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.

Express Care Ak LLC (NPI 1770244568)

Express Care Ak LLC is a urgent care clinic/center provider located in Anchorage, Alaska. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Express Care Ak LLC
Address	1200 W Northern Lights Blvd Ste B
City	Anchorage
State	AK
ZIP	99503
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	January 4, 2022

Payer Source	Total Paid
Medicaid	$418.3K
Medicare	$0

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

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99203	The provider sees a new 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 provider…	1,580	$120	$190.9K
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…	1,730	$90	$162.5K
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…	230	$140	$30.8K
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…	110	$190	$20.5K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	90	$70	$6.3K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	70	$70	$4.7K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	40	$30	$1.1K
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…	30	$30	$1K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	10	$30	$340
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	30	$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

Express Care Ak LLC — 0 of 9 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

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average 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…	80	100	360	$340	$1.2M
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…	174	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…	298	440	580	$170	$458.7K
71046	In this diagnostic procedure, the provider performs a minimum of two radiological views of the chest. He performs this study for the assessment of conditions affecting the chest, its contents, and…	49	50	900	$80	$318.1K
87502	The lab analyst performs a test to determine the presence of multiple types or subtypes of influenza virus through nucleic acid detection using multiplex amplified probe technique and possibly…	13	20	240	$220	$181.8K
87651	The lab analyst performs a test for the bacteria Streptococcus, group A, using amplified nucleic acid probe technique. Strep A commonly causes acute pharyngitis, or strep throat.	17	20	170	$190	$142.2K
81003	The lab analyst inserts a dip stick into a freshly collected urine specimen, removes the dipstick, and shakes off the excess urine. She places the stick onto a mechanical dip stick reader that will…	33	30	340	$30	$68.2K
99203	The provider sees a new 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 provider…	10	130	110	$120	$53.5K
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…	32	100	50	$180	$33.7K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	50	60	$90	$19.8K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Express Care Ak LLC	AK	Clinic/Center	$0	$652.9K
Norvin Perez	AK	Non-Pharmacy Dispensing Site	$170.4K	$0
Laura Johnston	AK	Family Medicine Physician	$109.6K	$0
Kala Maus	AK	Hospitalist Physician	$100.1K	$0
Stacey Vance	TN	Family Medicine Physician	$92.1K	$0
Denise Tran	AK	Family Nurse Practitioner	$80.2K	$0
Jill Gaskill	AK	Family Medicine Physician	$65.3K	$0
Lara Lawlor	AK	Family Nurse Practitioner	$53.5K	$0
Christina Roehling	AK	Physician Assistant	$43.4K	$0
Elise Bishop	AK	Family Nurse Practitioner	$41.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Procare Home Medical, Inc.	AK	Durable Medical Equipment & Medical Supplies	$0	$32.5M
Anchorage Neighborhood Health Center, Inc.	AK	Federally Qualified Health Center (FQHC)	$0	$28.2M
Absolute Care Of Alaska, LLC.	AK	In Home Supportive Care Agency	$0	$23.4M
Hearts And Hands, Inc	AK	Home Health Agency	$0	$22.5M
Alaska Hospitalist Group LLC	AK	Internal Medicine Physician	$0	$18.6M
Arctic Care Services	AK	Home Health Agency	$0	$17.7M
Turnagain Social Club	AK	Alzheimer Center (Dementia Center)	$0	$15.2M
Akeela Inc	AK	Substance Abuse Rehabilitation Facility	$0	$14.4M
Shine Bright Care, LLC	AK	In Home Supportive Care Agency	$0	$13.7M
Easter Seals Of Alaska	AK	Home Health Agency	$0	$13.6M

Express Care Ak LLC — Billing Profile & Reimbursement Data

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Express Care Ak 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

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