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.

Bartlett Regional Hospital (NPI 1891849261)

Key Findings

Field	Value
Entity Type	Organization
Organization	Bartlett Regional Hospital
Address	3260 Hospital Drive
City	Juneau
State	AK
ZIP	99801
Taxonomy	General Acute Care Hospital
NPI Enumerated	January 23, 2007

Payer Source	Total Paid
Medicaid	$29.5M
Medicare	$0

Payer mix is effectively single‑payer: this provider shows no Medicare billing on file and reports Total Medicaid revenue of $29.5M, indicating that Medicaid is the dominant — effectively sole — publicpayer revenue source on file for this facility. That concentration means analyses of volume and reimbursement should focus on Medicaid trends rather than Medicare benchmarks.

Revenue is highly concentrated in a small set of Medicaid codes: the precomputed top three Medicaid codes account for 41.1% of total Medicaid revenue, driven by 99283 ($4.2M, 15.5%), 99284 ($3.7M, 13.8%), and 74177 ($3.2M, 11.8%). These three codes alone represent the majority of high‑value Medicaid activity and are primary drivers of the provider’s $29.5M Medicaid revenue base.

The code mix signals an emergency‑department and acute‑diagnostic focus: multiple ED E/M codes (99282–99285) plus hospital observation G0378 ($2.6M, 9.6%) and high‑value imaging codes such as 74177 and 70450 ($1.7M, 6.5%) indicate throughput centered on ED visits, observation stays, and CT diagnostics. This pattern is consistent with operation as a General Acute Care Hospital with substantial emergency, observation, and imaging workflows supporting Medicaid patients.

Competitive standing within the state is generally modest to mid‑range for core ED and imaging services: 99283 ranks #15 of 45 providers in-state (68th percentile), 99284 ranks #15 of 42 (66th percentile), and 99285 ranks #14 of 36 (63th percentile) — all labeled typical, unremarkable volume for these codes. Similarly, 74177 ranks #13 of 28 (52th percentile), placing the hospital near the middle of in‑state imaging providers rather than as a dominant statewide center.

The hospital shows above‑median participation in several ED‑adjacent procedures and monitoring services: 93005 (ECG) produced $1M (3.9% of Medicaid revenue) and ranks #7 of 21 (70th percentile), while 96365 (initial IV infusion) generated $913.4K (3.4%) and ranks #5 of 24 (83th percentile). Both codes are described as typical, unremarkable volume, but their percentile placements indicate relatively strong operational capacity for ED monitoring and infusion services compared with most in‑state peers.

Notable laboratory and testing footprint: 87635 (SARS–CoV‑2 amplified probe) appears with 7.8K claims and $350.5K (1.3% of Medicaid revenue), ranking #8 of 96 providers in-state (93th percentile) and labeled typical, unremarkable volume. This high percentile for COVID PCR testing suggests the hospital is a major local hub for high‑throughput infectious disease testing relative to most Alaska providers.

Established market presence: the NPI was enumerated on 2007-01-23 (~19 years ago), indicating the hospital has been an active, credentialed provider in the market for nearly two decades, which supports sustained relationships with state Medicaid programs and payer networks.

Concentration risk and operational sensitivity: because ED E/M and CT imaging codes dominate the Medicaid revenue mix (top three codes = 41.1% of Medicaid revenue), shifts in ED utilization patterns, observation admission practices, or imaging authorization and reimbursement policies for Medicaid could materially affect overall revenue. Monitoring utilization and payer policy changes for 99283, 99284, 74177 and G0378 should be a priority for revenue and operational forecasting.

Medicaid: Complete Services Breakdown

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

157 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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.	15,620	$270	$4.2M
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.	8,500	$440	$3.7M
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.	2,210	$1,440	$3.2M
G0378	Hospital observation service, per hour	2,480	$1,050	$2.6M
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.	4,320	$600	$2.6M
70450	The provider performed computed tomography, or CT scanning, of the head or brain, without contrast. He performs the procedure to diagnose any brain or intracranial abnormalities.	2,820	$620	$1.7M
93005	The provider records the electrical conduction of the heart to examine any abnormality in its functioning, based on signals from at least 12 leads, wires that connect the recording device to…	10,030	$100	$1M
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.	5,960	$160	$948K
96365	The provider administers the initial intravenous infusion of a medication or other substance for a period up to one hour to prevent, treat, or diagnose a condition or disease.	4,990	$180	$913.4K
96375	Following the administration of a drug or other substance via intravenous, or IV, push, the provider sequentially infuses a different medication or medications, also via IV push. He administers the…	5,990	$120	$719.3K

Showing 1–10 of 157

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

Bartlett Regional Hospital — 0 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

157 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.	15	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.	14	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.	15	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	6	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.	13	30	2,190	$390	$1.3M
G0463	Hospital outpatient clinic visit for assessment and management of a patient	20	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…	8	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.	7	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.	9	20	4,510	$130	$1.1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	18	20	2,210	$160	$976.1K

Showing 1–10 of 157

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bartlett Regional Hospital	AK	Community/Behavioral Health Agency	$0	$4.3M
John Raster	AK	Otolaryngology Physician	$61.9K	$85.7K
Nathan Peimann	AK	Obstetrics & Gynecology Physician	$48.7K	$0
Rebecca Young	AK	Family Nurse Practitioner	$30.5K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Reach, Inc.	AK	Community/Behavioral Health Agency	$0	$52.8M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$45M
South East Alaska Regional Health Consortium	AK	Clinic/Center	$0	$41M
Jamhi Health & Wellness, Inc	AK	Community/Behavioral Health Agency	$0	$28.7M
Southeast Alaska Regional Health Consortium	AK	Federally Qualified Health Center (FQHC)	$0	$19.9M
Tides LLC	AK	Developmentally Disabled Services Day Training Agency	$0	$19.1M
South East Alaska Regional Health Consortium	AK	General Practice Dentistry	$0	$12.2M
Guardian Flight LLC	AK	Air Ambulance	$1.9M	$6.6M
Southeast Alaska Regional Health Consortium	AK	Community/Behavioral Health Agency	$0	$5.3M
Southeast Alaska Regional Health Constortium	AK	Clinic/Center	$0	$4.8M

Bartlett Regional Hospital — 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