on emergency visits; the three ED codes are described as "typical, unremarkable volume" for the state and rank in moderate-to-high positions (for example, 99285 ranks #6 of 36 providers at the 86th percentile while 99284 and 99283 are at the 73rd and 75th percentiles respectively). In other words, ED activity drives revenue but is consistent with being a busy regional hospital rather than an anomalous outlier.

CENTRAL PENINSULA is a notable statewide outlier for rehabilitation/therapy services: 97110 (therapeutic exercise) ranks #2 of 116 providers at the 99th percentile and 97140 (manual therapy) ranks #6 of 68 providers at the 93rd percentile, both described as "notably above typical state volume." These rankings indicate the hospital is a major local provider of physical therapy services relative to in-state peers.

Infusion and IV-related codes and allied acute-care services support the ED/observation model: 96365 ($589.8K), 96374 ($509.2K), and 96361 ($446K) all appear in the top code list and rank in modest state positions, which aligns with frequent ED-administered treatments and short-duration inpatient/observation stays. Combined with G0378 observation revenue ($2.1M), the pattern suggests operational emphasis on stabilizing and treating acute presentations rather than long inpatient stays.

The hospital’s NPI has been enumerated since 2005-06-08 (~21 years ago), indicating long tenure as a rural acute care hospital in Soldotna, AK; the billing profile (ED-dominant, substantial imaging and behavioral health, and strong outpatient therapy) is consistent with an established community hospital serving both acute and ambulatory behavioral/rehabilitative needs.

Medicaid: Complete Services Breakdown

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

279 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.	22,730	$470	$10.6M
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.	28,320	$300	$8.4M
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.	20,960	$230	$4.7M
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.	3,520	$1,100	$3.9M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	9,370	$250	$2.3M
G0378	Hospital observation service, per hour	2,550	$810	$2.1M
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.	2,670	$610	$1.6M
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…	15,050	$90	$1.3M
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…	11,290	$100	$1.1M
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,070	$990	$1.1M

Showing 1–10 of 279

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

Central Peninsula General Hospital Inc. — 1 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

279 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0047	Alcohol and/or other drug abuse services, not otherwise specified	11	40	4,130	$460	$3.6M
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.	12	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.	6	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.	12	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.	7	10	870	$1,460	$2M
G0378	Hospital observation service, per hour	5	20	1,530	$750	$1.9M
H2015	Comprehensive community support services, per 15 minutes	33	60	4,510	$230	$1.8M
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.	10	30	2,190	$390	$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…	15	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.	11	30	3,420	$220	$1.1M

Showing 1–10 of 279

Related Providers

Other providers that share a Tax Identification Number (TIN) with Central Peninsula General Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5.9M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5M
Musaberk Goksel	IL	Medical Oncology Physician	$2.1M	$67.1K
Central Peninsula General Hospital Inc	AK	Rural Acute Care Hospital	$0	$1.2M
Central Peninsula General Hospital, Inc	AK	Family Medicine Physician	$0	$937.3K
Central Peninsula General Hospital, Inc	AK	Urgent Care Clinic/Center	$0	$602.9K
Michael Carley	TX	Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician	$521.8K	$0
Central Peninsula General Hospital Inc	AK	Rural Acute Care Hospital	$0	$430K
Central Peninsula General Hospital Inc	AK	Neurology Physician	$0	$354.9K
Huan Huynh	FL	Epilepsy Physician	$65.4K	$227.6K

Nearby Providers

Other providers in the same ZIP code as Central Peninsula General Hospital Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hope Community Resources Inc	AK	Respite Care	$0	$42.9M
Frontier Community Services	AK	Developmentally Disabled Services Day Training Agency	$0	$41.8M
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$17.1M
Riverside Assisted Living Soldotna, Inc.	AK	Assisted Living Facility	$0	$11.2M
Riverquest Group Home, Inc.	AK	Respite Care	$0	$4.4M
Aaa Alaska Cab, Inc.	AK	Taxi	$0	$3.8M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$2.6M
Kenai Peninsula Borough	AK	Land Ambulance	$780K	$1.4M
Quintessence Planning And Care Coordination	AK	Case Management Agency	$0	$2.1M
Stacey Wells	AK	Radiation Oncology Physician	$2M	$0

Central Peninsula General Hospital Inc. — Billing Profile & Reimbursement Data

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Central Peninsula General Hospital Inc. — 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