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.

Yukon Kuskokwim Health Corp (NPI 1720202187)

Field	Value
Entity Type	Organization
Organization	Yukon Kuskokwim Health Corp
Address	829 Chief Eddie Hoffman Hwy
City	Bethel
State	AK
ZIP	99559
Taxonomy	Endodontics
NPI Enumerated	April 13, 2007

Payer Source	Total Paid
Medicaid	$30.2M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $30.2M in Medicaid revenue, making its observed billing profile effectively single‑payer (Medicaid) in the dataset. The absence of Medicare claims means national Medicare competitive comparisons are not applicable for this entity.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 78.7% of total Medicaid revenue, with D0220 contributing $11M (36.5%), D1206 contributing $9.1M (30.2%), and D0140 contributing $3.7M (12.1%). This concentration indicates a small set of procedures drives the majority of the provider’s reported Medicaid dollars.

The procedure mix is dominated by diagnostic and preventive services: large volumes of D0220 (20.7K claims, intraoral periapical first radiographic image), D1206 (30K claims, topical fluoride treatment), and D0140 (17.5K claims, limited oral evaluation) suggest the operation is focused on high-throughput diagnostic imaging, evaluations, and preventive fluoride applications rather than primarily restorative specialty work. The presence of 12.7K claims for D7140 (extraction) and $1.4M in revenue also indicates a meaningful operative/extraction component alongside the diagnostic/preventive focus.

State-level competitive standing is dominant for multiple high-volume codes: D0220 ranks #1 of 156 providers in-state (100th percentile; extreme outlier), D0140 ranks #1 of 147 providers in-state (100th percentile; extreme outlier), and D1206 ranks #2 of 159 providers in-state (99th percentile; extreme outlier). Additional codes such as D7140 and D0270 also rank #1 in-state, reinforcing that this provider is a major, outlier-level participant for several Medicaid dental services in Alaska.

Operationally, the claim volumes (e.g., 30K claims for D1206, 20.7K for D0220, 17.5K for D0140) are consistent with a high-throughput or programmatic delivery model—such as clinic-based, community outreach, or school-linked services—where many routine diagnostic and preventive interventions are provided. These volumes are well above typical state peers for the top codes and align with the extreme outlier designations.

The provider’s reliance on a narrow set of high-volume codes creates sensitivity to reimbursement or utilization changes: because 78.7% of Medicaid revenue is concentrated in the top three codes, policy, coverage, or rate changes affecting D0220, D1206, or D0140 would have an outsized impact on overall revenue. Monitoring changes to coverage or unit payment for these specific codes should be a priority for payers and analysts.

There is a notable mismatch between listed taxonomy (Endodontics) and observed billing patterns: the claims mix is dominated by radiographs, fluoride applications, limited exams, and extractions rather than endodontic-specific procedures. This suggests the provider’s actual service mix—at least in Medicaid billing—is broader and more general dentistry/preventive-focused than the specialty taxonomy implies.

The provider appears to be an established Medicaid participant: the NPI was enumerated 2007-04-13 (~19 years ago) and the organization has sustained substantial Medicaid activity ($30.2M lifetime revenue reported), indicating long-term operational presence and scale within the state.

Medicaid: Complete Services Breakdown

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

28 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D0220	Intraoral - periapical first radiographic image	20,680	$530	$11M
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	30,010	$300	$9.1M
D0140	Limited oral evaluation – problem focused	17,470	$210	$3.7M
D0120	Periodic oral evaluation - established patient	8,410	$180	$1.5M
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	12,750	$110	$1.4M
D0274	N/A	3,840	$240	$928.1K
D1351	Sealant - per tooth	15,050	$60	$842.7K
D0272	N/A	1,340	$360	$486.1K
D0150	Comprehensive oral evaluation – new or established patient	3,770	$120	$441.1K
D0330	N/A	920	$290	$263.5K

Showing 1–10 of 28

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

Yukon Kuskokwim Health Corp — 10 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

28 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	31	30	330	$210	$245K
D0140	Limited oral evaluation – problem focused	1	150	290	$220	$215.6K
D1206	Topical Fluoride Treatment – Except Varnish; Therapeutic application for moderate to high caries risk patients	2	160	510	$100	$212.9K
D1351	Sealant - per tooth	4	70	1,370	$50	$191.4K
D0220	Intraoral - periapical first radiographic image	1	160	300	$130	$181K
D0120	Periodic oral evaluation - established patient	8	190	390	$100	$141.4K
D2392	Post 2 surface resin‑based composite	49	110	220	$150	$126.5K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	1	50	440	$110	$116.9K
D1120	Prophylaxis–child	32	140	230	$70	$106.8K
D1110	Prophylaxis - adult; cleaning and polishing of the teeth	85	180	290	$100	$80K

Showing 1–10 of 28

Related Providers

Other providers that share a Tax Identification Number (TIN) with Yukon Kuskokwim Health Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Rural Acute Care Hospital	$0	$205.3M
Yukon-kuskokwim Health Corporation	AK	Physician Assistant	$0	$61.2M
Columbus Radiology Corp	OH	Diagnostic Radiology Physician	$0	$49.9M
Yukon Kuskokwim Health Corp	AK	Mental Health Counselor	$0	$29.5M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$13.2M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$7.8M
Yukon Kuskokwim Health Corp	AK	Optometrist	$0	$7M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$5.7M
Yukon Kuskokwim Health Corporation	AK	Health Service Clinic/Center	$0	$3.6M
Denise Tran	AK	Family Nurse Practitioner	$80.2K	$0

Nearby Providers

Other providers in the same ZIP code as Yukon Kuskokwim Health Corp, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Yukon-kuskokwim Health Corporation	AK	Transportation Broker	$0	$96.3M
Southern Home Care Services, Inc.	AK	In Home Supportive Care Agency	$0	$68.7M
Yukon Kuskokwim Health Corp	AK	Developmentally Disabled Services Day Training Agency	$0	$6.4M
Bethel Family Clinic	AK	Federally Qualified Health Center (FQHC)	$0	$2.6M
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$831.3K
City Of Bethel	AK	Land Ambulance	$23K	$686.2K
Yukon-kuskokwim Health Corporation	AK	Case Management Agency	$0	$303.6K
Matthew Warren	AK	Diagnostic Radiology Physician	$39K	$0
Jackie-joe Lindo	AK	Family Nurse Practitioner	$28.6K	$0
Isaac Kalistook	AK	Optometrist	$13.3K	$0

Yukon Kuskokwim Health Corp — Billing Profile & Reimbursement Data

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Yukon Kuskokwim Health Corp — 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