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.

Tanana Valley Clinic LLC (NPI 1922559558)

Key Findings

Field	Value
Entity Type	Organization
Organization	Tanana Valley Clinic LLC
Address	1001 Noble St
City	Fairbanks
State	AK
ZIP	99701
Taxonomy	Multi-Specialty Clinic/Center
NPI Enumerated	October 19, 2016

Payer Source	Total Paid
Medicaid	$15.2M
Medicare	$0

TANANA VALLEY CLINIC LLC is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue is reported as $15.2M, so the organization operates as a single-payer Medicaid billing entity in the available data. The provider’s NPI was enumerated on 2016-10-19 (~10 years ago), indicating about a decade of activity under the current registration.

Revenue concentration is very high: the precomputed top three Medicaid codes account for 79.8% of this provider’s total Medicaid revenue. Those three codes are 99213 ($5.8M, 38.5% of Medicaid revenue), 99214 ($5.3M, 35.1% of Medicaid revenue), and 99232 ($945K, 6.3% of Medicaid revenue), which together drive the bulk of billed Medicaid dollars.

The code mix points to a dominant ambulatory primary care operation with a meaningful inpatient/observation care footprint. The top two codes by revenue are outpatient established-patient E/M visits (99213 and 99214 with 63K and 44.4K claims respectively), while 99232 (12.8K claims) and other inpatient E/M and discharge codes such as 99238, 99221–99223 appear in the top 25, signaling that the provider delivers both high-volume clinic visits and subsequent inpatient/observation care.

Competitive standing within Alaska is strong, especially for routine E/M: 99213 ranks #5 of 485 providers in-state (99th percentile; extreme outlier) and 99214 ranks #4 of 440 providers in-state (99th percentile; extreme outlier), positioning the clinic as a statewide outlier and market leader for established outpatient visits. 99232 ranks #3 of 53 providers (96th percentile), which further reinforces above-typical statewide volume for inpatient follow-up services.

Several non-E/M codes also reflect notable service lines and unusually high state-level volumes: 98926 (manual therapy) shows $238.3K revenue over 4.5K claims and ranks #1 of 6 providers in-state (100th percentile; notably above typical state volume), while 99238 (discharge day management) ranks #1 of 24 providers (100th percentile; extreme outlier). These rankings suggest the clinic offers both hands-on musculoskeletal procedures and concentrated inpatient/discharge management relative to peers.

Preventive and ancillary services appear as meaningful secondary lines: vaccine administration codes 90471 and 90472 together generate $249K and $199.4K respectively, and 80305 (presumptive drug test) appears with 5.9K claims, $58.6K revenue and ranks #2 of 50 providers in-state (98th percentile; extreme outlier). The presence of 99391/99392 preventive visit codes and 95004 allergy testing indicates a comprehensive primary care and preventive services mix supporting the high office visit volumes.

The provider’s heavy reliance on two E/M codes (99213 and 99214) to generate a combined $11.1M of Medicaid revenue highlights revenue concentration risk: operational or reimbursement shifts affecting ambulatory E/M valuation or visit volume could substantially affect total Medicaid income given that the top three codes already account for 79.8% of Medicaid revenue. This dependence underscores the importance of monitoring visit volumes, payer policy changes for E/M coding, and shifting case mix.

Across the top-25 code profile, many entries are at or above the 90th percentile in-state and several are labeled as extreme outlier or notably above typical state volume; collectively this indicates that TANANA VALLEY CLINIC LLC is a dominant Medicaid billing entity for routine outpatient E/M and several adjunct services in Alaska rather than a modest or occasional participant for those services.

Medicaid: Complete Services Breakdown

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

66 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…	63,020	$90	$5.8M
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…	44,390	$120	$5.3M
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…	12,770	$70	$945K
99391	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	2,860	$140	$402.6K
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…	2,060	$150	$308.3K
99392	Preventive medicine services are provided to individuals who are not in need of any immediate medical attention, but need to undergo a periodic health checkup as a preventive measure. Well–baby…	1,830	$150	$265.9K
90471	In this procedure, the provider administers a live attenuated vaccine using a percutaneous, intradermal, subcutaneous, or intramuscular route.	10,830	$20	$249K
98926	The provider performs controlled manual pressure in three to four body regions to treat somatic and nonsomatic disorders.	4,500	$50	$238.3K
99238	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…	2,590	$80	$212.5K
90472	This code represents each injection of a vaccine after the first; list this code in addition to the code for the first injection.	5,540	$40	$199.4K

Showing 1–10 of 66

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

Tanana Valley Clinic LLC — 8 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

66 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…	5	490	680	$260	$1M
99211	An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional.	72	90	140	$230	$1M
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	16	20	210	$330	$567.6K
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	440	580	$170	$458.7K
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…	26	30	1,900	$70	$340.9K
96361	The provider administers intravenous, or IV, fluids with electrolytes through an already established intravenous route for each additional hour to treat more severe dehydration.	22	20	1,890	$60	$324.5K
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…	16	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…	3	50	940	$70	$294.9K
59025	In this procedure, the provider measures the fetal heart rate of the fetus in response to its own movements.	9	10	340	$150	$243.3K
43239	The provider inserts a flexible endoscope through the mouth and down into the esophagus, stomach, and duodenum where he removes one or more tissue biopsy specimens for diagnostic analysis.	23	30	50	$510	$233.5K

Showing 1–10 of 66

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Carson Webb	AK	Interventional Cardiology Physician	$387.8K	$0
Ian Brimhall	AZ	Orthopaedic Surgery Physician	$210.5K	$109K
Brooke Walls	CO	Dermatology Physician	$264.8K	$0
Sarah Ellis	GA	Family Nurse Practitioner	$236.9K	$0
Romel Wrenn	AK	Interventional Cardiology Physician	$185K	$0
Gregory Strohmeyer	AK	Orthopaedic Surgery Physician	$177.3K	$0
Nathaniel Buffington	AK	Family Medicine Physician	$171.7K	$0
Brian Accola	AK	Family Medicine Physician	$168.3K	$0
Corrine Leistikow	AK	Family Medicine Physician	$155.5K	$0
Michael Allen	AK	Family Medicine Physician	$43.7K	$105.5K

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$107.5M
Fairbanks Memorial Hospital, LLC	AK	General Acute Care Hospital	$0	$83.6M
Fairbanks Resource Agency Inc	AK	Community/Behavioral Health Agency	$0	$48M
Presbyterian Hospitality House	AK	Emotionally Disturbed Childrens' Residential Treatment Facility	$0	$34.9M
Fairbanks Native Association	AK	Substance Abuse Rehabilitation Facility	$0	$32.6M
Tanana Chiefs Confenerce	AK	Transportation Broker	$0	$24.1M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$17M
Tanana Chiefs Conference	AK	Multi-Specialty Clinic/Center	$0	$16.3M
Restore LLC	AK	Substance Use Disorder Rehabilitation Clinic/Center	$0	$16.3M
Tanana Chiefs Conference	AK	Community/Behavioral Health Agency	$0	$14.2M

Tanana Valley Clinic LLC — Billing Profile & Reimbursement Data

Sign up for Tanana Valley Clinic LLC — Billing Profile & Reimbursement Data policy alerts

Tanana Valley Clinic LLC — Billing Profile & Reimbursement Data

Sign up for Tanana Valley Clinic LLC — Billing Profile & Reimbursement Data policy alerts

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