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.

Yukon Kuskokwim Health Corp (NPI 1659583383)

Yukon Kuskokwim Health Corp is a optometrist provider located in Bethel, Alaska. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Yukon Kuskokwim Health Corp
Address	829 Chief Eddie Hoffman Hwy.
City	Bethel
State	AK
ZIP	99559
Taxonomy	Optometrist
NPI Enumerated	May 4, 2007

Payer Source	Total Paid
Medicaid	$7M
Medicare	$0

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	5,680	$630	$3.6M
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	2,610	$640	$1.7M
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.	960	$580	$552.6K
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,…	610	$690	$421.6K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	12,290	$30	$319.6K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	270	$540	$143.9K
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…	220	$610	$133.2K
92250	Code 92250 describes the taking of fundus photographs, that is, photographs of the posterior segment of the inner aspect of the eye, to document alterations in the optic nerve head, retinal vessels,…	140	$580	$82.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	170	$320	$54.7K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	90	$560	$47.7K

Showing 1–10 of 12

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

Yukon Kuskokwim Health Corp — 3 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	326	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.	18	90	140	$230	$1M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	60	100	460	$250	$317.6K
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	68	100	350	$260	$254.6K
92012	For this CPT code, an Ophthalmologist sees an established patient for an intermediate level eye examination. Generally, a patient is considered to be "established" if the same physician, or any…	1	30	160	$310	$209.3K
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,…	45	210	160	$230	$148.2K
92002	The provider performs an intermediate level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program.	1	20	70	$540	$147.7K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	6	110	1,210	$30	$82.6K
92134	The provider performs computerized diagnostic imaging of the retina in the posterior segment (back part) of the eye, interprets the data, and provides a report. The service may be on one or both eyes.	10	10	370	$30	$56.9K
99203	The provider sees a new 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 provider…	126	130	110	$120	$53.5K

Showing 1–10 of 12

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Rural Acute Care Hospital	$0	$205.3M
Yukon-kuskokwim Health Corporation	AK	Physician Assistant	$0	$61.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Yukon Kuskokwim Health Corp	AK	Endodontics	$0	$30.2M
Yukon Kuskokwim Health Corp	AK	Mental Health Counselor	$0	$29.5M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$13.2M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$7.8M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$5.7M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$3.6M
Denise Tran	AK	Family Nurse Practitioner	$80.2K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Transportation Broker	$0	$96.3M
Southern Home Care Services, Inc.	AK	In Home Supportive Care Agency	$0	$68.7M
Yukon Kuskokwim Health Corp	AK	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Bethel Family Clinic	AK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$831.3K
City Of Bethel	AK	Land Ambulance	$23K	$686.2K
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$303.6K
Matthew Warren	AK	Diagnostic Radiology Physician	$39K	$0
Jackie-joe Lindo	AK	Family Nurse Practitioner	$28.6K	$0
Isaac Kalistook	AK	Optometrist	$13.3K	$0

Yukon Kuskokwim Health Corp — Billing Profile & Reimbursement Data

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Yukon Kuskokwim Health Corp — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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