Alaska's 1,858 Medicaid providers billed $6.18B between 2018 and 2024. The most-billed code is 99213, accounting for $506.89M in payments. Anchorage is the largest Medicaid billing hub in the state. 2 providers in AK appear on the OIG exclusion list.
| Code | Description | Total Paid |
|---|---|---|
| 99213 | Office or other outpatient visit for the evaluation and management of an established patient, low complexity | $506.89M |
| T2016 | Habilitation, residential, waiver; per diem | $402.89M |
| T2017 | Habilitation, residential, waiver; 15 minutes | $221.85M |
ANCHORAGE ($2.92B) FAIRBANKS ($678.38M) BETHEL ($509.06M) WASILLA ($344.25M) JUNEAU ($298.09M) SOLDOTNA ($216.09M) KETCHIKAN ($150.91M) PALMER ($135.29M) SITKA ($134.36M) KENAI ($111.59M) NOME ($111.58M) KOTZEBUE ($82.62M) HOMER ($81.45M) DILLINGHAM ($59.03M) KODIAK ($47.67M) EAGLE RIVER ($43.95M) WRANGELL ($26.52M) METLAKATLA ($22.26M) BARROW ($20.44M) SEWARD ($15.71M) HOOPER BAY ($13.16M) WILLOW ($13.16M) KLAWOCK ($11.14M) EMMONAK ($7.82M) ST. MARY'S ($7.39M) PETERSBURG ($7.20M) NORTH POLE ($6.98M) NINILCHIK ($6.60M) HAINES ($6.40M) VALDEZ ($5.99M) TOKSOOK BAY ($5.71M) COPPER CENTER ($5.38M) SIKA ($5.25M) FORT YUKON ($4.99M) CHUGIAK ($4.93M) CORDOVA ($4.49M) NAUKATI ($4.37M) CRAIG ($4.35M) DELTA JUNCTION ($3.86M) ANIAK ($3.56M) TALKEETNA ($3.25M) ANGOON ($2.32M) SAVOONGA ($2.24M) HOONAH ($2.07M) BREVIG MISSION ($2.05M) HOUSTON ($1.70M) GLENNALLEN ($1.61M) AUKE BAY ($1.58M) STERLING ($1.16M) GAMBELL ($1.08M)
Automated signals based on claims-per-beneficiary ratios, single-code concentration, and OIG exclusion status. These are statistical outliers — not evidence of fraud. Learn more
| # | Provider | Total Paid | Flags |
|---|---|---|---|
| 1 | DIVISION OF ALASKAN PIONEER HOMES | $16.29M | single-code billing |
| 2 | PROVIDENCE HEALTH & SERVICES-WASHINGTON | $13.96M | single-code billing |
| 3 | FRONTIER HOME HEALTH CARE | $11.25M | single-code billing |
| 4 | MCKINLEY CARE LLC | $8.54M | single-code billing |
| 5 | LAKE VIEW HOME I, II, & III | $7.53M | single-code billing |
| 6 | ASPEN CREEK KENAI LLC | $7.09M | single-code billing |
| 7 | SOUTHCENTRAL FOUNDATION | $6.73M | single-code billing |
| 8 | DIVISION OF ALASKAN PIONEER HOMES | $6.49M | single-code billing |
| 9 | DIVISION OF ALASKAN PIONEER HOMES | $6.15M | single-code billing |
| 10 | DIVISION OF ALASKAN PIONEER HOMES | $6.11M | single-code billing |
| 11 | DIVISION OF ALASKAN PIONEER HOMES | $5.75M | single-code billing |
| 12 | JAC ENTERPRISES, INC. | $5.63M | single-code billing |
| 13 | ALZHEIMER'S DISEASE RESOURCE AGENCY OF ALASKA, INC. | $5.63M | single-code billing |
| 14 | LOVING HOME CARE, LLC | $5.30M | single-code billing |
| 15 | PROGRAMS FOR INFANTS & CHILDREN, INC. | $5.11M | single-code billing |
| 16 | SPRINGCREEK DOWLING LLC | $5.05M | single-code billing |
| 17 | RIVERQUEST GROUP HOME, INC. | $4.45M | single-code billing |
| 18 | EAGLES WINGS LLC | $4.15M | single-code billing |
| 19 | GENESIS RECOVERY SERVICES, INC. | $4.13M | single-code billing |
| 20 | CORNERSTONE HOME HEALTH, INC. | $4.03M | single-code billing |
| 21 | ALASKA PREMIUM CARE, INC | $3.60M | single-code billing |
| 22 | CENTER FOR PSYCHOSOCIAL DEVELOPMENT INC | $3.20M | single-code billing |
| 23 | OASIS ASSISTED LIVING HOME LLC | $3.20M | single-code billing |
| 24 | READING WRITE ALASKA INC | $2.93M | single-code billing |
| 25 | ABACUS CARE COORDINATION | $2.68M | single-code billing |