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 1548245871)

Field	Value
Entity Type	Organization
Organization	Southeast Alaska Regional Health Consortium
Address	222 Tongass Dr
City	Sitka
State	AK
ZIP	99835
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	December 9, 2005

Payer Source	Total Paid
Medicaid	$38.9M
Medicare	$0

Key Findings

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM is effectively a Medicaid-focused behavioral health operator: it reports no Medicare billing on file and $38.9M in lifetime Medicaid revenue, indicating the organization’s operations and revenue are concentrated in the Medicaid market rather than Medicare. The NPI was enumerated on 2005-12-09 (~21 years ago), showing a long-tenured presence in the region that aligns with sustained Medicaid activity.

Revenue concentration is high: the precomputed top three Medicaid revenue-driving codes (H2021, 90837, H2015) account for 58.2% of this provider’s total Medicaid revenue. The single largest code, H2021, generates $11M (28.3% of Medicaid revenue) from 23.2K claims at a $473 avg paid/claim, indicating a heavy dependence on community-based wrap-around services for revenue.

The code mix points to a service model built around intensive community and psychotherapy services: H2021 (community-based wrap-around services), H2015 (comprehensive community support services), and high-volume psychotherapy codes 90837 and 90834 together show the provider emphasizes multi-disciplinary, time-based community supports and long psychotherapy sessions rather than primary-care E/M or procedural services. High claim counts (e.g., 23.2K claims for H2021 and 11.1K for 90837) suggest frequent, recurring outpatient encounters and ongoing care management.

Competitive standing in-state is strong for several specialty behavioral codes: H2021 ranks #3 of 76 providers in-state (97th percentile; notably above typical state volume for this code) and H0046 ranks #2 of 72 (99th percentile; notably above typical state volume for this code), positioning the organization as a leading provider of community-based behavioral health services in Alaska. By contrast, H2015 ranks #18 of 64 (73th percentile; typical, unremarkable volume) and 90837 ranks #10 of 147 (94th percentile; typical, unremarkable volume), indicating strong but variable dominance across specific service lines.

Several codes show unusually high state-percentile placement that mark statistical outliers for certain services: beyond H2021 and H0046, T1023 (screening) ranks #3 of 75 providers in-state (97th percentile; notably above typical state volume for this code), highlighting concentrated strengths in screening and wraparound supports. These notability labels suggest the provider delivers certain community behavioral services at rates well above most in-state peers rather than evenly across all behavioral categories.

Operational nuance: typical psychotherapy and crisis codes appear together with targeted community supports, which indicates a blended outpatient and community-delivered model. For example, the provider bills both long psychotherapy sessions (90837: 11.1K claims, $6.9M) and short 15-minute community support/intervention codes (H2015: 9.5K claims, $4.7M; H2011: 1.8K claims, $1.5M), suggesting teams deliver both scheduled therapy and frequent brief community interventions.

There are multiple high-claim codes with $0 recorded Medicaid revenue (e.g., 99213: 3.2K claims, 90833: 2.5K claims, 99214: 1.9K claims, and 99443: 1.2K claims all show $0 revenue), which indicates reporting of encounters or claims that did not result in paid Medicaid revenue in the dataset. This pattern could reflect encounter-only reporting, managed-care encounter submission, or other non-fee-for-service billing practices and is material for payers reviewing encounter completeness or reconciliation.

From a payer engagement perspective, the organization’s concentrated Medicaid footprint (no Medicare billing) and its dominance on specific community-behavioral codes make it a strategic in-state partner for Medicaid managed care programs focused on wraparound, community support, and psychotherapy. Analysts should prioritize H2021, 90837, and H2015 when modeling the provider’s revenue risk and service capacity, since those three codes together drive 58.2% of its Medicaid revenue.

Medicaid: Complete Services Breakdown

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

31 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	23,240	$470	$11M
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	11,080	$630	$6.9M
H2015	Comprehensive community support services, per 15 minutes	9,540	$490	$4.7M
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	6,580	$660	$4.3M
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	3,800	$630	$2.4M
H2011	Crisis intervention service, per 15 minutes	1,780	$860	$1.5M
H0046	Mental health services, not otherwise specified	2,990	$450	$1.3M
H0031	Mental health assessment, by non-physician	1,850	$690	$1.3M
H0047	Alcohol and/or other drug abuse services, not otherwise specified	1,610	$540	$865.1K
S9484	Crisis intervention mental health services, per hour	1,300	$650	$849.6K

Showing 1–10 of 31

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 — 3 of 21 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

31 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	25	40	4,130	$460	$3.6M
H2019	Therapeutic behavioral services, per 15 minutes	34	40	3,660	$250	$3.1M
H2015	Comprehensive community support services, per 15 minutes	18	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	3	80	1,070	$330	$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…	109	490	680	$260	$1M
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.	69	90	140	$230	$1M
S9484	Crisis intervention mental health services, per hour	14	40	500	$580	$844.5K
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	21	30	1,000	$260	$695.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	10	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	48	90	1,620	$150	$606.4K

Showing 1–10 of 31

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
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$45M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
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
Center For Community	AK	Developmentally Disabled Services Day Training Agency	$0	$6.1M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$5.7M
Sitka Counseling & Prevention Services, Inc.	AK	Counselor	$0	$4.5M
Southeast Alaska Regional Health Consortium	AK	Clinic/Center	$0	$3.2M
Youth Advocates Of Sitka, Inc	AK	Community/Behavioral Health Agency	$0	$2.1M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$2M
Guardian Flight LLC	AK	Air Ambulance	$380.4K	$839.7K
City Of Sitka	AK	Land Ambulance	$208.6K	$641.5K
Sitka Community Hospital	AK	Critical Access Hospital	$0	$836K
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$762.8K

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