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.

Mckinley Orthopedic And Sports Medicine, LLC (NPI 1760938021)

Field	Value
Entity Type	Organization
Organization	Mckinley Orthopedic And Sports Medicine, LLC
Address	3745 Geist Rd
City	Fairbanks
State	AK
ZIP	99709
Taxonomy	Orthopaedic Surgery Physician
NPI Enumerated	August 28, 2016

Payer Source	Total Paid
Medicaid	$326.9K
Medicare	$0

Medicaid: Complete Services Breakdown

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

7 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…	3,000	$80	$225.2K
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…	460	$110	$50.4K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	540	$40	$23K
99204	The provider sees a new 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 provider…	100	$150	$15.3K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	140	$60	$8.1K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	70	$70	$5K
99024	The provider performs an E/M service related to and during the global period for a surgery the patient underwent.	70	$0	$0

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

Mckinley Orthopedic And Sports Medicine, LLC — 0 of 6 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	117	490	680	$260	$1M
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…	245	440	580	$170	$458.7K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	2	10	60	$50	$47.4K
98927	The provider performs controlled manual pressure in five to six body regions to treat somatic and nonsomatic disorders.	3	10	160	$70	$38.5K
99204	The provider sees a new 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 provider…	34	100	50	$180	$33.7K
98928	The provider performs controlled manual pressure in seven to eight body regions to treat somatic and nonsomatic disorders.	2	10	70	$140	$29.3K
99024	The provider performs an E/M service related to and during the global period for a surgery the patient underwent.	3	10	520	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Mckinley Orthopedic And Sports Medicine, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hugh Hall	AZ	Foot & Ankle Surgery Podiatrist	$364.5K	$21.7K
Bethany Chernich	AK	Family Medicine Physician	$105.6K	$0
Gary Molk	AK	Orthopaedic Surgery Physician	$84.1K	$0
James Price	AK	Pain Medicine (Anesthesiology) Physician	$80.2K	$0
Milton Wright	AK	Neuromusculoskeletal Medicine & OMM Physician	$71K	$0
Jennifer Holt	AK	Surgical Physician Assistant	$65K	$0
Shannen Mcnamara	CO	Physician Assistant	$51.6K	$0
Timothy Carey	KS	Orthopaedic Surgery Physician	$48.7K	$0
Ambria Younker	AK	Medical Physician Assistant	$40.8K	$0

Nearby Providers

Other providers in the same ZIP code as Mckinley Orthopedic And Sports Medicine, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Family Centered Services Of Ak	AK	Community/Behavioral Health Agency	$0	$43.5M
Family Centered Services Of Alaska	AK	Community/Behavioral Health Agency	$0	$25.2M
Crossroads Counseling & Training Services	AK	Developmentally Disabled Services Day Training Agency	$0	$19.1M
Four Corners Dental Group Fairbanks	AK	General Practice Dentistry	$0	$15M
Guardian Flight LLC	AK	Air Ambulance	$677.6K	$6.8M
Extended Family Alaska LLC	AK	Community/Behavioral Health Agency	$0	$6.1M
Morning Star Ranch	AK	Developmentally Disabled Services Day Training Agency	$0	$4.1M
Frontier Partners, LLC	AK	Assisted Living Facility	$0	$2.5M
Fairbanks North Star Borough	AK	Land Ambulance	$518.2K	$1.3M
Todd Haskin Dmd LLC	AK	Dentist	$0	$1.7M

Mckinley Orthopedic And Sports Medicine, LLC — Billing Profile & Reimbursement Data

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Mckinley Orthopedic And Sports Medicine, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References