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 Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii 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. Hawaii (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.

Hawaii Home Care Inc (NPI 1013354638)

Field	Value
Entity Type	Organization
Organization	Hawaii Home Care Inc
Address	700 Bishop St Ste 610
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Nursing Care Agency
NPI Enumerated	May 23, 2013

Payer Source	Total Paid
Medicaid	$9.3M
Medicare	$0

Key Findings

HAWAII HOME CARE INC is enumerated under NPI since 2013-05-23 (~13 years ago) and is filed under the Nursing Care Agency taxonomy in HONOLULU, HI. It reports no Medicare billing on file and therefore operates effectively as a Medicaid-focused provider in the observed dataset.

This provider’s Medicaid lifetime revenue is $9.3M and its revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of its Medicaid revenue. The two listed codes driving that total are S5125 (13.9K claims, $590 avg paid/claim, $8.2M revenue; 88.2% of this provider's total Medicaid revenue) and S9123 (5.6K claims, $196 avg paid/claim, $1.1M revenue; 11.8% of this provider's total Medicaid revenue).

The code mix indicates a service-line concentrated in personal attendant care: S5125 (Attendant care services; per 15 minutes) dominates revenue and claim volume, suggesting the organization primarily delivers non-skilled personal/attendant care in home settings. The presence of S9123 (Nursing care, in the home; by registered nurse, per hour) shows the agency also bills for registered nurse home visits, but at a much smaller scale relative to attendant care.

Because there is no Medicare billing on file, HAWAII HOME CARE INC is effectively single-payer with Medicaid exposure only; this means the provider’s financial performance and growth trajectory will be closely tied to state Medicaid rates, policy changes, and authorization practices rather than Medicare policy or markets.

On competitive standing for its top codes, S5125 ranks #3 of 17 providers in-state (88th percentile; typical, unremarkable volume), which positions the provider as a relatively high-volume but not uniquely dominant attendant-care supplier in Hawaii. S9123 ranks #5 of 24 providers in-state (83th percentile; typical, unremarkable volume), indicating a mid-to-upper-tier presence for RN home nursing compared with peers but not an outlier.

Operationally, the reported claim volumes (13.9K claims for S5125 and 5.6K claims for S9123) and the high average paid/claim for S5125 ($590) imply meaningful ongoing service delivery scale and staffing demands—particularly for attendant-care shifts that are typically billed by time increments. These volumes suggest a workforce and operational model oriented to high-frequency, short-interval home visits or shifts rather than episodic, procedure-based care.

The extreme revenue concentration on a single code creates business risk: with S5125 accounting for 88.2% of Medicaid revenue, any policy, rate, or utilization shifts affecting attendant care reimbursement would meaningfully impact the provider’s revenue base. Analysts should monitor state Medicaid payment trends and utilization management for S5125 and related attendant-care services as leading indicators of financial exposure.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	13,930	$590	$8.2M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5,620	$200	$1.1M

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

Claims Volume vs. Hawaii Distribution

Hawaii Home Care Inc — 0 of 2 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	3	20	1,140	$640	$2.9M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	5	20	2,130	$240	$1M

Nearby Providers

Other providers in the same ZIP code as Hawaii Home Care Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M
Straub Clinic & Hospital	HI	Multi-Specialty Clinic/Center	$0	$8.2M

Hawaii Home Care Inc — Billing Profile & Reimbursement Data

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Hawaii Home Care 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

Nearby Providers

Frequently Asked Questions

References