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.

Mastercare Inc (NPI 1134272669)

Field	Value
Entity Type	Organization
Organization	Mastercare Inc
Address	1314 S King St Ste 856
City	Honolulu
State	HI
ZIP	96814
Taxonomy	Nursing Care Agency
NPI Enumerated	January 19, 2007

Payer Source	Total Paid
Medicaid	$10.8M
Medicare	$0

Key Findings

MASTERCARE INC is effectively a Medicaid-focused provider: there is no Medicare billing on file while total Medicaid revenue on record is $10.8M, indicating the organization operates as a single-payer (Medicaid) entity in available claims data. The provider’s taxonomy is Nursing Care Agency, and its NPI was enumerated on 2007-01-19 (~19 years ago), supporting a long-tenured presence in the market.

Revenue is highly concentrated in three procedure codes that together account for 100.0% of Medicaid revenue. The top drivers are S9122 (39.2% of Medicaid revenue), S9123 (38.7%), and S5130 (22.2%), so these hourly/home-service codes constitute the provider’s entire reported Medicaid business.

The code mix and descriptions point to a home-based personal care and skilled nursing model: S9122 (home health aide or certified nurse assistant, per hour) and S5130 (homemaker service, per 15 minutes) represent non-skilled personal and homemaker supports, while S9123 (nursing care, in the home; by registered nurse, per hour) indicates dedicated RN-delivered nursing services. This mix suggests operations focused on in-home aide/homemaker shifts plus a significant component of licensed nursing hours rather than facility-based care.

Operational intensity is evidenced by high claim volumes and distinct average paid-per-claim levels across the top codes: S5130 shows 49.8K claims at $48 avg paid/claim, S9122 shows 43.6K claims at $97 avg paid/claim, and S9123 shows 20K claims at $208 avg paid/claim. The combination of very large claim counts for homemaker and aide codes and a higher per-claim rate for S9123 (RN nursing hours) aligns with a workforce model that mixes high-volume personal care staffing and lower-volume higher-paid nursing visits.

MASTERCARE’s competitive standing in-state is strong and in some cases dominant for these services. The provider ranks #1 of 24 for S9123 (100th percentile; notably above typical state volume), #1 of 83 for S5130 (100th percentile; extreme outlier), and #2 of 67 for S9122 (98th percentile; extreme outlier), indicating it is a leading provider of both homemaker and in-home nursing services in Hawaii.

The statistical labels attached to each code reinforce that these are outlier volumes in the state market: S5130 and S9122 are labeled “extreme outlier” in state rankings and S9123 is labeled “notably above typical,” which signals unusually large scale relative to peers rather than routine participation. Analysts should treat these codes as the primary axes of the provider’s market footprint and resource deployment.

Because the top three codes account for 100.0% of reported Medicaid revenue, MASTERCARE’s financial performance is highly dependent on sustained demand and reimbursement for home health aide, RN home nursing, and homemaker services. Any payer policy, rate, or utilization shift affecting S9122, S9123, or S5130 could materially affect the provider’s Medicaid revenue given this concentration.

Given nearly two decades of enumeration (NPI from 2007-01-19, ~19 years ago) and the combination of very high statewide ranks and large claim volumes, MASTERCARE appears to operate at scale within Hawaii’s home care market; capacity and staffing patterns will likely center on sustained, high-volume delivery of homemaker/aide services with a substantial, higher-paid RN component.

Medicaid: Complete Services Breakdown

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

3 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	43,560	$100	$4.2M
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)	20,050	$210	$4.2M
S5130	Homemaker service, nos; per 15 minutes	49,770	$50	$2.4M

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

Mastercare Inc — 3 of 3 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

3 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	2	70	5,120	$130	$1.2M
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)	1	20	2,130	$240	$1M
S5130	Homemaker service, nos; per 15 minutes	1	80	5,320	$90	$776.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Walgreen Co	HI	Pharmacy	$0	$25.3M
Attention Plus Private Nursing, Inc.	HI	Nursing Care Agency	$0	$7.7M
Heaven's Helpers, Inc.	HI	In Home Supportive Care Agency	$0	$4.5M
Heaven's Helpers, Inc.	HI	Nursing Care Agency	$0	$4M
Honolulu Imaging Center, LLC	HI	Diagnostic Radiology Physician	$2.6M	$1.1M
Eugene W M Ng Md LLC	HI	Ophthalmology Physician	$0	$3.7M
Bayada Home Care	HI	In Home Supportive Care Agency	$0	$3.6M
B Homecare L.L.C.	HI	In Home Supportive Care Agency	$0	$3.5M
Hawaii Diagnostic Radiology Services LLC	HI	Diagnostic Radiology Physician	$0	$3.2M
Dean T. Sueda Dds.ms, Inc	HI	Pediatric Dentistry	$0	$3.1M

Mastercare Inc — Billing Profile & Reimbursement Data

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Mastercare 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