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    OpenPayerNPI Medicare & MedicaidBlue Water Resources
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    Blue Water Resources — Billing Profile & Reimbursement Data

    NPI 1144301383 · Waipahu, HI · Case Management Agency

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    Blue Water Resources is a case management agency provider located in Waipahu, Hawaii. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBlue Water Resources
    Address94-229 Waipahu Depot Road
    CityWaipahu
    StateHI
    ZIP96797
    TaxonomyCase Management Agency
    NPI EnumeratedOctober 17, 2006

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$5.7M
    Medicare$0

    Key Findings

    BLUE WATER RESOURCES shows no Medicare billing on file and $5.7M in lifetime Medicaid revenue, making its financial footprint effectively single-payer and concentrated in Medicaid alone. This payer mix means analyses of its performance and risk should focus on Medicaid program changes rather than Medicare dynamics.

    Revenue is highly concentrated in a very narrow set of services: the precomputed top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, and the two listed codes alone are responsible for the entirety of the $5.7M. That concentration signals that the provider’s Medicaid business is dependent on a small number of service lines rather than a diversified billing portfolio.

    The provider’s taxonomy (Case Management Agency) aligns with the top codes billed: T2022 (Case management, per month) and T2025 (Waiver services; nos), which together describe ongoing monthly case management and waiver-support activity rather than episodic medical procedures. The average payments reported ($382 avg paid/claim for T2022 and $359 avg paid/claim for T2025) are consistent with recurring per-month case management and waiver reimbursements.

    T2022 is the dominant single code: 10.6K claims, $382 avg paid/claim, $4.1M revenue (71.4% of this provider's total Medicaid revenue). This code’s volume and dollar share indicate that monthly case management is the core revenue driver for the organization.

    T2025 is the secondary code: 4.5K claims, $359 avg paid/claim, $1.6M revenue (28.6% of this provider's total Medicaid revenue). Revenue from waiver services is substantial but notably smaller than T2022, reinforcing a two-code revenue structure focused on case management and waiver support.

    Competitive standing in-state is meaningful but not extreme: T2022 ranks #3 of 23 providers in-state (91th percentile) and T2025 ranks #4 of 15 providers in-state (79th percentile), indicating a leading position for these service lines within Hawaii. At the same time, both codes are labeled in the source as “typical, unremarkable volume for this code,” which suggests the provider is a strong local participant but not an extreme outlier in utilization.

    The NPI was enumerated on 2006-10-17 (~20 years ago), indicating long tenure in the market. This multi-decade presence supports the likelihood of established operational workflows and payer relationships for Medicaid case management and waiver billing.

    Because 100.0% of Medicaid revenue is concentrated in these case management/waiver codes and there is no Medicare revenue, the provider’s financial and operational exposure is concentrated: changes to Medicaid waiver rules, case management rates, or program eligibility could materially affect revenue. Analysts should prioritize monitoring state Medicaid policy and waiver program developments when assessing financial or contractual risk for this entity.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2022Case management, per month10,620$380$4.1M
    T2025Waiver services; not otherwise specified (nos)4,520$360$1.6M

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Hawaii median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month3201,640$280$990.2K
    T2025Waiver services; not otherwise specified (nos)420300$220$577K

    Nearby Providers

    Other providers in the same ZIP code as Blue Water Resources, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Preferred Home & Community Based Services, Inc.HIDevelopmentally Disabled Services Day Training Agency$0$66.9M
    Bayada Home CareHIDevelopmentally Disabled Services Day Training Agency$0$33.3M
    Hawaii Health Services, Inc.HIHome Health Agency$0$29.4M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.4M
    Dsi Waipahu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.7M
    Family Services Of Oahu,llcHIDevelopmentally Disabled Services Day Training Agency$0$4.9M
    Loving Care Health Provider, Inc.HIIn Home Supportive Care Agency$0$4.2M
    Leeward Pedodontix, LLCHIPediatric Dentistry$0$4.1M
    Metropacific Group, CorpHIIn Home Supportive Care Agency$0$2.8M
    Triple Ace Venture Capital Corp.HIIn Home Supportive Care Agency$0$2.4M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Hawaii Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Blue Water Resources — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii