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.

Ketchikan Indian Corporation (NPI 1821120486)

Field	Value
Entity Type	Organization
Organization	Ketchikan Indian Corporation
Address	2960 Tongass Ave
City	Ketchikan
State	AK
ZIP	99901
Taxonomy	Primary Care Clinic/Center
NPI Enumerated	March 9, 2007

Payer Source	Total Paid
Medicaid	$15.3M
Medicare	$0

Key Findings

KETCHIKAN INDIAN CORPORATION is effectively a Medicaid-focused primary care and behavioral health clinic: it has no Medicare revenue on file and reports $15.3M in lifetime Medicaid revenue, indicating a single-payer operational footprint concentrated on Medicaid populations in Alaska. The provider’s NPI was enumerated on 2007-03-09 (~19 years ago), showing long-standing enrollment and likely an established local presence.

Revenue concentration is high: the precomputed top 3 Medicaid codes account for 47.7% of this provider’s total Medicaid revenue, signaling that a small set of service lines—primarily outpatient E/M and crisis/behavioral health interventions—drive nearly half of earnings. This level of concentration suggests operational dependency on those codes for financial stability.

Primary outpatient evaluation and management visits are the largest single revenue driver: 99213 generates $2.7M (18.1% of Medicaid revenue) and 99214 generates $2.1M (13.7%), together representing a major portion of clinical volume and revenue. These codes indicate routine office-based E/M services for established patients, consistent with a primary care clinic model that manages ongoing patient panels.

Behavioral health and crisis services are a distinctive operational focus: S9484 brings in $2.4M (15.9%) and H2021 and H2011 together add substantial Medicaid revenue ($1.3M and $918.7K respectively). The provider ranks particularly highly on S9484 (rank #3 of 37, 94th percentile) and H2011 (rank #2 of 18, 94th percentile), which signals an above-typical state-level specialization in crisis intervention mental health services.

The provider shows mixed competitive standing across codes: for core E/M codes 99213 and 99214 it sits in the 88th percentile statewide (ranks #61/485 and #51/440), indicating typical but not dominant in-state volume for general primary care visits, whereas for crisis intervention codes it is a leading statewide performer (notably above typical state volume). This pattern suggests the organization is a local leader in behavioral health crisis services while operating as a standard-volume primary care clinic.

Service mix extends into supportive, diagnostic, and substance-use treatment lines: notable Medicaid revenue is reported for H2015, H0015, T1016, and drug testing codes 80306/80305, plus psychotherapy codes 90837 and 90832. The presence of intensive outpatient alcohol/drug services and case management alongside psychotherapy and lab testing indicates an integrated care model offering both clinical and community-based behavioral health supports.

High-value per-claim items appear in the billing mix and support the revenue base: several codes have relatively large average paid/claim amounts (for example, H2021 at $655/claim, 80305 at $780/claim, and 0241U at $928/claim) which, when combined with volume, materially contribute to total Medicaid revenue. These higher-paid service units, particularly in community-based and specialized testing services, amplify revenue concentration around behavioral health and diagnostic offerings.

Medicaid: Complete Services Breakdown

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

62 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…	6,020	$450	$2.7M
S9484	Crisis intervention mental health services, per hour	5,150	$470	$2.4M
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…	5,400	$380	$2.1M
H2021	Community-based wrap-around services, per 15 minutes	1,930	$660	$1.3M
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	2,320	$470	$1.1M
H2011	Crisis intervention service, per 15 minutes	2,310	$400	$918.7K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1,250	$550	$686.8K
H2015	Comprehensive community support services, per 15 minutes	1,640	$400	$660.9K
80306	The lab analyst performs presumptive drug test(s) by any method that the analyst can read by instrument–assisted direct optical observation, often utilizing immunoassay, to screen for any number of…	970	$570	$551.6K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	680	$790	$537.5K

Showing 1–10 of 62

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

Ketchikan Indian Corporation — 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

62 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	49	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	31	80	1,070	$330	$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…	46	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…	61	490	680	$260	$1M
S9484	Crisis intervention mental health services, per hour	3	40	500	$580	$844.5K
80053	The lab analyst performs a comprehensive metabolic panel, or CMP test in which he measures the blood level of 14 chemicals the code descriptor lists for the panel.	37	70	570	$110	$829.4K
H0007	Alcohol and/or drug services; crisis intervention (outpatient)	30	30	1,000	$260	$695.6K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	65	150	1,020	$200	$620.5K
T1016	Case management, each 15 minutes	55	90	1,620	$150	$606.4K
0241U	N/A	21	30	790	$210	$603K

Showing 1–10 of 62

Related Providers

Other providers that share a Tax Identification Number (TIN) with Ketchikan Indian Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Samuel Werner	OR	Ophthalmology Physician	$60.9K	$0
Summer Cutting	AK	Family Nurse Practitioner	$8.2K	$0
Youssef Barbour	AK	Internal Medicine Physician	$7K	$0

Nearby Providers

Other providers in the same ZIP code as Ketchikan Indian Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Peacehealth	AK	Critical Access Hospital	$0	$34.3M
Resilient Youth & Community (ryc)	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$25M
Community Connections, Inc.	AK	Developmentally Disabled Services Day Training Agency	$0	$19M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$16.8M
Community Connections, Inc.	AK	Community/Behavioral Health Agency	$0	$11.8M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$6.5M
Akeela Inc	AK	Community/Behavioral Health Agency	$0	$5.5M
Peacehealth	AK	Diagnostic Radiology Physician	$0	$2.9M
Nes Washington, Inc.	AK	Emergency Medicine Physician	$0	$2.1M
Linsenmayer Dentistry, LLC	AK	Pediatric Dentistry	$0	$2M

Ketchikan Indian Corporation — Billing Profile & Reimbursement Data

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Ketchikan Indian Corporation — 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