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.

Islands Hospice, Inc. (NPI 1184932345)

Field	Value
Entity Type	Organization
Organization	Islands Hospice, Inc.
Address	1003 Bishop St Ste 910
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	September 21, 2010

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and reports $7.1M in lifetime Medicaid revenue, making its operational footprint effectively single-payer (Medicaid) in the available data. The absence of Medicare activity means comparisons to national Medicare peers are not applicable and the provider’s financial profile should be evaluated primarily through its Medicaid flows.

Revenue is highly concentrated in three per-diem hospice codes: T2046 accounts for $5.4M (75.8% of Medicaid revenue), S9126 accounts for $1.6M (22.0%), and Q5001 accounts for $141.6K (2.0%); these top three codes together represent 99.8% of the provider’s Medicaid revenue. This concentration shows the organization’s income is overwhelmingly driven by routine per-diem hospice payments rather than fee-for-service procedural items.

The code mix (T2046 — hospice long term care, room and board only; S9126 — hospice care in the home per diem; Q5001 — hospice or home health care provided in patient’s home) indicates the provider operates primarily as a hospice service focused on long-term care facility placements and in-home hospice per-diem services rather than procedure-based or episodic skilled care. Dominance of per-diem room-and-board billing (T2046) implies operations oriented to facility-based hospice contracts and census management.

Competitive standing on the state-level is notable for its primary lines: T2046 ranks #1 of 2 providers in-state at the 100th percentile but is labeled "typical, unremarkable volume," suggesting it is the leading provider for that code in Hawaii without an unusually excessive footprint relative to the small peer set. For S9126 the provider is #1 of 1 in-state with a 0th-percentile indicator and "no state peer volume comparison available," making it effectively the sole reporter for this in-home hospice per-diem in the state dataset.

For the secondary code Q5001 the provider ranks #4 of 11 in-state at the 70th percentile and is described as a "typical, unremarkable volume" contributor, indicating it is a mid-to-upper state performer for home-based hospice/home health visits but not a dominant statewide leader for that line. This pattern supports a hybrid model with heavier facility-based revenue and supplemental in-home services.

Several codes show material claim counts but minimal or zero Medicaid revenue (for example G0299 has 7.9K claims but $15.8K revenue at $2 avg paid/claim, while G0155, Q5003, G0300, and G0156 report claims with $0 avg paid/claim and $0 revenue). These zero- or near-zero-payment lines appear in reporting but do not meaningfully contribute to Medicaid revenue, and they should be treated as non-revenue-bearing service entries in financial analysis.

The provider’s NPI was enumerated on 2010-09-21 (~16 years ago), indicating an established presence in the market; longevity combined with concentrated per-diem hospice revenue suggests a stable, specialized service line rather than a recent entrant or a broadly diversified provider. Analysts should consider that policy or rate changes affecting per-diem hospice payments, particularly in long-term care settings, would disproportionately affect this provider due to the 99.8% top-three-code concentration.

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2046	Hospice long term care, room and board only; per diem	19,700	$280	$5.4M
S9126	Hospice care, in the home, per diem	8,500	$190	$1.6M
Q5001	Hospice or home health care provided in patient's home/residence	560	$250	$141.6K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	7,880	$1	$15.8K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	720	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	4,730	$0	$0
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	20	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	30	$0	$0

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

Islands Hospice, Inc. — 1 of 4 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

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2046	Hospice long term care, room and board only; per diem	1	10	10,200	$450	$4.6M
S9126	Hospice care, in the home, per diem	1	10	8,500	$190	$1.6M
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	3	20	980	$60	$244.4K
Q5001	Hospice or home health care provided in patient's home/residence	4	10	300	$90	$50.8K
G0300	Direct skilled nursing services of a licensed practical nurse (LPN) in the home health or hospice setting, each 15 minutes	3	10	60	$60	$11.2K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	2	10	420	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	2	10	2,430	$0	$0
Q5003	Hospice care provided in nursing long term care facility (ltc) or non-skilled nursing facility (nf)	1	10	30	$0	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
State Of Hawaii Dept. Of Health Adult Mental Health Division	HI	Community/Behavioral Health Agency	$0	$29.3M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M

Islands Hospice, Inc. — Billing Profile & Reimbursement Data

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Islands Hospice, 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