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.

Medical Network Of Alaska, LLC (NPI 1831763911)

Medical Network Of Alaska, LLC is a endocrinology, diabetes & metabolism physician provider located in Wasilla, Alaska. This profile covers 0 Medicare and 11 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Medical Network Of Alaska, LLC
Address	3331 E Meridian Park Loop
City	Wasilla
State	AK
ZIP	99654
Taxonomy	Endocrinology, Diabetes & Metabolism Physician
NPI Enumerated	May 13, 2021

Payer Source	Total Paid
Medicaid	$224.2K
Medicare	$0

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

11 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,180	$90	$200.5K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	390	$30	$10.6K
99205	The provider sees a new 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 provider…	40	$180	$7.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	640	$1	$2.6K
99443	N/A	30	$40	$1.4K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	150	$1	$610
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	60	$10	$440
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	60	$1	$240
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	60	$1	$240
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	290	$0	$0

Showing 1–10 of 11

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

Medical Network Of Alaska, LLC — 0 of 9 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

11 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	103	440	580	$170	$458.7K
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	17	20	1,930	$110	$435.2K
99443	N/A	23	40	50	$390	$171.3K
82043	The lab analyst quantitates a timed or random urine specimen for the measurement of albumin. Random means the specimen collection may occur without respect to the time of day. This is a valuable…	11	20	190	$160	$151.9K
80061	The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.	31	40	160	$60	$104.3K
36415	In this procedure, the provider inserts a needle into a vein to collect a blood sample.	61	130	250	$20	$83.8K
82570	The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…	15	20	140	$50	$74.3K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	20	50	330	$30	$54.9K
99205	The provider sees a new 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 provider…	22	40	50	$230	$37.2K
95251	A provider analyzes and interprets data from a patient’s continuous glucose monitor (CGM) and writes a report based on interpretation. This code represents the professional component of the service…	2	10	200	$30	$10.6K

Showing 1–10 of 11

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Network Of Alaska, LLC	AK	Specialist	$0	$4.3M
Medical Network Of Alaska, LLC	AK	Urgent Care Clinic/Center	$0	$811.6K
Medical Network Of Alaska, LLC	AK	Obstetrics & Gynecology Physician	$0	$543.2K
Blake Galler	AK	Dermatology Physician	$448K	$0
Hugh Hall	AZ	Foot & Ankle Surgery Podiatrist	$364.5K	$21.7K
Douglas Prevost	AK	Orthopaedic Surgery Physician	$367.6K	$0
Ian Brimhall	AZ	Orthopaedic Surgery Physician	$210.5K	$109K
Medical Network Of Alaska, LLC	AK	Family Medicine Physician	$0	$313.1K
Daniel Davignon	AK	Diagnostic Radiology Physician	$248.8K	$21.1K
Jared Kirkham	AK	Sports Medicine (Physical Medicine & Rehabilitation) Physician	$238.9K	$0

Medical Network Of Alaska, LLC — Billing Profile & Reimbursement Data

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Medical Network Of Alaska, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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References