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.

Denali Healthcare Specialists LLC (NPI 1851829782)

Field	Value
Entity Type	Organization
Organization	Denali Healthcare Specialists LLC
Address	2421 E Tudor Rd Ste 103
City	Anchorage
State	AK
ZIP	99507
Taxonomy	Neurology Physician
NPI Enumerated	May 23, 2017

Payer Source	Total Paid
Medicaid	$672.1K
Medicare	$0

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
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…	4,290	$100	$412K
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…	910	$150	$139.5K
99204	The provider sees a new 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 provider…	550	$160	$84.5K
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…	360	$70	$24.8K
99203	The provider sees a new 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 provider…	70	$90	$6.4K
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…	20	$230	$4K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	10	$30	$380
99443	N/A	20	$10	$320

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

Denali Healthcare Specialists LLC — 0 of 8 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
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…	290	490	680	$260	$1M
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…	63	440	580	$170	$458.7K
99443	N/A	30	40	50	$390	$171.3K
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…	21	130	130	$190	$99.1K
99203	The provider sees a new 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 provider…	86	130	110	$120	$53.5K
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…	33	40	50	$230	$37.2K
99204	The provider sees a new 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 provider…	9	100	50	$180	$33.7K
94060	The spirometry test is performed with a spirometer. The instrument displays a graphical representation, known as a spirogram, of the test results. The basic forced volume vital capacity (FVC) test is…	13	10	50	$90	$10.4K

Related Providers

Other providers that share a Tax Identification Number (TIN) with Denali Healthcare Specialists LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Darlene Dunn	AK	Adult Health Nurse Practitioner	$112.7K	$0
Alvaro Rosales	AK	Internal Medicine Physician	$88.5K	$0
Lisa Bouyea-francies	AK	Family Nurse Practitioner	$68.7K	$0

Nearby Providers

Other providers in the same ZIP code as Denali Healthcare Specialists LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hearts And Hands Of Care Inc	AK	In Home Supportive Care Agency	$0	$81M
Gentle Care Services Inc.	AK	In Home Supportive Care Agency	$0	$16.6M
Btydental Group, LLC	AK	Dentist	$0	$11.4M
Senior Care Specialists	AK	Respite Care	$0	$9.1M
Alzheimer's Disease Resource Agency Of Alaska, Inc.	AK	Case Manager/Care Coordinator	$0	$5.6M
Loving Home Care, LLC	AK	Assisted Living Facility	$0	$5.3M
Springcreek Dowling LLC	AK	Assisted Living Facility	$0	$5M
Alaska Dinner Factory, Inc.	AK	Home Delivered Meals	$0	$4.1M
Reading Write Alaska Inc	AK	Speech-Language Pathologist	$0	$2.9M
Mv Public Transportation, Inc.	AK	Non-emergency Medical Transport (VAN)	$0	$2.6M

Denali Healthcare Specialists LLC — Billing Profile & Reimbursement Data

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Denali Healthcare Specialists 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

Related Providers

Nearby Providers

Frequently Asked Questions

References