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.

Southeast Alaska Regional Health Consortium (NPI 1720062524)

Key Findings

Field	Value
Entity Type	Organization
Organization	Southeast Alaska Regional Health Consortium
Address	222 Tongass Dr
City	Sitka
State	AK
ZIP	99835
Taxonomy	Critical Access Hospital
NPI Enumerated	December 5, 2005

Payer Source	Total Paid
Medicaid	$59.8M
Medicare	$0

SOUTHEAST ALASKA REGIONAL HEALTH CONSORTIUM is effectively a single‑payer Medicaid provider: there is no Medicare billing on file while total Medicaid revenue on record is $59.8M. This payer mix indicates the organization’s public‑payer exposure is concentrated in Medicaid rather than split between Medicare and Medicaid.

Revenue is highly concentrated in a small set of lab and outpatient codes: the precomputed top 3 Medicaid codes account for 52.1% of the provider’s total Medicaid revenue, with 87635 alone contributing $17.8M (35.4% of Medicaid revenue). That concentration means a large share of dollars flows through a very small number of services.

The service mix points to a lab‑centric operational model with integrated outpatient care: the single largest code by revenue is 87635 (26.6K claims) for SARS‑CoV‑2 NAAT testing, followed by high volumes of routine lab panels (80053, 9.7K claims) and E/M office visits (99213, 14.7K claims). The catalog of high‑revenue codes (87635, 80053, 82306, G0483, 87086 and others) suggests substantial in‑house diagnostic and microbiology capability that drives both volume and revenue.

Ambulatory primary care and outpatient clinic activity also contribute materially to Medicaid revenue: evaluation & management codes 99213 ($3.9M, 14.7K claims), 99214 ($2.9M, 11.5K claims) and 99211 ($2.7M, 11.1K claims) together form a consistent outpatient visit base and each ranks in the high percentiles for the state. These high visit volumes imply a steady stream of clinic encounters supporting the lab throughput and population health management.

State competitive standing is strong for several diagnostic services: 87635 ranks #3 of 96 providers in‑state (98th percentile) and is described as notably above typical state volume for this code, marking the provider as a major state player in SARS‑CoV‑2 NAAT testing. Other codes show strong positioning too — 99213 ranks #24 of 485 providers (95th percentile) and 99211 ranks #5 of 89 providers (95th percentile) — indicating above‑average outpatient volumes relative to peers.

There are specific niche strengths in controlled testing services: G0483 (definitive drug testing) accounts for $2M in revenue, ranks #1 of 4 providers in‑state (100th percentile), but is labelled in the dataset as typical, unremarkable volume for this code; combined with other specialized lab codes (e.g., 87081, 87086, 87070) this points to capability in both routine and specialized laboratory testing.

The provider has long tenure in the NPI registry (enumerated 2005-12-05, ~21 years ago), which supports a narrative of established operations and sustained relationships with Medicaid payers. That longevity, together with the concentrated revenue mix, frames both contracting leverage around key lab services and potential operational stability for payers evaluating network inclusion.

The concentration of Medicaid dollars in a handful of diagnostic and outpatient codes represents both a risk and an opportunity for payers: heavy dependence on 87635 and the top 3 codes (52.1% of Medicaid revenue) creates potential revenue volatility if testing demand changes, but also makes targeted rate negotiations or value‑based arrangements around lab and outpatient services more impactful. Payers should prioritize audit of volume drivers and consider contract terms specific to high‑share lab services.

Medicaid: Complete Services Breakdown

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

206 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	26,590	$670	$17.8M
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.	9,700	$460	$4.4M
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…	14,650	$270	$3.9M
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…	11,540	$250	$2.9M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	11,120	$240	$2.7M
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	4,550	$450	$2.1M
G0483	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but…	3,130	$650	$2M
87086	Culture, bacterial; quantitative, colony count, urine.	4,780	$420	$2M
87081	The lab analyst cultures a patient specimen on a test medium designed to grow only a specific pathogenic organism.	2,660	$610	$1.6M
84443	The lab analyst performs a test to measure the amount of thyroid–stimulating hormone (TSH), a hormone produced in the pituitary gland that helps regulate thyroid function. The typical specimen is the…	9,640	$160	$1.6M

Showing 1–10 of 206

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

Southeast Alaska Regional Health Consortium — 5 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

206 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.	22	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.	22	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.	20	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	11	20	1,530	$750	$1.9M
H2021	Community-based wrap-around services, per 15 minutes	53	80	1,070	$330	$1.3M
74177	The provider performs computed tomography of the abdomen and pelvis with contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	25	30	2,190	$390	$1.3M
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	100	360	$340	$1.2M
99282	The provider sees a patient for an emergency department visit involving evaluation and management (E/M). The visit involves a straightforward level of medical decision making.	21	30	3,420	$220	$1.1M
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	14	20	4,510	$130	$1.1M
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…	24	490	680	$260	$1M

Showing 1–10 of 206

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Center For Community	AK	Developmentally Disabled Services Day Training Agency	$0	$6.1M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$5.7M
Sitka Counseling & Prevention Services, Inc.	AK	Counselor	$0	$4.5M
Southeast Alaska Regional Health Consortium	AK	Clinic/Center	$0	$3.2M
Youth Advocates Of Sitka, Inc	AK	Community/Behavioral Health Agency	$0	$2.1M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$2M
Guardian Flight LLC	AK	Air Ambulance	$380.4K	$839.7K
City Of Sitka	AK	Land Ambulance	$208.6K	$641.5K
Sitka Community Hospital	AK	Critical Access Hospital	$0	$836K
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$762.8K

Southeast Alaska Regional Health Consortium — Billing Profile & Reimbursement Data

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Southeast Alaska Regional Health Consortium — 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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$45M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$38.9M
Southeast Alaska Regional Health Consortium	AK	Federally Qualified Health Center (FQHC)	$0	$19.9M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$18.9M
South East Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$12.2M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$8.3M
Southeast Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$8M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$5.3M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$5M