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NPI 1558570648 · Anchorage, AK · Ambulatory Surgical Clinic/Center
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Alaska Native Tribal Health Consortium is a ambulatory surgical clinic/center provider located in Anchorage, Alaska. This profile covers 25 Medicare and 27 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Alaska Native Tribal Health Consortium |
| Address | 4315 Diplomacy Dr |
| City | Anchorage |
| State | AK |
| ZIP | 99508 |
| Taxonomy | Ambulatory Surgical Clinic/Center |
| NPI Enumerated | May 22, 2007 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $13.2M |
| Medicare | $1.4M |
This provider’s revenue mix is dominated by Medicaid: reported Medicaid revenue is $13.2M compared with Medicare revenue of $1.4M, so Medicaid is the primary payer relationship for this entity. That imbalance indicates this ambulatory surgical center operates largely in the Medicaid space rather than relying on Medicare volumes for scale.
Medicare revenue is concentrated in a small number of high-value procedures: the top 3 Medicare codes (66984, 45385, 45380) account for 57.0% of the provider’s total Medicare revenue. Those codes reflect a mix of cataract surgery (66984) and advanced GI endoscopy (45385 polypectomy, 45380 biopsy), indicating the Medicare-facing service mix is weighted toward ophthalmology and gastrointestinal procedural care.
Medicaid revenue shows a different top-line mix: the top 3 Medicaid codes (41899, 43239, 69436) represent 47.0% of this provider’s total Medicaid revenue. Those codes point to high-volume dental procedures (41899), upper endoscopy with biopsy (43239), and tympanostomy/ventilation tube insertion under general anesthesia (69436), suggesting a broad ambulatory service footprint that includes dental and pediatric ENT in addition to GI.
On Medicare competitive standing, the provider is a high-volume national performer for several GI and related procedures: 45385 ranks in the 97th percentile nationally (notably above typical national volume), 45380 is in the 94th percentile, and 45378 is in the 98th percentile (all described as notably above typical or similar high-volume characterizations). Meanwhile, 66984 sits at the 79th percentile nationally and is characterized as typical/unremarkable volume, implying national competitiveness concentrated in GI more than ophthalmology.
Within Medicaid/state-level competitive standing this provider is frequently the dominant in-state performer: multiple high-revenue Medicaid codes are ranked #1 in-state (41899, 43239, 69436, 45385, 45380, 45378). In particular, 43239 is labeled an "extreme outlier, far above typical state volume," and 41899 is "notably above typical state volume," indicating the provider is a market leader for both dental and endoscopy services in Alaska.
The procedure mix—high-volume codes for cataract extraction and lens insertion (66984), multiple colonoscopy variants including polypectomy and biopsy (45385, 45380, 45378), upper endoscopy with biopsy (43239/43235), tympanostomy (69436), and dental procedures (41899)—is consistent with the listed taxonomy of Ambulatory Surgical Clinic/Center. This combination of ophthalmology, GI, ENT/pediatrics, and dental procedural codes suggests multi-specialty ambulatory OR and endoscopy capacity rather than a single-specialty clinic.
Several billed services show elevated national or state percentiles for procedural volume and are flagged with strong comparative labels: Medicare 45385 (97th percentile, notably above typical national volume), Medicare 36561 (96th percentile, notably above typical national volume), and Medicaid 43239 (100th percentile, extreme outlier). These labels indicate volumes well above peers for specific service lines and imply significant capacity or referral concentration for those procedures.
