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.

Mat Su Valley Medical Center LLC (NPI 1912950148)

Mat Su Valley Medical Center LLC is a urgent care clinic/center provider located in Wasilla, Alaska. This profile covers 0 Medicare and 22 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	Mat Su Valley Medical Center LLC
Address	950 E Bogard Rd Ste 103
City	Wasilla
State	AK
ZIP	99654
Taxonomy	Urgent Care Clinic/Center
NPI Enumerated	May 18, 2006

Payer Source	Total Paid
Medicaid	$2M
Medicare	$0

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

22 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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…	20,920	$80	$1.7M
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	1,290	$50	$69.8K
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…	490	$140	$69.4K
11042	The provider uses surgical instruments to remove the dead tissue in skin down to the subcutaneous layer and including the epidermis and dermis, up to the first 20 cm2.	1,330	$50	$65.3K
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,…	380	$40	$16.4K
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…	130	$120	$16.1K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	200	$80	$16.1K
87811	The lab analyst performs the technical lab test to analyze for the presence of severe acute respiratory syndrome coronavirus 2 (SARS–CoV–2) (Coronavirus disease [COVID–19]) in a specimen by…	390	$30	$12.5K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	850	$10	$11.9K
87426	The lab analyst performs an immunoassay to qualitatively or semiquantitatively evaluate the patient blood specimen for antigens of severe acute respiratory syndrome coronavirus such as SARS–CoV–2,…	270	$20	$4K

Showing 1–10 of 22

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

Mat Su Valley Medical Center LLC — 1 of 14 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

22 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	91	100	360	$340	$1.2M
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…	18	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…	236	440	580	$170	$458.7K
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…	31	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…	48	50	940	$70	$294.9K
J3490	Unclassified drugs	22	20	920	$30	$205.6K
87880	The analyst performs an immunoassay with direct optical, meaning visual, observation to detect Streptococcus, group A, in a patient sample, typically a throat swab.	9	60	230	$190	$180.6K
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,…	74	210	160	$230	$148.2K
97597	The provider excises devitalized (dead) tissue from an open wound, choosing from a variety of techniques; treatment may include topical application of medicine or materials, wound assessment,…	3	10	850	$80	$129.5K
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…	18	30	150	$170	$119K

Showing 1–10 of 22

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Valley Medical Center LLC	AK	General Acute Care Hospital	$0	$67.4M
Robert Johnston	AK	Physician Assistant	$38.4K	$0
Shelis Jorgensen	AK	Family Nurse Practitioner	$32.3K	$0
Oren Pedersen	AK	Physician Assistant	$32.3K	$0
Katrina Camastra	NJ	Family Nurse Practitioner	$23.4K	$0
Marti Anliker	AK	Family Nurse Practitioner	$20K	$0
Jay Bryngelson	OR	Certified Registered Nurse Anesthetist	$14.8K	$0
Martin Cook	AK	Internal Medicine Physician	$12.9K	$0
Matthew Mau	CO	Physician Assistant	$7.5K	$0
Trisha Kernodle	AK	Family Nurse Practitioner	$6.1K	$0

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Mat-su Services For Children & Adults	AK	Developmentally Disabled Services Day Training Agency	$0	$34.2M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Mat - Su Health Services Inc.	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$24.4M
Set Free Alaska, Inc.	AK	Substance Abuse Rehabilitation Facility	$0	$21.5M
Hope Community Resources Inc	AK	Respite Care	$0	$19.3M
Community Medical Services Montana Private LLC	AK	Methadone Clinic	$395.9K	$18.9M
Alaska Home Care	AK	Home Health Agency	$0	$14.1M
True North Recovery Inc	AK	Community/Behavioral Health Agency	$0	$11.5M
Pediatric Dentistry Of Alaska	AK	Dental Clinic/Center	$0	$11.4M
Backcountry Therapeutics LLC	AK	Occupational Therapist	$0	$11M

Mat Su Valley Medical Center LLC — Billing Profile & Reimbursement Data

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Mat Su Valley Medical Center 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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