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 Emergency Medicine Associates (NPI 1568450476)

Field	Value
Entity Type	Organization
Organization	Alaska Emergency Medicine Associates
Address	3200 Providence Dr
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Emergency Medicine Physician
NPI Enumerated	October 13, 2005

Payer Source	Total Paid
Medicaid	$28.1M
Medicare	$0

Key Findings

This entity reports no Medicare billing on file and is effectively a single-payer (Medicaid) practice at scale, with Total Medicaid revenue of $28.1M. The absence of Medicare activity means analyses of cross-payer mix should treat this provider as Medicaid-dominant rather than a mixed payer operation.

Revenue is highly concentrated in a narrow set of emergency department E/M codes: the precomputed top 3 codes account for 99.9% of this provider's total Medicaid revenue. In particular, 99285 produces $19.9M (70.8% of total), 99284 produces $5.1M (18.3% of total), and 99283 produces $3M (10.8% of total).

The code mix (99285, 99284, 99283) and their descriptions indicate this practice operates as a high-throughput emergency medicine service with substantial high-acuity volume. The dominance of 99285 (high level E/M) implies the practice routinely manages complex, high-decision‑making emergency presentations rather than primarily low-acuity urgent care.

Competitive standing within Alaska is concentrated around high-acuity ED services: 99285 is ranked #1 of 36 providers in-state (100th percentile) and is described as an "extreme outlier, far above typical state volume for this code," which positions this provider as the leading state provider for high-acuity emergency visits. By contrast, 99284 (rank #11 of 42, 76th percentile; typical, unremarkable volume) and 99283 (rank #5 of 45, 91th percentile; typical, unremarkable volume) show the provider is more typical or only moderately above peers on those moderate- and low-acuity codes.

Operational scale is visible in claims volumes for the top codes: 99285 has 103.6K claims, 99284 has 35.7K claims, and 99283 has 38.1K claims, reflecting sustained, high ED throughput on Medicaid. These volumes, combined with the revenue concentration, suggest the group is focused on continuous emergency-department coverage rather than a diversified outpatient practice mix.

Payer valuation per encounter shows higher average paid per claim for higher-acuity codes: 99285 averages $192 paid/claim, 99284 averages $144 paid/claim, and 99283 averages $80 paid/claim. This payment gradient aligns with the clinical acuity ladder in the E/M descriptions and reinforces that the practice’s revenue is driven by higher-acuity encounters.

Other codes and ancillary activity are minimal in revenue contribution: 99291 (critical care) appears with 67 claims and $15.6K revenue (0.1% of total) and 93042 (ECG interpretation) shows 185 claims with $0 avg paid/claim and $0 revenue. A handful of additional observation/transfer codes (e.g., 99220 and 99217) register only modest dollars ($10.9K and $4.6K respectively), indicating ancillary services do not materially alter the Medicaid revenue profile.

This provider has a long tenure in the NPI registry (enrolled 2005-10-13, ~21 years ago), which combined with the very large Medicaid volumes—especially the extreme outlier position on 99285—suggests an established emergency medicine group with a dominant role in high-acuity Medicaid emergency care in Anchorage and statewide Alaska metrics.

Medicaid: Complete Services Breakdown

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

7 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.	103,560	$190	$19.9M
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.	35,670	$140	$5.1M
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.	38,070	$80	$3M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	70	$230	$15.6K
99220	N/A	50	$210	$10.9K
99217	N/A	60	$80	$4.6K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	190	$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

Alaska Emergency Medicine Associates — 1 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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.	11	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.	1	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.	5	50	4,500	$170	$2.5M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	12	20	210	$330	$567.6K
93042	The provider interprets a recording of the electrical conduction of the heart to examine any abnormality in its functioning using a maximum of three leads, wires that connect the recording device to…	2	10	160	$10	$14.8K
99220	N/A	2	10	40	$140	$10.9K
99217	N/A	2	10	50	$20	$1.7K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Alaska Emergency Medicine Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
David Ingraham	OR	Emergency Medicine Physician	$181.2K	$0
Paul Basel	AK	Emergency Medicine Physician	$114K	$0
David Otten	AK	Emergency Medicine Physician	$107.1K	$0
Devin Burrup	AK	Emergency Medicine Physician	$100K	$0
Tyler Berliner	CO	Emergency Medicine Physician	$93.3K	$0
Zachary Gibson	AK	Emergency Medicine Physician	$92.9K	$0
Jared Vedros	AK	Emergency Medicine Physician	$88.6K	$0
Victoria Fanslow	AK	Emergency Medicine Physician	$85.7K	$0
Tiffany Peterson	NM	Emergency Medicine Physician	$83.1K	$0
Tyson Hickle	AK	Emergency Medicine Physician	$81.5K	$0

Nearby Providers

Other providers in the same ZIP code as Alaska Emergency Medicine Associates, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
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
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
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
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M

Alaska Emergency Medicine Associates — Billing Profile & Reimbursement Data

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Alaska Emergency Medicine Associates — 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