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.

Special Education Center Of Hawaii (NPI 1043332646)

Field	Value
Entity Type	Organization
Organization	Special Education Center Of Hawaii
Address	708 Palekaua St
City	Honolulu
State	HI
ZIP	96816
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	April 4, 2007

Payer Source	Total Paid
Medicaid	$9.4M
Medicare	$0

Key Findings

SPECIAL EDUCATION CENTER OF HAWAII reports no Medicare billing on file and $9.4M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) operation in the available claims data. The provider’s NPI was enumerated on 2007-04-04 (~19 years ago), indicating an established presence in the state Medicaid market over nearly two decades.

Revenue is highly concentrated: the precomputed top three Medicaid codes (H2032, H2021, T2016) account for 93.4% of this provider’s total Medicaid revenue. Specifically, H2032 accounts for $4.7M (50.5%), H2021 for $2.2M (23.1%), and T2016 for $1.9M (19.8%), so these three services dominate the revenue base and operational footprint.

The mix of leading procedure codes indicates the provider focuses on habilitation and community-based support rather than traditional medical care. High-volume per-15-minute activity therapy H2032 (65.9K claims, $72 avg paid/claim) together with community-based wrap-around H2021 (22.8K claims, $95 avg paid/claim) and residential habilitation T2016 (11.1K claims, $168 avg paid/claim) aligns with the listed taxonomy of Developmentally Disabled Services Day Training Agency and suggests day-training, community integration, and waiver-based residential services are the core business lines.

H2032 is a statewide outlier: the provider ranks #1 of 14 in-state with a 100th percentile placement and is described as notably above typical state volume for that code, signaling dominance in activity therapy within Hawaii. By contrast, H2021 ranks #3 of 24 (91th percentile) and T2016 ranks #2 of 9 (88th percentile), placements that the source labels as typical, unremarkable volumes — together these ranks position the organization as a major but not singular player across its other top services.

Operational profile shows a reliance on high-volume, lower-unit-rate services plus a smaller set of higher-paid per-diem placements. H2032’s 65.9K claims at $72 per claim produce the largest single revenue stream, while T2016’s per-diem structure at $168 avg paid/claim and T2020’s $968 avg paid/claim (452 claims, $437.5K revenue) indicate a mix of frequent short-interval therapy billing and less-frequent, higher-dollar per-diem habilitation. This mix shapes staffing, capacity, and payer negotiation strategies differently than a provider driven by low-frequency, high-cost procedures.

The extreme concentration on three codes creates measurable business risk: with H2032/H2021/T2016 comprising 93.4% of Medicaid revenue, rate changes, policy shifts, or eligibility adjustments affecting those codes or waiver programs could materially affect top-line Medicaid receipts. Because there is no Medicare revenue to diversify payer exposure, the provider’s financial performance is tied closely to Medicaid reimbursement and program rules in Hawaii.

A review of smaller revenue lines shows supplemental service offerings consistent with a comprehensive developmental-disability program: T2020 (452 claims, $968 avg paid/claim, $437.5K revenue) and H2016 (416 claims, $387 avg paid/claim, $161K revenue) provide day habilitation and comprehensive community support respectively, while T2028 (1.1K claims, $10 avg paid/claim, $10.5K revenue) and H2015/H2016 variants contribute marginally. T2028 is ranked #1 of 2 in-state (100th percentile) but represents only $10.5K of revenue, indicating niche or specialized supply activity rather than a material revenue driver.

Given ~19 years of enrollment and the provider’s leading rank on H2032, SPECIAL EDUCATION CENTER OF HAWAII appears to be an established, Medicaid-focused habilitation and community-support provider in Honolulu. Analysts should treat this profile as that of a mature, Medicaid-dependent operator with concentrated service-line exposure and notable dominance in activity therapy within the state market.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2032	Activity therapy, per 15 minutes	65,940	$70	$4.7M
H2021	Community-based wrap-around services, per 15 minutes	22,820	$100	$2.2M
T2016	Habilitation, residential, waiver; per diem	11,080	$170	$1.9M
T2020	Day habilitation, waiver; per diem	450	$970	$437.5K
H2016	Comprehensive community support services, per diem	420	$390	$161K
H2015	Comprehensive community support services, per 15 minutes	670	$20	$13.4K
T2028	Specialized supply, not otherwise specified, waiver	1,050	$10	$10.5K

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

Special Education Center Of Hawaii — 2 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	2	10	2,740	$1,170	$8.6M
H2021	Community-based wrap-around services, per 15 minutes	3	20	4,710	$400	$3.5M
H2032	Activity therapy, per 15 minutes	1	10	1,660	$110	$1.6M
H2015	Comprehensive community support services, per 15 minutes	20	30	2,300	$30	$634.2K
T2020	Day habilitation, waiver; per diem	2	10	270	$760	$239.4K
H2016	Comprehensive community support services, per diem	2	10	240	$300	$80.1K
T2028	Specialized supply, not otherwise specified, waiver	1	10	590	$10	$8.1K

Nearby Providers

Other providers in the same ZIP code as Special Education Center Of Hawaii, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Emergency Medical Services System Hawaii Dept Of Health	HI	Land Ambulance	$3.1M	$32.4M
The Arc In Hawaii	HI	Voluntary or Charitable Agency	$0	$12.7M
State Of Hawaii Department Of Education	HI	Local Education Agency (LEA)	$0	$10.1M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$3.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Usrc Kapahulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.8M
Allen K. Hirai Dds LLC	HI	Pediatric Dentistry	$0	$1.7M
Kahala Childrens Medical Group LLC	HI	Pediatrics Physician	$0	$1.4M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$978.7K
Smiles For Keiki Pediatric Dentistry, LLC	HI	Pediatric Dentistry	$0	$736.3K

Special Education Center Of Hawaii — Billing Profile & Reimbursement Data

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Special Education Center Of Hawaii — 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