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.

Fairbanks Memorial Hospital, LLC (NPI 1720537178)

Field	Value
Entity Type	Organization
Organization	Fairbanks Memorial Hospital, LLC
Address	1650 Cowles St
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	General Acute Care Hospital
NPI Enumerated	September 27, 2016

Payer Source	Total Paid
Medicaid	$83.6M
Medicare	$0

Key Findings

FAIRBANKS MEMORIAL HOSPITAL, LLC shows an effectively single-payer footprint in the available claims data: there is no Medicare billing on file while total Medicaid revenue is $83.6M. Analysts should treat this profile as Medicaid-dominant for revenue exposure and network negotiating leverage, because Medicare is absent from the billing records provided.

Revenue concentration is high: the precomputed top three Medicaid codes account for 56.8% of this provider's total Medicaid revenue. Those top three codes are 99284 ($21.8M, 32.4%), 99283 ($12M, 17.8%), and 74177 ($4.4M, 6.6%), indicating a small number of services drive the majority of Medicaid dollars.

The code mix and volumes point to a high-volume emergency department and acute imaging operation. Emergency department E/M codes 99284 (35.9K claims, $608 avg paid/claim, $21.8M), 99283 (29.2K claims, $411 avg paid/claim, $12M), 99282 (12K claims, $266 avg paid/claim, $3.2M), 99285 (2.2K claims, $1010 avg paid/claim, $2.2M) and 99281 (10.5K claims, $115 avg paid/claim, $1.2M) together signal that ED visits are a primary throughput and revenue driver for the hospital.

Ancillary acute-care services are prominent alongside ED activity: high-volume CTs (74177 7K claims, $630 avg paid/claim, $4.4M; 70450 5K claims, $282 avg paid/claim, $1.4M; 74176 1.8K claims, $468 avg paid/claim, $864.4K), observation (G0378 2.8K claims, $749 avg paid/claim, $2.1M), and infusion/IV administration codes (96365, 96375, 96374, 96361) all appear in the top code set. This mix suggests inpatient or short-stay observation capacity plus significant emergency-department–initiated imaging and infusion throughput.

Several specific codes indicate the provider is a state-level outlier on particular services. J3490 (88.8K claims, $22 avg paid/claim, $2M) is labeled an “extreme outlier” and ranks #1 of 23 in-state (100th percentile), while testing and specialty supply codes such as 71260 and G0480 also rank #1 of their peer sets (100th percentile); multiple infusion and injection codes (96365, 96375, 96374) rank in the 90s percentile range, showing volumes notably above typical state peers for those services.

Competitive standing for core ED codes is mixed but generally above typical state volumes: 99284 ranks #10 of 42 (78th percentile), 99283 ranks #8 of 45 (84th percentile), and 99282 ranks #3 of 29 (93rd percentile). These rankings indicate FAIRBANKS MEMORIAL is a major regional ED participant but not universally the dominant provider across every ED severity level.

Observation and inpatient-adjacent revenue streams are meaningful and suggest use of short-stay capacity: G0378 (hospital observation service, per hour) generates $2.1M (3.1% of Medicaid revenue) and ranks #3 of 15 in-state (86th percentile). Combined with the ED-heavy code mix and relatively high-paid observation units ($749 avg paid/claim for G0378), this pattern supports an operational model that converts a material share of ED presentations into monitored observation stays.

The provider has an established enrollment history with NPI enumeration on 2016-09-27 (~10 years ago), which provides a multi-year claim history context for the observed Medicaid-dominant billing pattern. For payers and competitors evaluating network relationships or capacity, that tenure plus concentrated Medicaid exposure helps frame contracting, utilization management, and capacity planning discussions specific to Alaska’s market.

Medicaid: Complete Services Breakdown

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

313 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	35,900	$610	$21.8M
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.	29,180	$410	$12M
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.	7,020	$630	$4.4M
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.	12,000	$270	$3.2M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	16,110	$140	$2.3M
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.	2,170	$1,010	$2.2M
G0378	Hospital observation service, per hour	2,760	$750	$2.1M
J3490	Unclassified drugs	88,850	$20	$2M
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	13,840	$120	$1.7M
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	18,050	$80	$1.5M

Showing 1–10 of 313

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

Fairbanks Memorial Hospital, LLC — 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

313 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.	10	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.	19	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.	8	50	4,500	$170	$2.5M
41899	Use this code to report a procedure on the teeth and adjoining alveolar structures for which there is no specific code available.	5	10	870	$1,460	$2M
G0378	Hospital observation service, per hour	3	20	1,530	$750	$1.9M
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.	6	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	6	30	1,280	$210	$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…	26	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.	3	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.	5	20	4,510	$130	$1.1M

Showing 1–10 of 313

Related Providers

Other providers that share a Tax Identification Number (TIN) with Fairbanks Memorial Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$9.3M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$675.8K
Nathaniel Buffington	AK	Family Medicine Physician	$171.7K	$0
Benjamin Walz	AK	Hospitalist Physician	$155.9K	$0
Divesh Anireddy	AZ	Gastroenterology Physician	$113.4K	$0
David Trowbridge	AK	Cardiovascular Disease Physician	$88.3K	$0
Farhoud Khosravi	AK	Gastroenterology Physician	$59K	$0
Eric Schneider	AK	Family Medicine Physician	$54.7K	$0
Melanie Cannon	AK	Family Nurse Practitioner	$54.6K	$0

Nearby Providers

Other providers in the same ZIP code as Fairbanks Memorial Hospital, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Fairbanks Resource Agency Inc	AK	Community/Behavioral Health Agency	$0	$48M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Restore LLC	AK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.3M
Tanana Valley Clinic LLC	AK	Multi-Specialty Clinic/Center	$0	$15.2M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$14.2M
Golden Heart Emergency Physicians, Inc.	AK	Emergency Medicine Physician	$0	$12.4M

Fairbanks Memorial Hospital, LLC — 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