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.

Kenaitze Indian Tribe (NPI 1699986687)

Field	Value
Entity Type	Organization
Organization	Kenaitze Indian Tribe
Address	508 Upland St
City	Kenai
State	AK
ZIP	99611
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 24, 2007

Payer Source	Total Paid
Medicaid	$41.4M
Medicare	$0

Key Findings

KENAITZE INDIAN TRIBE is effectively a single-payer operation in the available claims data: there is no Medicare billing on file and all recorded federal payer revenue is Medicaid-only, totaling $41.4M. This means the provider’s financial footprint and negotiating leverage in the dataset are concentrated entirely within Medicaid programs rather than split between Medicare and Medicaid.

Revenue concentration is high: the precomputed top-three Medicaid codes account for 71.6% of the provider’s total Medicaid revenue. Those three codes are H2021 ($15.5M, 37.5% of Medicaid revenue), H2019 ($9.3M, 22.6%), and 90837 ($4.8M, 11.6%), so a small set of service lines drives the majority of billed Medicaid dollars.

The service mix signals an operational focus on community and behavioral health services: H2021 (Community-based wrap-around services, per 15 minutes) and H2019 (Therapeutic behavioral services, per 15 minutes) are the largest revenue drivers, and 90837 (long psychotherapy sessions, 53+ minutes) is the third-largest. Combined with meaningful revenue from T1016 (Case management, each 15 minutes, $4.1M, 9.8%), the profile suggests integrated delivery of wraparound, therapeutic, and care-coordination services rather than a narrow outpatient clinic model.

Competitive standing varies by code: the provider ranks #4 of 76 for H2021 (96th percentile) and is described as notably above typical state volume for that code, indicating it is a leading statewide provider of community-based wrap-around services. For H2019 it ranks #4 of 38 (92th percentile) and is labeled as typical/unremarkable in volume, and for 90837 it ranks #16 of 147 (90th percentile) and likewise shows a typical, unremarkable volume profile relative to peers, so dominance appears concentrated in the wrap-around service line.

Operational throughput is substantial in time-based, frequent billing lines: H2019 shows 28.5K claims and H2021 shows 22.1K claims, while 90837 has 8.5K claims. These volumes indicate a high-frequency model that bills many short-interval (15-minute) behavioral health units alongside thousands of longer psychotherapy sessions, driving both utilization and revenue.

Average paid per claim is heterogeneous across the top services and contributes to revenue mix: H2021 averages $703 per claim, 90837 averages $564 per claim, and H2019 averages $328 per claim. This pattern shows the provider’s Medicaid revenue is driven by a combination of high unit rates on certain wrap-around services and very large volumes of lower-unit therapeutic encounters.

Concentration of revenue in a few Medicaid codes creates exposure to program changes: with 71.6% of Medicaid revenue coming from three codes (H2021, H2019, 90837), any reimbursement or policy changes targeting community-based wrap-around or therapeutic behavioral services would disproportionately affect the provider’s revenue. Analysts should prioritize monitoring rate updates and utilization rules for those specific codes.

The provider has an established presence in the NPI registry, enumerated since 2007-05-24 (~19 years ago), which aligns with the scale of Medicaid operations reflected in the claims and suggests a sustained, multi-year service footprint in the state market.

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	22,090	$700	$15.5M
H2019	Therapeutic behavioral services, per 15 minutes	28,500	$330	$9.3M
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…	8,540	$560	$4.8M
T1016	Case management, each 15 minutes	8,670	$470	$4.1M
H2015	Comprehensive community support services, per 15 minutes	5,220	$480	$2.5M
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…	4,050	$570	$2.3M
S9484	Crisis intervention mental health services, per hour	1,960	$510	$990.7K
H0023	Alcohol and/or drug outreach	1,310	$390	$514.6K
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	1,290	$380	$496.1K
T1007	Alcohol and/or substance abuse services, treatment plan development and/or modification	330	$770	$251.8K

Showing 1–10 of 16

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

Kenaitze Indian Tribe — 1 of 16 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

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	4	40	3,660	$250	$3.1M
H2015	Comprehensive community support services, per 15 minutes	29	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	4	80	1,070	$330	$1.3M
S9484	Crisis intervention mental health services, per hour	10	40	500	$580	$844.5K
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	14	30	1,000	$260	$695.6K
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…	16	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	13	90	1,620	$150	$606.4K
H0023	Alcohol and/or drug outreach	21	40	1,310	$180	$521.5K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	53	60	1,070	$80	$392.9K
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…	77	90	370	$180	$361K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Kenaitze Indian Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$13.9M
Kenaitze Indian Tribe	AK	Federally Qualified Health Center (FQHC)	$0	$3.2M

Nearby Providers

Other providers in the same ZIP code as Kenaitze Indian Tribe, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kenai Kids Therapy Inc	AK	Physical Therapist	$0	$11.7M
Aspen Creek Kenai LLC	AK	Assisted Living Facility	$0	$7.1M
Jac Enterprises, Inc.	AK	Assisted Living Facility	$0	$5.6M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5M
Robert E. Mcalpine, D.m.d., P.C.	AK	Dental Clinic/Center	$0	$4.1M
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$3M
R Lynn Carlson Md PC Medicenter	AK	Family Medicine Physician	$0	$2.1M
Occupational Rehabilitative Services Inc	AK	Occupational Therapist	$0	$1.7M
Karpik & Rice Eyecare, PC	AK	Optometrist	$0	$1.5M
Odyssey Family Practice	AK	Family Medicine Physician	$0	$1.3M

Kenaitze Indian Tribe — Billing Profile & Reimbursement Data

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Kenaitze Indian Tribe — 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