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.

Southcentral Foundation (NPI 1821691254)

Field	Value
Entity Type	Organization
Organization	Southcentral Foundation
Address	225 Eagle St
City	Anchorage
State	AK
ZIP	99501
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	November 18, 2020

Payer Source	Total Paid
Medicaid	$20.3M
Medicare	$0

Key Findings

SOUTHCENTRAL FOUNDATION is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports $20.3M in lifetime Medicaid revenue, indicating the organization's revenue base is concentrated in state Medicaid rather than federal fee-for-service Medicare. Its NPI was enumerated on 2020-11-18 (~6 years ago), so this activity has been established for several years under the current registration.

Revenue concentration is extreme: the precomputed top 3 Medicaid codes account for 99.2% of the provider's total Medicaid revenue, demonstrating intense dependence on a very small set of service lines rather than a diversified billing mix. H2021 alone represents the lion’s share of activity, making the provider’s Medicaid performance highly sensitive to reimbursement or policy changes affecting that code.

H2021 dominates the book of business: the provider billed 30.5K claims for H2021 at a $632 avg paid/claim for $19.3M in revenue, which is 94.9% of this provider's total Medicaid revenue. The code description (community-based wrap-around services, per 15 minutes) plus the volume and dollar concentration indicate the organization operates primarily as a community wraparound/coordination services provider rather than a standard office-based practice.

The provider is a statewide leader for H2021: it ranks #2 of 76 providers in-state and is in the 99th percentile, labeled an extreme outlier and far above typical state volume for this code. That ranking signals market dominance for community-based wrap-around services in Alaska and suggests scale advantages in delivering time-based community supports.

Secondary codes are far smaller drivers of revenue: H0023 generated $618.9K (3.0% of total Medicaid revenue) across 1.4K claims at a $444 avg paid/claim, and 90832 generated $255.9K (1.3% of total Medicaid revenue) across 531 claims at a $482 avg paid/claim. Both H0023 (behavioral health outreach) and 90832 (short psychotherapy) are classified as typical, unremarkable volumes in-state, indicating these services complement but do not substitute for the wrap-around business.

Other clinical codes such as 90853 (group psychotherapy) and standard E/M codes (99213, 99214, 99212) appear in the claims mix but are small or non-revenue-driving: 90853 produced $164.9K (0.8% of Medicaid revenue) while several E/M codes show claims reported with $0 avg paid/claim and $0 revenue. The presence of paid $0 claims suggests encounters that were submitted but not reimbursed or that payment is captured under a bundled/alternate billing mechanism rather than as standalone E/M payments.

From a competitive and operational risk perspective, the extreme concentration in H2021 is a double-edged sword: it establishes the provider as a dominant community wrap-around services supplier statewide, but it also creates vulnerability to policy, rate, or eligibility changes affecting that single code. Payers and analysts should treat projections or contract negotiations with this provider as heavily dependent on continuity of H2021 reimbursement.

Programmatic mix implication: the code mix and dollar distribution portray an organization oriented toward time-based, community-delivered behavioral health supports and outreach rather than traditional outpatient medicine; this aligns with its taxonomy as a Community/Behavioral Health Agency and explains why Medicaid is the primary revenue source while Medicare activity is absent.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	30,510	$630	$19.3M
H0023	Alcohol and/or drug outreach	1,390	$440	$618.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	530	$480	$255.9K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	250	$660	$164.9K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	70	$0	$0
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…	450	$0	$0
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…	220	$0	$0
H2015	Comprehensive community support services, per 15 minutes	60	$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

Southcentral Foundation — 1 of 4 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2015	Comprehensive community support services, per 15 minutes	63	60	4,510	$230	$1.8M
H2021	Community-based wrap-around services, per 15 minutes	2	80	1,070	$330	$1.3M
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…	276	490	680	$260	$1M
H0023	Alcohol and/or drug outreach	20	40	1,310	$180	$521.5K
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…	299	440	580	$170	$458.7K
90853	Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of…	41	60	1,070	$80	$392.9K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	43	100	330	$170	$226.4K
99212	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a straightforward level of medical decision making,…	140	210	160	$230	$148.2K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Southcentral Foundation	AK	Rehabilitation Clinic/Center	$0	$17M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$15M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$13.4M
Southcentral Foundation	AK	Mental Illness Community Based Residential Treatment Facility	$0	$13.3M
Southcentral Foundation	AK	Primary Care Clinic/Center	$0	$12.5M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$12.1M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$11.1M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$11M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$10.2M

Nearby Providers

Other providers in the same ZIP code as Southcentral Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Access Alaska Inc.	AK	Personal Care Attendant	$0	$25.7M
Narcotic Drug Treatment Center, Inc.	AK	Methadone Clinic	$151.2K	$21.7M
Municipality Of Anchorage	AK	Land Ambulance	$3.7M	$14M
Division Of Alaskan Pioneer Homes	AK	Assisted Living Facility	$0	$16.3M
Northbridge, LLC	AK	Community/Behavioral Health Agency	$0	$14.3M
Mckinley Care LLC	AK	Assisted Living Facility	$0	$8.6M
Mary Heiman	AK	Case Manager/Care Coordinator	$0	$5.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$3.8M
Pacific Cataract And Laser Institute Of Alaska Inc PC	AK	Ambulatory Surgical Clinic/Center	$1.4M	$2.2M
Oral Surgery Associates Of Alaska	AK	Oral and Maxillofacial Surgery (Dentist)	$0	$3M

Southcentral Foundation — Billing Profile & Reimbursement Data

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Southcentral Foundation — 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