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.

Alaska Hospitalist Group LLC (NPI 1831296995)

Key Findings

Field	Value
Entity Type	Organization
Organization	Alaska Hospitalist Group LLC
Address	4300 B Street
City	Anchorage
State	AK
ZIP	99503
Taxonomy	Internal Medicine Physician
NPI Enumerated	September 20, 2006

Payer Source	Total Paid
Medicaid	$18.6M
Medicare	$0

ALASKA HOSPITALIST GROUP LLC is effectively a single-payer Medicaid billing entity: there is no Medicare revenue on file while total Medicaid revenue is $18.6M, indicating Medicaid is the sole documented public payer driving this provider’s volume and scale. The provider’s NPI has been enumerated since 2006-09-20 (~20 years ago), so the Medicaid concentration comes from an established practice rather than a new entrant.

Revenue is extremely concentrated in hospital-based E/M and critical care codes: the top three Medicaid codes (99232, 99291, 99233) together account for 82.6% of the provider’s Medicaid revenue. Specifically, 99232 accounts for $5.8M (30.9%), 99291 accounts for $5M (27.0%), and 99233 accounts for $4.6M (24.7%) of total Medicaid revenue, demonstrating heavy reliance on a very small set of high-volume hospital services.

The code mix points to a hospitalist and critical-care operational model: the dominant codes—99232 (subsequent inpatient visits), 99233 (higher-complexity subsequent inpatient visits), and 99291 (initial critical care)—are inpatient and ICU–level services, and 99223 (initial high-complexity inpatient visit) also contributes $2.1M (11.3%). This pattern is consistent with an on-site hospitalist team managing acute inpatient and critical-care patients rather than office-based primary care.

State-level competitive standing on key codes is exceptionally strong: the provider ranks #1 in-state for 99232 (1 of 53, 100th percentile; labeled an extreme outlier), 99291 (1 of 16, 100th percentile; extreme outlier), and 99233 (1 of 37, 100th percentile; extreme outlier). Those top-rank positions indicate the practice is a dominant statewide source of billed Medicaid inpatient and critical-care encounters for these services.

Payer-price mix within Medicaid amplifies revenue: 99291 carries a relatively high average paid/claim ($259), while high-volume E/M codes such as 99232 ($65 avg paid/claim) and 99233 ($97 avg paid/claim) together drive both volume and revenue. The combination of very large claim counts (e.g., 88.6K claims for 99232 and 47.5K claims for 99233) with higher per-claim payment on critical care magnifies total Medicaid revenue.

Secondary service lines exist but are small relative to inpatient care: nursing facility codes 99309 ($58K, 0.3%) and 99310 ($49.9K, 0.3%) are present but represent a minor share of revenue, and discharge management codes such as 99239 contribute $749.2K (4.0%). This further underscores the provider’s primary emphasis on inpatient and ICU-level work rather than long-term care or outpatient-focused revenue streams.

Several other codes show above-typical or notable standing within the state beyond the top three: 99223 (initial inpatient high complexity) is #1 of 28 (100th percentile; extreme outlier), 99238 is #2 of 24 (96th percentile; notably above typical), and 99310 is #2 of 11 (90th percentile; notably above typical). These rank/percentile signals confirm the provider’s unusually large role in multiple inpatient/critical-care billing categories across Alaska.

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	88,570	$70	$5.8M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	19,410	$260	$5M
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	47,500	$100	$4.6M
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	12,050	$180	$2.1M
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	7,720	$100	$749.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	1,660	$70	$107.6K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	860	$110	$98.4K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	870	$70	$58K
99310	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the provider spends…	660	$80	$49.9K
99220	N/A	210	$150	$30.9K

Showing 1–10 of 18

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

Alaska Hospitalist Group LLC — 8 of 18 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	1	20	210	$330	$567.6K
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	40	450	$100	$318.4K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	1	50	940	$70	$294.9K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	1	30	150	$170	$119K
99309	The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…	6	20	490	$70	$55.1K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	1	30	80	$100	$53.1K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	20	30	340	$50	$45.8K
99222	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	2	20	150	$150	$41.2K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2	20	180	$80	$33.3K
99221	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	11	10	40	$120	$30K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Michael Mullowney	AK	Hospitalist Physician	$356.4K	$0
John Boston	AK	Internal Medicine Physician	$237.6K	$0
Catherine Marzan	AK	Hospitalist Physician	$175.3K	$0
Michael Mraz	AK	Hospitalist Physician	$162.3K	$0
Brian Jeppesen	AK	Hospitalist Physician	$156.4K	$0
Benjamin Walz	AK	Hospitalist Physician	$155.9K	$0
Robert Finch	AK	Hospitalist Physician	$155.6K	$0
Matthew Strohmeyer	AK	Hospitalist Physician	$153.5K	$0
Gregory Gerboth	AK	Pulmonary Disease Physician	$152K	$0
Emily Barkay	AK	Hospitalist Physician	$151.2K	$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
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
Wchs, Inc.	AK	Methadone Clinic	$238.5K	$13.2M

Alaska Hospitalist Group LLC — Billing Profile & Reimbursement Data

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Alaska Hospitalist Group LLC — 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