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.

Denali Emergency Medicine Assoc PC (NPI 1669406831)

Field	Value
Entity Type	Organization
Organization	Denali Emergency Medicine Assoc PC
Address	2801 Debarr Rd
City	Anchorage
State	AK
ZIP	99508
Taxonomy	Emergency Medicine Physician
NPI Enumerated	July 11, 2006

Payer Source	Total Paid
Medicaid	$17.5M
Medicare	$0

Key Findings

This provider does not bill Medicare ("none below" on file) and reports $17.5M in lifetime Medicaid revenue, making its commercial/Medicare exposure effectively absent in the available data and leaving Medicaid as the dominant payer on file. Analysts should treat DENALI EMERGENCY MEDICINE ASSOC PC as functionally single‑payer (Medicaid) in this dataset when assessing revenue risk and payer-dependence metrics.

Revenue is highly concentrated in three emergency department evaluation-and-management codes: 99285 ($7.8M, 44.7%), 99284 ($7.4M, 42.1%), and 99283 ($1.7M, 9.6%); the precomputed top-3 codes account for 96.5% of the provider's total Medicaid revenue. This concentration indicates most Medicaid dollars flow from ED visit E/M services rather than from a broad mix of ancillary or procedural codes.

The code mix is characteristic of an emergency medicine operation handling a high volume of moderate-to-high acuity ED visits: 99285 shows 41.3K claims at $190 avg paid/claim and 99284 shows 51.3K claims at $144 avg paid/claim. High claim counts paired with large shares of total revenue (44.7% and 42.1%, respectively) suggest the group provides sustained ED coverage with frequent moderate and high complexity encounters.

Competitive standing within the state is strong for core ED services: 99285 ranks #3 of 36 providers (94th percentile) and 99284 ranks #3 of 42 providers (95th percentile), both described as "notably above typical state volume for this code." Those ranks signal DENALI EMERGENCY MEDICINE ASSOC PC is a major state-level performer for ED E/M billing rather than a marginal participant.

Lower-acuity ED billing and critical care/inpatient codes are present but materially smaller in revenue share: 99283 accounts for $1.7M (9.6%) and ranks #14 of 45 providers (70th percentile, typical, unremarkable volume), while 99291 (critical care) has 974 claims and $256.2K in revenue (1.5%) and ranks #5 of 16 providers (73th percentile, typical, unremarkable volume). These patterns indicate some capability for higher-intensity services but with limited Medicaid revenue contribution relative to ED E/M.

Ancillary and inpatient/observation activity is evident at low revenue levels: ECG interpretation codes 93010 (18.3K claims, $91.7K, rank #3 of 23, 91th percentile) and 93042 (8.9K claims, $62.5K, rank #1 of 4, 100th percentile) appear regularly, and hospital observation/admission same-day code 99236 (340 claims, $90.1K) ranks #1 of 2 providers (100th percentile). These items point to routine ED diagnostic workflows and occasional involvement in observation/inpatient encounters without significantly diversifying payer revenue.

There are notable statistical outliers in specific non-ED preventive/counseling codes: 99406 (tobacco cessation) is reported as 1.9K claims and $29.7K revenue (0.2%) and ranks #1 of 13 providers (100th percentile) with the label "extreme outlier, far above typical state volume for this code." This divergence from peers on a counseling code may reflect programmatic emphasis or local care pathways worth probing during utilization review or clinical-program alignment.

The provider has long tenure in the registry (NPI enumerated 2006-07-11, approximately 20 years), which supports interpreting these Medicaid patterns as established operational characteristics rather than a new or transient practice. Given the absence of Medicare billing, payers and network planners should view contracting and utilization projections through the lens of a Medicaid-dominant emergency medicine group with concentrated ED E/M revenue.

Medicaid: Complete Services Breakdown

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

11 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.	41,300	$190	$7.8M
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.	51,320	$140	$7.4M
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.	20,600	$80	$1.7M
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…	970	$260	$256.2K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	18,340	$10	$91.7K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	340	$270	$90.1K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	570	$150	$87.1K
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…	8,930	$10	$62.5K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	1,860	$20	$29.7K
99053	The provider renders overnight services at a 24 hour facility.	270	$1	$270

Showing 1–10 of 11

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

Denali Emergency Medicine Assoc PC — 5 of 10 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

11 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.	3	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.	3	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.	14	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…	5	20	210	$330	$567.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	4	30	150	$170	$119K
99236	The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…	1	10	180	$260	$46.4K
93010	The provider interprets and reports on the results of a routine 12–lead (or more) electrocardiogram.	3	20	530	$10	$40.8K
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…	1	10	160	$10	$14.8K
99406	The provider counsels the patient on how to stop tobacco use. The counseling lasts more than three minutes, up to 10 minutes.	1	10	40	$10	$3.4K
99053	The provider renders overnight services at a 24 hour facility.	1	10	50	$1	$130

Showing 1–10 of 11

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Christopher Calvert	AK	Emergency Medicine Physician	$103.8K	$0
Blaine Norton	AK	Emergency Medicine Physician	$100.4K	$0
Zachary Gibson	AK	Emergency Medicine Physician	$92.9K	$0
Sarah Poggi	AK	Emergency Medicine Physician	$85.9K	$0
Desiree Brooks	GA	Emergency Medicine Physician	$85.6K	$0
Mark Shepherd	AK	Emergency Medicine Physician	$81.7K	$0
Weston Tardy	MT	Emergency Medicine Physician	$77.8K	$0
David Cadogan	AK	Emergency Medicine Physician	$75.8K	$0
Nancy Kragt	AK	Emergency Medicine Physician	$74.1K	$0
Ronald Winkle	AK	Emergency Medicine Physician	$64.8K	$0

Nearby Providers

Other providers in the same ZIP code as Denali Emergency Medicine Assoc PC, 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

Denali Emergency Medicine Assoc PC — Billing Profile & Reimbursement Data

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Denali Emergency Medicine Assoc PC — 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