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.

Galen Hospital Alaska, Inc. (NPI 1811941883)

Key Findings

Field	Value
Entity Type	Organization
Organization	Galen Hospital Alaska, Inc.
Address	2801 Debarr Rd
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 22, 2006

Payer Source	Total Paid
Medicaid	$25.1M
Medicare	$0

This facility is effectively a single-payer Medicaid hospital: there is no Medicare billing on file while total Medicaid revenue is $25.1M. The absence of Medicare activity means analyses of Medicare exposure or dual-eligible mix are not applicable for this provider and its financial footprint is concentrated entirely within Medicaid.

Revenue is highly concentrated in a small set of codes: the precomputed top three Medicaid codes account for 61.5% of the provider’s Medicaid revenue, led by 99284 at $7.8M (34.2%), followed by 99283 at $4.3M (19.1%) and 74177 at $1.9M (8.2%). This concentration indicates that a majority of Medicaid dollars flow from a few high-volume emergency and imaging services.

The code mix signals an emergency-focused acute-care operation: high-revenue E/M ED codes (99284, 99283, with additional presence of 99285 and 99282) combined with high-reimbursement CT imaging (74177, 70450) and frequent IV/infusion codes (96361, 96374, 96375) point to an ED that performs significant on-site imaging and parenteral treatments rather than being driven by elective inpatient procedural lines. This pattern aligns with a hospital that treats large volumes of acute presentations and manages them with imaging and brief therapeutic infusions.

On statewide competitive standing for ED services the provider is a modest participant rather than a dominant one: 99284 ranks #13 of 42 providers in-state (71th percentile; typical, unremarkable volume for this code) and 99283 ranks #10 of 45 (80th percentile; typical, unremarkable volume for this code). Those placements indicate steady ED volume but not market leadership among Alaska Medicaid hospitals.

Imaging and diagnostic throughput are important but not top-ranked statewide: 74177 ranks #13 of 28 providers (52th percentile; typical, unremarkable volume) and 70450 ranks #14 of 28 providers (52th percentile; typical, unremarkable volume), showing routine CT utilization relative to peers rather than an outlier imaging center. Conversely, basic lab testing shows above-typical volume: 85027 ranks #2 of 28 providers in-state (96th percentile; notably above typical state volume), and 80053 is at the 90th percentile, pointing to high laboratory throughput that supports ED workflows and inpatient evaluation.

Operational mix shows frequent short-duration care and ED-focused observation: hospital observation service G0378 generates $648.7K (2.8% of Medicaid revenue) and ranks #10 of 15 providers in-state (36th percentile; typical, unremarkable volume), implying limited observation-bed revenue relative to peers. At the same time, very high claim counts for IV administration codes (96361: 9K claims, $612.3K revenue; 96374: 11.2K claims, $527.5K revenue) indicate routine use of IV fluids and IV push medications consistent with emergency-department management of dehydration, infections, and pain.

Tenure is longstanding: the provider’s NPI was enumerated 2006-05-22 (~20 years ago), indicating it is an established local acute-care hospital with consistent presence in the Anchorage market. That duration supports the interpretation that current patterns reflect stable operational focus rather than a short-term anomaly.

The hospital’s dependence on a small set of ED and imaging codes for the bulk of Medicaid revenue represents a concentration risk and an operational opportunity: with the top three codes accounting for 61.5% of Medicaid revenue, changes in ED utilization, Medicaid reimbursement policies for E/M or CT services, or competitive shifts in emergency care could materially affect revenue. Conversely, payers or partners seeking to manage high-cost acute utilization should prioritize ED E/M and CT pathways when engaging this provider.

Medicaid: Complete Services Breakdown

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

163 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.	19,290	$400	$7.8M
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.	21,710	$200	$4.3M
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.	2,210	$850	$1.9M
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.	1,970	$640	$1.3M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,260	$360	$821.8K
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…	7,080	$110	$793.4K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	840	$780	$653.3K
G0378	Hospital observation service, per hour	1,140	$570	$648.7K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	9,010	$70	$612.3K
96374	The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.	11,220	$50	$527.5K

Showing 1–10 of 163

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

Galen Hospital Alaska, Inc. — 1 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

163 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.	13	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.	21	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.	10	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	10	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.	13	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…	31	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.	10	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.	6	20	4,510	$130	$1.1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	15	20	2,210	$160	$976.1K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	9	20	290	$340	$922.2K

Showing 1–10 of 163

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M

Galen Hospital Alaska, Inc. — Billing Profile & Reimbursement Data

Sign up for Galen Hospital Alaska, Inc. — Billing Profile & Reimbursement Data policy alerts

Galen Hospital Alaska, Inc. — Billing Profile & Reimbursement Data

Sign up for Galen Hospital Alaska, Inc. — Billing Profile & Reimbursement Data policy alerts

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