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.

Southcentral Foundation (NPI 1912954272)

Field	Value
Entity Type	Organization
Organization	Southcentral Foundation
Address	101 Airport Road
City	Iliamna
State	AK
ZIP	99606
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	May 30, 2006

Payer Source	Total Paid
Medicaid	$291.1K
Medicare	$0

Medicaid: Complete Services Breakdown

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

6 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…	480	$570	$276.3K
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	20	$570	$10.2K
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,…	20	$230	$4K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	20	$40	$660
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	30	$0	$0
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	200	$0	$0

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

Southcentral Foundation — 0 of 4 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

6 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…	271	490	680	$260	$1M
92014	An ophthalmologist sees an established patient for a comprehensive level eye examination. Generally, a patient is considered to be "established" if the same physician, or any physician in the group…	92	100	460	$250	$317.6K
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,…	187	210	160	$230	$148.2K
92015	The provider determines the process of determining if a patient's vision is less than 20/20 and by what amount so that corrective lenses or contact lenses can be prescribed and produced.	99	110	1,210	$30	$82.6K
92567	In this procedure, the provider measures the functioning of the middle ear by varying the pressure of air presented to the ear to identify the reason for hearing loss.	34	40	110	$70	$40.5K
99000	Use this code for the in office preparation of a specimen for lab analysis and or its transport from the office to the outside testing laboratory.	9	20	110	$1	$200

Related Providers

Other providers that share a Tax Identification Number (TIN) with Southcentral Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$30.7M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$20.3M
Southcentral Foundation	AK	Rehabilitation Clinic/Center	$0	$17M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$15M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$13.4M
Southcentral Foundation	AK	Mental Illness Community Based Residential Treatment Facility	$0	$13.3M
Southcentral Foundation	AK	Primary Care Clinic/Center	$0	$12.5M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$12.1M
Southcentral Foundation	AK	Community/Behavioral Health Agency	$0	$11.1M
Southcentral Foundation	AK	Multi-Specialty Clinic/Center	$0	$11M

Nearby Providers

Other providers in the same ZIP code as Southcentral Foundation, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Southcentral Foundation	AK	General Practice Dentistry	$0	$229.5K

Southcentral Foundation — Billing Profile & Reimbursement Data

Sign up for Southcentral Foundation — Billing Profile & Reimbursement Data policy alerts

Southcentral Foundation — Billing Profile & Reimbursement Data

Sign up for Southcentral Foundation — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References