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.

Galen Hospital Alaska, Inc. (NPI 1952348047)

Field	Value
Entity Type	Organization
Organization	Galen Hospital Alaska, Inc.
Address	2801 Debarr Rd
City	Anchorage
State	AK
ZIP	99508
Taxonomy	General Acute Care Hospital
NPI Enumerated	May 31, 2006

Payer Source	Total Paid
Medicaid	$31.8M
Medicare	$0

Key Findings

This provider has no Medicare billing on file (Total Medicare revenue: none) and reports $31.8M in lifetime Medicaid revenue, making its billed activity effectively Medicaid-centric rather than split across the two federal payers. The absence of Medicare volume means any payer-mix conclusions should be drawn from the Medicaid data alone.

Revenue is highly concentrated in a small number of Medicaid codes: the precomputed top-three Medicaid codes account for 58.0% of this provider's total Medicaid revenue, led by 99284 ($9.7M revenue, 35.0%), followed by 99283 ($3.8M revenue, 13.6%) and 74177 ($2.6M revenue, 9.5%). This concentration signals that a few high-volume ED and imaging services drive most of the provider's Medicaid dollars.

The code mix indicates a high-throughput emergency department with substantial diagnostic imaging support: 99284 shows 37K claims, 99283 shows 27.1K claims, and other ED codes such as 99285 (3.1K claims) and 99282 (8.1K claims) also appear on the top line; imaging codes 74177 (4.8K claims) and 70450 (4.6K claims) are among the top-billed services. Together these patterns are consistent with a general acute care hospital operating a busy ED that relies on CT and radiology for diagnosis.

Competitive standing in-state is mixed: for the highest-revenue ED codes the provider ranks in the upper-middle of Alaska peers (99284 ranks #9 of 42 providers in-state, 80th percentile; 99283 ranks #9 of 45 providers in-state, 82th percentile), indicating solid regional ED volume but not market dominance. For select ancillary services the provider posts relatively higher state standing—0241U ranks #3 of 25 providers in-state (92th percentile, notably above typical state volume) and 80053 ranks #5 of 69 providers in-state (94th percentile)—suggesting above-typical volume in some lab/ancillary categories.

Several treatment and throughput codes point to frequent ED/observation management and IV therapies: G0378 hospital observation service ($808.8K, 2.9%), and infusion/administration codes 96361 (14.7K claims, $676.1K, 2.4%), 96374 (20.3K claims, $587.4K, 2.1%), and 96375 (10.6K claims, $475K, 1.7%) together reflect regular use of observation beds and IV medication/fluids in the clinical mix. These operational patterns are consistent with a facility that manages acute presentations with a mix of short-term observation and therapeutic infusions.

The presence of implantable device codes indicates some procedural/surgical activity beyond emergency care: C1776 (361 claims, $1.1M revenue, 4.0%) ranks #1 of 2 providers in-state (100th percentile) and C1713 ($179.7K, 0.6%) ranks #2 of 4 providers in-state. While implants are not the largest revenue segment, their nontrivial dollar contribution suggests the hospital performs a measurable amount of surgical/orthopedic implant work.

Operational and financial sensitivity should be noted: a single ED code, 99284, contributes $9.7M (35.0%) of Medicaid revenue and the top three codes together make up 58.0% of Medicaid revenue, so changes in ED visit volumes, imaging utilization, or Medicaid reimbursement policy for those codes could materially affect the provider's Medicaid revenue. In addition, having no Medicare volume means the provider lacks diversification across federal payers.

This NPI has been enumerated since 2006-05-31 (~20 years ago), indicating an established presence in Anchorage; longevity combined with the heavy ED and imaging footprint suggests this is a mature acute-care operation with steady Medicaid-dependent volumes rather than a recently established entrant.

Medicaid: Complete Services Breakdown

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

205 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	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.	37,040	$260	$9.7M
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.	27,070	$140	$3.8M
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.	4,830	$550	$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.	3,070	$430	$1.3M
C1776	Joint device (implantable)	360	$3,060	$1.1M
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…	17,060	$60	$1.1M
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.	4,610	$220	$991.6K
G0378	Hospital observation service, per hour	2,010	$400	$808.8K
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.	14,700	$50	$676.1K
74176	The provider performs computed tomography of the abdomen and pelvis without contrast material to diagnose the cause of abdominal or pelvic pain or other abnormalities of the internal organs.	1,350	$460	$622.8K

Showing 1–10 of 205

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

Galen Hospital Alaska, Inc. — 1 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

205 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.	9	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.	16	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.	9	50	4,500	$170	$2.5M
G0378	Hospital observation service, per hour	7	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.	9	30	2,190	$390	$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…	16	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.	5	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.	3	20	4,510	$130	$1.1M
87491	The lab analyst performs a test for Chlamydia trachomatis using amplified nucleic acid probe technique.	13	20	2,210	$160	$976.1K
87070	The lab analyst performs the technical lab steps to culture a specimen from any source except urine, blood, or stool. This service involves aerobic culture, which refers to the presence of oxygen.…	10	20	290	$340	$922.2K

Showing 1–10 of 205

Related Providers

Other providers that share a Tax Identification Number (TIN) with Galen Hospital Alaska, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Galen Hospital Alaska, Inc.	AK	General Acute Care Hospital	$0	$25.1M

Nearby Providers

Other providers in the same ZIP code as Galen Hospital Alaska, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$397.1M
Providence Health & Services Washington	AK	General Acute Care Hospital	$0	$161.5M
Southcentral Foundation	AK	Community Health Clinic/Center	$0	$130.3M
Alaska Native Tribal Health Consortium	AK	Transportation Broker	$0	$65.5M
The Arc Of Anchorage	AK	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$50.8M
Good Samaritan Care Services	AK	In Home Supportive Care Agency	$0	$46.1M
Alaska Native Tribal Health Consortium	AK	General Acute Care Hospital	$0	$33.1M
Anchorage Community Mental Health	AK	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$31.7M
Patient Housing At Anmc	AK	General Acute Care Hospital	$0	$31M
Alaska Emergency Medicine Associates	AK	Emergency Medicine Physician	$0	$28.1M

Galen Hospital Alaska, Inc. — Billing Profile & Reimbursement Data

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Galen Hospital Alaska, Inc. — 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