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 1538631478)

Field	Value
Entity Type	Organization
Organization	Central Peninsula General Hospital, Inc
Address	245 N Binkley St Ste 202
City	Soldotna
State	AK
ZIP	99669
Taxonomy	Family Medicine Physician
NPI Enumerated	December 17, 2018

Payer Source	Total Paid
Medicaid	$937.3K
Medicare	$0

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	290	$1,700	$486.8K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	2,180	$150	$316.1K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,080	$80	$84.5K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	1,460	$20	$24.8K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	1,820	$10	$18.2K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	30	$120	$3.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	50	$40	$2.2K
G0463	Hospital outpatient clinic visit for assessment and management of a patient	30	$30	$880
J2315	Injection, naltrexone, depot form, 1 mg	60	$0	$0

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 — 0 of 8 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	22	30	1,280	$210	$1.3M
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	202	490	680	$260	$1M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	102	440	580	$170	$458.7K
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	20	80	190	$120	$201.9K
Q9992	Injection, buprenorphine extended-release (sublocade), greater than 100 mg	3	10	570	$170	$162.2K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	154	210	160	$230	$148.2K
80305	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by direct optical observation only, without instrument assistance, to screen for any number of drug classes…	14	50	460	$40	$43.8K
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	65	100	50	$180	$33.7K
J2315	Injection, naltrexone, depot form, 1 mg	4	10	40	$40	$4.9K

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	Rural Acute Care Hospital	$0	$58.4M
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	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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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References