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NPI 1669475166 · Anchorage, AK · Federally Qualified Health Center (FQHC)
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Anchorage Neighborhood Health Center, Inc. is a federally qualified health center (fqhc) provider located in Anchorage, Alaska. This profile covers 0 Medicare and 36 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 | Anchorage Neighborhood Health Center, Inc. |
| Address | 4951 Business Park Blvd |
| City | Anchorage |
| State | AK |
| ZIP | 99503 |
| Taxonomy | Federally Qualified Health Center (FQHC) |
| NPI Enumerated | May 27, 2005 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $28.2M |
| Medicare | $0 |
This provider is effectively a Medicaid-centric FQHC: there is no Medicare billing on file while total Medicaid revenue is $28.2M, and the NPI was enumerated 2005-05-27 (~21 years ago), indicating long-standing operation with a single-payer concentration toward Medicaid. The absence of Medicare activity makes Medicaid policy and state fee schedules the dominant revenue drivers for this organization.
Revenue is highly concentrated in a very small set of outpatient evaluation-and-management and behavioral-health codes: the precomputed top three Medicaid codes account for 85.9% of the provider's Medicaid revenue, led by 99213 ($12.2M, 43.3%) and 99214 ($10.7M, 37.8%), with 90834 contributing $1.4M (4.8%). This concentration implies the provider’s financial performance is closely tied to utilization and reimbursement for these specific services.
The mix of codes and FQHC-specific claims indicates primary care delivery with embedded behavioral-health services: high volumes of 99213 and 99214 point to heavy established-patient outpatient E/M activity, while psychotherapy codes such as 90834 (4.5K claims, $1.4M) and shorter psychotherapy 90832 (2.6K claims, $854.3K) show a meaningful integrated mental-health footprint. FQHC visit codes G0467 (27.3K claims, $1.1M) and G0466 (510 claims, $30.6K) confirm delivery under the FQHC model rather than independent specialty clinic billing.
The provider is a statewide high-volume outlier for core primary-care E/M and FQHC visits: 99213 and 99214 both rank #6 in-state (99th percentile, labeled an "extreme outlier, far above typical state volume for this code"), and G0467 ranks #1 of 15 providers in-state (100th percentile; "extreme outlier"). These rankings position the center as one of the largest Medicaid E/M and FQHC visit billers in Alaska, likely capturing substantial share of ambulatory FQHC encounters.
Behavioral-health services are a distinct secondary revenue stream with notable state-level standing: 90834 ranks #8 of 88 providers in-state (92th percentile; described as "typical, unremarkable volume for this code") but still generates $1.4M (4.8% of Medicaid revenue), and related codes (90792, 90832, 90837) also appear across the top billers list. The presence of psychiatric evaluation codes (90792, 90791) and multiple psychotherapy durations indicates a structured mental-health program operating alongside primary care.
The provider’s reimbursement profile shows similar average paid-per-claim for the two dominant E/M codes (99213 $244 avg paid/claim; 99214 $246 avg paid/claim), while FQHC-structured visits and telehealth reimburse at much lower per-claim rates (G0467 $42 avg paid/claim; G2025 $21 avg paid/claim). This suggests a high-volume, lower-margin operational model typical of FQHCs where per-visit bundles and telehealth represent lower average payments but drive throughput and access.
Concentration and payer mix create operational sensitivity: reliance on two E/M codes for the bulk of Medicaid revenue and an absence of Medicare revenue mean the organization’s financial exposure is concentrated to Medicaid utilization trends and state reimbursement decisions. Any changes to reimbursement, prior authorization, or visit-frequency policies for 99213/99214 or FQHC payment rules could materially affect the provider given the reported revenue shares.
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.
36 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | 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… | 50,120 | $240 | $12.2M |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 43,380 | $250 | $10.7M |
| 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… | 4,480 | $300 | $1.4M |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 27,270 | $40 | $1.1M |
| 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… | 2,650 | $320 | $854.3K |
| 99442 | N/A | 2,140 | $200 | $418.1K |
| 90792 | In this procedure, the provider performs a psychiatric evaluation of the patient with the aim of making a diagnosis. In addition to the diagnostic evaluation, he also renders some additional medical… | 650 | $330 | $213.5K |
| 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… | 910 | $210 | $194.5K |
| 99441 | N/A | 870 | $170 | $147K |
| 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… | 460 | $310 | $144.3K |
Showing 1–10 of 36
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
36 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… | 6 | 490 | 680 | $260 | $1M |
| 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… | 78 | 150 | 1,020 | $200 | $620.5K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 6 | 440 | 580 | $170 | $458.7K |
| 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… | 8 | 90 | 370 | $180 | $361K |
| 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… | 18 | 100 | 330 | $170 | $226.4K |
| 99442 | N/A | 3 | 50 | 100 | $440 | $202.8K |
| 99391 | Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby… | 19 | 30 | 330 | $200 | $189K |
| G0467 | Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which… | 1 | 20 | 1,780 | $40 | $187K |
| 90471 | In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route. | 22 | 110 | 200 | $140 | $184.1K |
| 99443 | N/A | 12 | 40 | 50 | $390 | $171.3K |
Showing 1–10 of 36
Other providers in the same ZIP code as Anchorage Neighborhood Health Center, Inc., ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Procare Home Medical, Inc. | AK | Durable Medical Equipment & Medical Supplies | $0 | $32.5M |
| Absolute Care Of Alaska, LLC. | AK | In Home Supportive Care Agency | $0 | $23.4M |
| Hearts And Hands, Inc | AK | Home Health Agency | $0 | $22.5M |
| Alaska Hospitalist Group LLC | AK | Internal Medicine Physician | $0 | $18.6M |
| Arctic Care Services | AK | Home Health Agency | $0 | $17.7M |
| Turnagain Social Club | AK | Alzheimer Center (Dementia Center) | $0 | $15.2M |
| Akeela Inc | AK | Substance Abuse Rehabilitation Facility | $0 | $14.4M |
| Shine Bright Care, LLC | AK | In Home Supportive Care Agency | $0 | $13.7M |
| Easter Seals Of Alaska | AK | Home Health Agency | $0 | $13.6M |
| Wchs, Inc. | AK | Methadone Clinic | $238.5K | $13.2M |
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