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.

Kodiak Area Native Association (NPI 1679514236)

Field	Value
Entity Type	Organization
Organization	Kodiak Area Native Association
Address	3449 E Rezanof Dr
City	Kodiak
State	AK
ZIP	99615
Taxonomy	Community Health Clinic/Center
NPI Enumerated	June 8, 2006

Payer Source	Total Paid
Medicaid	$21.8M
Medicare	$0

Key Findings

KODIAK AREA NATIVE ASSOCIATION is effectively a single‑payer Medicaid provider: there is no Medicare billing on file and the provider reports $21.8M in lifetime Medicaid revenue. This concentration means the organization’s reimbursement profile and financial performance are driven almost entirely by Medicaid policy and program changes rather than Medicare dynamics.

Revenue is highly concentrated in a small set of Medicaid codes: the dataset reports that the provider’s top 3 Medicaid codes by revenue account for 60.8% of its total Medicaid revenue. Those top three codes are 99213 ($6.8M, 31.5% of Medicaid revenue), H2015 ($3.4M, 15.7%), and 87635 ($2.9M, 13.6%), indicating a reliance on a relatively narrow set of services for the majority of Medicaid dollars.

The code mix points to a blended primary care and behavioral health operating model with substantial diagnostic testing capacity. 99213 (15.4K claims, $441 avg paid/claim, $6.8M) is the single largest revenue driver and reflects high-volume established‑patient office visits, while behavioral health codes such as H2015 (5.6K claims, $610 avg paid/claim, $3.4M), 90837 (4.1K claims, $565 avg paid/claim, $2.3M) and 90834 (1.9K claims, $649 avg paid/claim, $1.2M) together signal a prominent role in community mental health and support services. Concurrently, substantial COVID and respiratory testing is present via 87635 (4K claims, $743 avg paid/claim, $2.9M) and 87637, showing onsite or contracted laboratory testing activity.

Operational profile implications: the large claim volume for 99213 (15.4K claims) combined with moderate per‑claim reimbursement ($441) suggests a throughput‑oriented ambulatory practice dependent on visit volume. High volumes in psychotherapy codes (90837 and 90834) and structured community supports (H2015) imply dedicated behavioral health staffing and scheduling cadence, while 87635’s 4K claims indicate ongoing investment in molecular testing workflows or external lab partnerships.

Competitive standing within the state is mixed by measure and label. 99213 ranks #22 of 485 providers (96th percentile) and 87635 ranks #14 of 96 providers (86th percentile), which numerically indicate relatively high volume for those services, but the record characterizes volumes for these top codes as "typical, unremarkable volume" among peers; several other high‑revenue behavioral health and case management codes are similarly described as typical, suggesting the provider is an established, steady contributor in multiple service lines rather than an outlier or statewide dominant specialist.

Behavioral health is a clear strategic emphasis: H2015 alone accounts for 15.7% of Medicaid revenue ($3.4M) and psychotherapy code 90837 contributes 10.7% ($2.3M). These individual revenue shares, together with additional substance use and crisis codes such as H0007 (1.3K claims, $679 avg paid/claim, $865K), indicate that community mental health and comprehensive support services are core business lines rather than marginal offerings.

The provider has substantial testing and telehealth activity that diversify service delivery channels: 87635 (SARS‑CoV‑2 amplified NAAT) generated $2.9M from 4K claims and 99442 (600 claims, $444 avg paid/claim, $266.4K) and 99441 (382 claims, $388 avg paid/claim, $148.2K) show non‑inperson visit billing. These patterns suggest operational capacity for both laboratory diagnostics and remote/telephonic encounters in addition to face‑to‑face care.

KODIAK AREA NATIVE ASSOCIATION has an established presence with an NPI enumerated on 2006-06-08 (~20 years ago), indicating long tenure in the market. That longevity, combined with concentrated Medicaid revenue ($21.8M) and reliance on a few high‑revenue codes (top 3 = 60.8% of Medicaid revenue), implies that payer and service‑line shifts in Medicaid reimbursement or utilization would have outsized impact on the organization’s finances and should be a focus for risk monitoring and contract strategy.

Medicaid: Complete Services Breakdown

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

46 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…	15,430	$440	$6.8M
H2015	Comprehensive community support services, per 15 minutes	5,570	$610	$3.4M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	3,970	$740	$2.9M
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…	4,110	$570	$2.3M
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…	1,870	$650	$1.2M
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…	2,910	$360	$1M
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	1,270	$680	$865K
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…	560	$660	$371.6K
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	750	$450	$341.9K
H0046	Mental health services, not otherwise specified	680	$480	$329.1K

Showing 1–10 of 46

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

Kodiak Area Native Association — 1 of 25 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

46 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	28	60	4,510	$230	$1.8M
87635	Using an amplified nucleic acid probe technique, the lab analyst performs the necessary steps to identify the nucleic acids from the severe acute respiratory syndrome coronavirus 2 (SARS–COV–2) virus…	14	100	360	$340	$1.2M
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…	22	490	680	$260	$1M
T2023	Targeted case management; per month	12	20	1,160	$300	$866.5K
S9484	Crisis intervention mental health services, per hour	25	40	500	$580	$844.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	49	70	570	$110	$829.4K
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	15	30	1,000	$260	$695.6K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	116	120	970	$140	$652.1K
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…	29	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	60	90	1,620	$150	$606.4K

Showing 1–10 of 46

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kodiak Area Native Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kodiak Area Native Association	AK	Dental Clinic/Center	$0	$2M
Matthew Schnellbaecher	AK	Internal Medicine Physician	$78.1K	$0
Charles Edwards	AK	Podiatrist	$45.9K	$0
Kena Desai	UT	Hospitalist Physician	$21.1K	$0
Youssef Barbour	AK	Internal Medicine Physician	$7K	$0

Nearby Providers

Other providers in the same ZIP code as Kodiak Area Native Association, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Providence Health & Services Washington	AK	Critical Access Hospital	$0	$11.4M
Hope Community Resources Inc	AK	Respite Care	$0	$4.1M
Kodiak Island Ambulatory Care Clinic Inc.	AK	Urgent Care Clinic/Center	$0	$2.6M
Kodiak Island Health Care Foundation	AK	Federally Qualified Health Center (FQHC)	$0	$1.6M
Providence Health & Services Washington	AK	Community/Behavioral Health Agency	$0	$1.5M
Eyecare Excellence A Professional Corporation	AK	Optometrist	$0	$703.3K
Arctic Physical Therapy Services, Inc.	AK	Physical Therapy Clinic/Center	$0	$341.2K
City Of Kodiak	AK	Land Ambulance	$105.5K	$214.9K
North Pacific Medical Center	AK	Family Medicine Physician	$0	$294.5K
Eric Noll Od PC	AK	Optometrist	$0	$241.3K

Kodiak Area Native Association — Billing Profile & Reimbursement Data

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Kodiak Area Native Association — 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