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.

Bristol Bay Area Health Corporation (NPI 1831270842)

Field	Value
Entity Type	Organization
Organization	Bristol Bay Area Health Corporation
Address	6000 Kanakanak Rd.
City	Dillingham
State	AK
ZIP	99576
Taxonomy	Critical Access Hospital
NPI Enumerated	October 17, 2006

Payer Source	Total Paid
Medicaid	$37M
Medicare	$0

Key Findings

This provider is effectively a single‑payer Medicaid operation: there is no Medicare billing on file while total Medicaid revenue is $37M. That concentration makes the organization highly dependent on state Medicaid flows for its operating revenue and exposed to Medicaid policy or reimbursement changes.

Revenue is concentrated in a small set of outpatient codes: G0463 ($6.7M, 21.4%), 99213 ($4.6M, 14.8%), and C9803 ($2.4M, 7.6%) together account for 43.9% of Medicaid revenue per the precomputed top‑3 share. That degree of concentration around clinic visits and COVID specimen collection highlights where payment risk and bargaining leverage will be most material.

The top Medicaid code profile points to a high‑volume hospital outpatient clinic and primary care footprint: G0463 has 28.5K claims and $6.7M revenue and 99213 has 20.8K claims and $4.6M revenue, reflecting routine assessment and management visits. As a Critical Access Hospital, this mix is consistent with a CAH operating a busy outpatient clinic that handles established primary‑care visits and same‑day follow‑up.

Lab and COVID testing are major revenue drivers and operational activities: C9803 (3K claims, $2.4M) and U0002 ($715.4K) appear prominently alongside 80053 ($2.3M) and several lab CPTs (87086, 80305, 87491), indicating substantial diagnostic testing and specimen‑collection throughput. The relatively high paid/claim amounts for some lab codes (for example C9803 at $782 avg paid/claim) suggest testing is a meaningful margin center and a core service line.

The provider shows state‑level dominance for its hospital outpatient clinic code: G0463 ranks #2 of 26 providers in‑state (96th percentile) and is described as notably above typical state volume for this code. Other codes show mixed competitive standing — 99212 ranks #6 of 214 (98th percentile) and 99394 ranks #3 of 30 (93rd percentile), both noted as notably above typical state volume, while many common codes (e.g., 99213, 80053, 92004) are labeled typical, unremarkable volume for this provider.

Emergency and urgent care activity is visible in the claims mix: 99282 (7.1K claims, $1.2M) and 99283 (9.7K claims, $873.7K) indicate regular ED throughput for straightforward and low‑level E/M visits, consistent with CAH responsibilities to provide local emergency evaluation. These ED volumes support the view that the facility functions as a front‑line community access point rather than a specialty referral center.

The provider’s service breadth extends beyond primary care and lab work to include ophthalmology and outpatient therapeutic services: 92004 ($895.9K) and 92014 ($824.3K) show notable ophthalmology revenue, while injection/infusion codes 96372 ($1.5M) and 96374 ($478.7K) and therapy code 97110 ($695.3K) reflect allied health and procedure‑based outpatient care. This diversified outpatient mix suggests the CAH offers a broad set of services to retain local patient care rather than funneling specialty cases offsite.

The NPI tenure indicates a long‑standing operation: the provider has been enumerated since 2006-10-17 (~20 years). Combined with the taxonomy of Critical Access Hospital and the Medicaid‑heavy revenue profile, the data portray a long‑established rural safety‑net provider whose fiscal health is closely tied to sustained Medicaid utilization and the local demand for outpatient, ED, lab, and basic specialty services.

Medicaid: Complete Services Breakdown

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

154 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
G0463	Hospital outpatient clinic visit for assessment and management of a patient	28,550	$240	$6.7M
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…	20,810	$220	$4.6M
C9803	Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source	3,050	$780	$2.4M
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.	6,350	$360	$2.3M
96372	A therapeutic, prophylactic, or diagnostic substance (a fluid, a drug, etc.) is injected via intramuscular or subcutaneous route into the patient's body. The procedure is performed by the physician…	2,930	$520	$1.5M
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.	7,080	$170	$1.2M
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,…	4,580	$240	$1.1M
99442	N/A	1,620	$660	$1.1M
92004	The provider performs a comprehensive level ophthalmological evaluation of a new patient and initiates a diagnostic and treatment program for one or more visits.	1,270	$710	$895.9K
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.	9,710	$90	$873.7K

Showing 1–10 of 154

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

Bristol Bay Area Health Corporation — 3 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

154 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.	23	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.	23	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.	18	50	4,500	$170	$2.5M
A0180	Non-emergency transportation: ancillary: lodging-recipient	7	10	3,530	$480	$2M
G0378	Hospital observation service, per hour	13	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.	27	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	2	30	1,280	$210	$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…	84	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.	6	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.	16	20	4,510	$130	$1.1M

Showing 1–10 of 154

Related Providers

Other providers that share a Tax Identification Number (TIN) with Bristol Bay Area Health Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Bay Area Health Corporation	AK	General Practice Dentistry	$0	$9.1M
Bristol Bay Area Health Corporation	AK	Community/Behavioral Health Agency	$0	$6.8M
Steven Hake	CO	Diagnostic Radiology Physician	$982.7K	$0
William Perry	AK	Diagnostic Radiology Physician	$811.7K	$0
Kamiar Massrour	AZ	Diagnostic Radiology Physician	$211.3K	$227.7K
Sarah Kelley	AK	Nurse Practitioner	$1.4K	$346.4K
Jose Ospina	CA	Diagnostic Radiology Physician	$170.4K	$110.1K
Bristol Bay Area Health Corporation	AK	Air Ambulance	$128.2K	$151.5K
Daniel Davignon	AK	Diagnostic Radiology Physician	$248.8K	$21.1K
Joshua Albrektson	MN	Diagnostic Radiology Physician	$264.9K	$2K

Nearby Providers

Other providers in the same ZIP code as Bristol Bay Area Health Corporation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bristol Bay Area Health Corporation	AK	Family Medicine Physician	$0	$5.9M
Mario Cruz	AK	Optometrist	$71.4K	$0
Kira Bendixen	AK	Family Medicine Physician	$57.9K	$0

Bristol Bay Area Health 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