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.

Peninsula Community Health Services Of Alaska, Inc. (NPI 1700984614)

Field	Value
Entity Type	Organization
Organization	Peninsula Community Health Services Of Alaska, Inc.
Address	230 E Marydale Ave
City	Soldotna
State	AK
ZIP	99669
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	September 21, 2006

Payer Source	Total Paid
Medicaid	$17.1M
Medicare	$0

Key Findings

PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC. shows an effectively single‑payer footprint: there is no Medicare billing on file while Medicaid revenue totals $17.1M, indicating the organization’s operations are funded almost entirely through Medicaid. This makes Medicaid the dominant payer and suggests sensitivity to changes in state Medicaid policy or reimbursement.

Revenue is highly concentrated in a small set of outpatient and behavioral-health codes: the top 3 Medicaid codes (99213, 99214, 90832) account for 52.1% of this provider’s total Medicaid revenue. Those three codes alone are reported as 99213: $3.8M (22.7%), 99214: $2.8M (16.6%), and 90832: $2.1M (12.8%), demonstrating a dependence on established‑patient E/M visits and psychotherapy services for the majority of revenue.

The code mix points to a combined primary care and behavioral‑health operating model typical of Federally Qualified Health Centers: high volumes of 99213 (18.8K claims, $203 avg paid/claim) and 99214 (12.7K claims, $219 avg paid/claim) alongside large psychotherapy volumes (90832 11.2K claims, $192 avg paid/claim and 90837 18.5K claims, $113 avg paid/claim). This suggests integrated primary care with embedded mental‑health services is a core service line rather than a marginal program.

PENINSULA is a regional leader in short‑duration psychotherapy: 90832 ranks #1 of 102 providers in-state (100th percentile; extreme outlier), signaling an outsized delivery of that service relative to peers. The provider also reports very high volumes for longer psychotherapy sessions (90837 ranks #4 of 147, 98th percentile; notably above typical state volume), reinforcing that behavioral health is a distinctive strength.

By contrast, primary‑care E/M codes register as high‑volume but not extreme outliers: 99213 ranks #20 of 485 (96th percentile; typical, unremarkable volume for this code) and 99214 ranks #21 of 440 (95th percentile; typical, unremarkable volume for this code). Those placements indicate the provider is a strong, established primary‑care participant in-state but its E/M footprint is closer to the top tier of routine providers rather than uniquely dominant.

Dental and care‑management services represent meaningful ancillary lines: D0140 ($650.9K, 2.9K claims), D1110 ($427.2K, 3.4K claims) and D0150 ($333.7K, 1.5K claims) together contribute nontrivial Medicaid revenue, and case management T1016 ($344K, 5K claims) and behavioral codes H2019 ($747.8K) and H2015 ($307.7K) indicate a broader suite of outpatient support services. The presence of G0467 (11.1K claims, $478.1K) and G0470 (2.2K claims, $82.3K) further confirms FQHC‑style bundled visit billing, though those FQHC bundle codes account for a modest share of total revenue.

From a competitive and operational perspective, the provider’s profile is that of an established FQHC with about two decades of enumeration (NPI enumerated 2006-09-21 (~20 years ago)) and a clear strategic emphasis on Medicaid behavioral‑health and primary care. That longevity plus the extreme outlier status on 90832 suggests deep clinical capacity in psychotherapy, but the absence of Medicare billing highlights a significant payer concentration risk and limits diversification into the Medicare population.

Medicaid: Complete Services Breakdown

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

48 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…	18,800	$200	$3.8M
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…	12,720	$220	$2.8M
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…	11,170	$190	$2.1M
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…	18,530	$110	$2.1M
H2019	Therapeutic behavioral services, per 15 minutes	4,040	$190	$747.8K
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…	7,210	$90	$656.4K
D0140	Limited oral evaluation – problem focused	2,450	$270	$650.9K
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…	11,120	$40	$478.1K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	3,450	$120	$427.2K
H0031	Mental health assessment, by non-physician	1,080	$390	$418.7K

Showing 1–10 of 48

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

Peninsula Community Health Services Of Alaska, Inc. — 6 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

48 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	18	40	3,660	$250	$3.1M
H2015	Comprehensive community support services, per 15 minutes	34	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	71	80	1,070	$330	$1.3M
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…	20	490	680	$260	$1M
S9484	Crisis intervention mental health services, per hour	36	40	500	$580	$844.5K
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…	4	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	25	90	1,620	$150	$606.4K
H0023	Alcohol and/or drug outreach	18	40	1,310	$180	$521.5K
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…	21	440	580	$170	$458.7K
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…	21	60	1,070	$80	$392.9K

Showing 1–10 of 48

Related Providers

Other providers that share a Tax Identification Number (TIN) with Peninsula Community Health Services Of Alaska, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peninsula Community Health Services Of Alaska, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$3M
John Fetchero	NC	Family Medicine Physician	$72K	$0
Yennhi Tran	AK	Optometrist	$66.7K	$0
Robert Mitchell	AK	Family Medicine Physician	$57.4K	$0
Nate Saltzgiver	AK	Physician Assistant	$31.5K	$0
Karen Muncy	AK	Psychiatric/Mental Health Nurse Practitioner	$4.4K	$0
Marguerite Mcintosh	AK	Family Medicine Physician	$2.1K	$0

Nearby Providers

Other providers in the same ZIP code as Peninsula Community Health Services Of Alaska, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Peninsula General Hospital Inc.	AK	Rural Acute Care Hospital	$0	$58.4M
Hope Community Resources Inc	AK	Respite Care	$0	$42.9M
Frontier Community Services	AK	Developmentally Disabled Services Day Training Agency	$0	$41.8M
Riverside Assisted Living Soldotna, Inc.	AK	Assisted Living Facility	$0	$11.2M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$5.9M
Riverquest Group Home, Inc.	AK	Respite Care	$0	$4.4M
Aaa Alaska Cab, Inc.	AK	Taxi	$0	$3.8M
Central Peninsula General Hospital, Inc	AK	Community/Behavioral Health Agency	$0	$2.6M
Kenai Peninsula Borough	AK	Land Ambulance	$780K	$1.4M
Quintessence Planning And Care Coordination	AK	Case Management Agency	$0	$2.1M

Peninsula Community Health Services Of Alaska, Inc. — Billing Profile & Reimbursement Data

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Peninsula Community Health Services Of Alaska, Inc. — 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