The provider has an established presence: NPI enumeration date is 2007-05-22 (~19 years ago), indicating long tenure in the market. Combined with the Medicaid-heavy revenue profile ($13.2M Medicaid vs $1.4M Medicare) and the provider’s frequent #1 in-state rankings, this suggests an entrenched ambulatory surgical operation that serves as a major Medicaid surgical and endoscopy site in Alaska.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
25 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 400 | $1,250 | $495.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 350 | $640 | $223K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 220 | $470 | $104.3K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 250 | $360 | $90.7K |
| 36561 | A central venous access catheter is a device that the physician inserts beneath the skin to draw blood or administer medication/nutrients to the patient. The catheter's tip must terminate in the… | 50 | $1,610 | $78.9K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 120 | $500 | $56.9K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 120 | $390 | $45.7K |
| 66982 | The provider inserts an intraocular lens prosthesis after extracapsular cataract extraction using complex techniques and devices. He may perform this by means of an iris expansion device, providing… | 30 | $1,210 | $37.4K |
| 62323 | The provider injects a diagnostic or a therapeutic substance, such as pain medication or a steroid, into the space around the spinal nerves of the lumbar (lower back) or sacral (caudal, or tailbone)… | 100 | $380 | $35.7K |
| 64483 | This procedure is the injection of an anesthetic agent and/or steroid in the form of a transforaminal epidural injection into a single level (either lumbar or sacral). | 80 | $460 | $35K |
Showing 1–10 of 25
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 25 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
27 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 3,840 | $710 | $2.7M |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 2,820 | $640 | $1.8M |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 2,070 | $800 | $1.7M |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 1,970 | $720 | $1.4M |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 2,950 | $450 | $1.3M |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 2,470 | $510 | $1.2M |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 1,900 | $610 | $1.1M |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 630 | $920 | $579.8K |
| 64494 | In this add–on procedure, the provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that… | 630 | $430 | $272.1K |
| 64493 | The provider injects a diagnostic or therapeutic substance into a single lumbar or sacral paravertebral facet (zygapophyseal) joint, or into the nerves that supply that joint, using imaging guidance… | 860 | $290 | $250.6K |
Showing 1–10 of 27
How this provider's Medicaid billing volume and revenue compare to other Alaska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Alaska median
27 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| 41899 | Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available. | 1 | 10 | 870 | $1,460 | $2M |
| 66984 | The provider inserts an artificial lens after removing an extracapsular cataract by aspiration or use of ultrasonic waves. This procedure is done without the use of an endoscopic laser probe to… | 2 | 10 | 170 | $630 | $709.3K |
| 69436 | This procedure is a tympanostomy requiring the insertion of a ventilation tube under general anesthesia. | 1 | 10 | 50 | $770 | $350K |
| 42820 | The provider removes the tonsils and adenoids in a patient younger than 12 years old. | 1 | 10 | 320 | $900 | $292.2K |
| 43239 | The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis. | 1 | 30 | 50 | $510 | $233.5K |
| 45380 | The provider examines the rectum and colon using a flexible colonoscope, a tubular instrument with a light source and camera, to look for the cause of a patient's symptoms, which may include… | 1 | 20 | 100 | $470 | $215.5K |
| 45385 | The provider examines the colon and rectum using a colonoscope, a long, thin flexible tubular instrument with a light source and camera. He removes one or more tumors, polyps, or other lesions with a… | 1 | 10 | 70 | $440 | $200.5K |
| 43235 | The provider inserts an endoscope through the mouth and down into the esophagus, stomach, and duodenum for diagnostic purposes; the provider may collect specimens by brushing or washing. | 1 | 10 | 450 | $360 | $163.5K |
| 45378 | The provider examines the colon and rectum using a colonoscope, a flexible tube with a camera at its inserted end. If he sees any areas of abnormal mucosa or tissue, he takes samples using a brush… | 1 | 10 | 20 | $610 | $157.9K |
| 69631 | The provider reconstructs the tympanic membrane, or eardrum, to repair a perforation. This might involve reconstruction of the ear canal, an incision into the tympanic attic and or other surgeries on… | 1 | 10 | 130 | $1,000 | $124.7K |
Showing 1–10 of 27
Other providers in the same ZIP code as Alaska Native Tribal Health Consortium, ranked by combined Medicare and Medicaid revenue.
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