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.

State Of Hawaii Department Of Education (NPI 1093845521)

Field	Value
Entity Type	Organization
Organization	State Of Hawaii Department Of Education
Address	475 22nd Ave Rm 127
City	Honolulu
State	HI
ZIP	96816
Taxonomy	Local Education Agency (LEA)
NPI Enumerated	March 6, 2007

Payer Source	Total Paid
Medicaid	$10.1M
Medicare	$0

Key Findings

This entity has no Medicare billing on file and reports $10.1M in lifetime Medicaid revenue, making its billed activity effectively single-payer (Medicaid) in the available data. Analysts should treat Medicare-based benchmarks as inapplicable for this provider given the absence of Medicare claims.

The provider's Medicaid revenue is highly concentrated: the precomputed top 3 codes account for 100.0% of total Medicaid revenue, with T1002 representing 92.7% and T1003 representing 7.3% of the $10.1M. This concentration indicates that virtually all Medicaid cash flow depends on a very small set of visit-level nursing codes.

The dominant codes — T1002 (Rn services, up to 15 minutes) and T1003 (Lpn/lvn services, up to 15 minutes) — imply a delivery model focused on short, frequent nursing encounters rather than procedural or facility-based care. Coupled with the Local Education Agency (LEA) taxonomy, the code mix is consistent with school-based nursing services provided in short time increments across students.

Claim-level and payment detail underscore reliance on RN time: T1002 shows 39.5K claims at $236 avg paid/claim generating $9.3M in revenue, while T1003 shows 6.1K claims at $119 avg paid/claim generating $729K. The volumes and per-claim rates show heavy dependence on RN service units for the bulk of Medicaid revenue and materially higher per-claim valuation for T1002 versus T1003.

For both T1002 and T1003 the provider ranks #1 of 1 providers in-state and is listed with '(0th percentile; no state peer volume comparison available)', indicating it is the sole in-state reporter for these codes in the dataset and that no peer-volume benchmarks are available. That makes this provider the de facto statewide billing source for these specific school nursing codes in the available data.

Because nearly all Medicaid revenue is tied to short-interval nursing encounter codes, changes to reimbursement policy, allowable school-based services, or per-claim rates could have an outsized impact on revenue stability. Operational fluctuations that reduce the frequency of brief nursing visits would similarly produce disproportionate financial effects.

The NPI was enumerated on 2007-03-06 (~19 years ago), reflecting long-standing enrollment with payers and suggesting an established operational relationship with the state Medicaid program and local school systems. This tenure supports the interpretation that the observed billing pattern represents a stable, programmatic service model rather than a transient or new activity.

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
T1002	Rn services, up to 15 minutes	39,500	$240	$9.3M
T1003	Lpn/lvn services, up to 15 minutes	6,130	$120	$729K

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

State Of Hawaii Department Of Education — 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
T1002	Rn services, up to 15 minutes	1	10	39,500	$240	$9.3M
T1003	Lpn/lvn services, up to 15 minutes	1	10	6,130	$120	$727.1K

Nearby Providers

Other providers in the same ZIP code as State Of Hawaii Department Of Education, 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
Special Education Center Of Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$9.4M
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

State Of Hawaii Department Of Education — Billing Profile & Reimbursement Data

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State Of Hawaii Department Of Education — 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