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 1174125348)

Field	Value
Entity Type	Organization
Organization	Mastercare Inc
Address	395 Kilauea Ave Unit B3
City	Hilo
State	HI
ZIP	96720
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 12, 2020

Payer Source	Total Paid
Medicaid	$5.4M
Medicare	$0

Key Findings

MASTERCARE INC reports no Medicare billing on file and $5.4M in lifetime Medicaid revenue, making it effectively a single-payer (Medicaid) billing operation in the available data. The absence of Medicare activity means analysts should evaluate competitive and operational posture primarily through Medicaid service lines and state-level comparisons.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 100.0% of this provider's Medicaid revenue, signaling virtually all Medicaid dollars flow through a very narrow set of service codes. This concentration indicates the business is specialized and economically dependent on maintaining volume and reimbursement for those specific services.

The two revenue-driving codes are S9122 (26.9K claims, $100 avg paid/claim, $2.7M revenue, 50.2% of Medicaid revenue) and S5130 (38.1K claims, $70 avg paid/claim, $2.7M revenue, 49.8% of Medicaid revenue); both codes reflect direct in-home supportive services (home health aide/CNA hours and homemaker services by 15-minute units). This mix is consistent with an operational model focused on high-volume, hands-on personal care and homemaker support rather than skilled clinical services or facility-based care.

Competitive standing in-state is strong for these service lines: S5130 ranks #2 of 83 providers in the state (99th percentile), indicating MASTERCARE is a dominant provider of homemaker services statewide, while S9122 ranks #4 of 67 (95th percentile), placing it among the highest-volume providers for home health aide services. These percentile and rank positions suggest the organization commands above-typical share for both major codes within Hawaii.

The provider’s Medicaid revenue is effectively split evenly between the two top codes, with each code generating $2.7M and comprising 50.2% and 49.8% of total Medicaid revenue respectively, underscoring that no meaningful secondary revenue stream exists beyond these primary services. This near-even split means operational disruptions to either service line would materially affect overall revenue.

MASTERCARE’s NPI was enumerated on 2020-11-12 (~6 years ago), indicating a relatively recent market entry that has rapidly scaled to a high-volume position in key in-home service codes. Achieving top-percentile rankings within roughly six years points to focused growth in Medicaid personal-care offerings.

Because revenue is generated from high-claim-volume, time-based service units (per-hour S9122 and per-15-minute S5130) with average paid-per-claim levels of $100 and $70 respectively, the provider’s margins and viability are likely sensitive to workforce availability, scheduling efficiency, and state Medicaid reimbursement changes. Analysts should consider operational exposure to staffing constraints and rate adjustments when modeling future revenue or competitive risk.

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
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	26,880	$100	$2.7M
S5130	Homemaker service, nos; per 15 minutes	38,100	$70	$2.7M

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 — 2 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
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	4	70	5,120	$130	$1.2M
S5130	Homemaker service, nos; per 15 minutes	2	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
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$51.2M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.3M
Metropacific Group, Corp	HI	Developmentally Disabled Services Day Training Agency	$0	$13.3M
Triple Ace Venture Capital, Corp.	HI	In Home Supportive Care Agency	$0	$10.5M
Whchc - Hawaii Island Community Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$8.1M
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$7.1M
Hilo Urgent Care Center, LLC	HI	Urgent Care Clinic/Center	$0	$6.5M
Alpha Care Hawaii LLC	HI	In Home Supportive Care Agency	$0	$5.9M
Americare Hawaii Incorporated	HI	In Home Supportive Care Agency	$0	$3.7M
Garret K. Uehara, Dds Inc. Dba	HI	General Practice Dentistry	$0	$3.6M

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