Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

Alaska Native Tribal Health Consortium

General Acute Care Hospital

Anchorage, Alaska

NPI: 1437368891

Risk Tier

High

Total Paid

$397.2M

$397,151,977

Total Claims

2.2M

Beneficiaries

1.9M

Avg Cost/Claim

$184.72

Active billing period: 84 months (2018-01 to 2024-12)

Statistical Fraud Flags (2)

Cost Outlier

Billing over 3× the national median for specific procedure codes.

Bills $539.40 per claim for 87635 (COVID-19 SARS-CoV-2 amplified probe detection), which is 13.6× the national median of $39.70.

Rate Outlier

Billing above the 90th percentile across multiple procedure codes simultaneously.

Billing above the 90th percentile for 281 procedure codes: 99211 at 22.2× median, 87635 at 13.6× median.

Disclaimer: Statistical flags indicate unusual billing patterns — they are not proof of fraud or wrongdoing. Some entities (government agencies, home care programs, hospitals) may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. This report is generated from public HHS data and statistical analysis only. No clinical or investigative review has been performed.

Generated by OpenMedicaid | openmedicaid.org | Data: HHS 2018-2024