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.

Cradle N' Crayons, LLC (NPI 1205862851)

Field	Value
Entity Type	Organization
Organization	Cradle N' Crayons, LLC
Address	700 Bishop St Ste 610
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Nursing Care Agency
NPI Enumerated	June 24, 2006

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Key Findings

CRADLE N' CRAYONS, LLC is effectively a Medicaid-focused nursing care agency: it has no Medicare billing on file and reports $5.9M in lifetime Medicaid revenue, indicating its operations are concentrated in the Medicaid market rather than the Medicare space. This payer mix implies the provider’s business model and client base are primarily aligned with Medicaid-covered long-term or attendant care services rather than physician- or hospital-based Medicare services.

Revenue is highly concentrated in a single procedure line: S5125 (Attendant care services; per 15 minutes) accounts for $5.9M and represents 100.0% of the provider’s total Medicaid revenue. This 100.0% share shows the provider derives essentially all of its Medicaid income from time-based attendant care, making its financial performance sensitive to utilization and rate changes for that single code.

The service mix (sole reliance on S5125) suggests the organization operates as a direct-care attendant services provider that bills in 15-minute increments, consistent with home- or community-based personal care rather than skilled nursing, therapy, or durable medical equipment. Operationally, that implies staffing, scheduling, and billing systems focused on frequent short-interval visits and time-based documentation.

Competitive standing within the state is modest: for S5125 the provider ranks #5 of 17 in-state and sits at the 75th percentile. That rank indicates the provider is a solid mid-to-upper-tier participant for this code in Hawaii—neither a dominant statewide leader nor a marginal player—but it achieves typical, unremarkable volume relative to peers.

Tenure is long enough to suggest established operations: the NPI was enumerated on 2006-06-24 (approximately 20 years ago), indicating two decades of enrollment that likely supported accumulation of the $5.9M Medicaid revenue and consistent participation in the state attendant-care market.

Because all reported Medicaid revenue is concentrated in a single code, the provider’s financial and compliance reporting will be particularly sensitive to audits, rate adjustments, or policy changes affecting S5125; any changes to Medicaid attendant care rules or reimbursement could materially impact revenue. Analysts should treat this provider as single-service-line dependent when modeling risk or forecasting revenue.

The provider’s lack of Medicare billing eliminates cross-payer diversification: with zero Medicare revenue and $5.9M in Medicaid receipts, CRADLE N' CRAYONS is effectively a single-payer operation from a revenue perspective. That concentration reduces hedging across payers and focuses regulatory and contracting exposure on state Medicaid policy and managed Medicaid plans.

Given the code-level descriptor (attendant care per 15 minutes) and the claim volume (9.4K claims), the organization appears to deliver a high-frequency schedule of short-duration visits. This operational profile implies administrative burdens around timekeeping and claim bundling, which are typical considerations for payers and provider auditors working with time-based personal care billing.

Medicaid: Complete Services Breakdown

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

1 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5125	Attendant care services; per 15 minutes	9,370	$630	$5.9M

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

Cradle N' Crayons, LLC — 0 of 1 code 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

1 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S5125	Attendant care services; per 15 minutes	5	20	1,140	$640	$2.9M

Nearby Providers

Other providers in the same ZIP code as Cradle N' Crayons, LLC, 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

Cradle N' Crayons, LLC — Billing Profile & Reimbursement Data

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Cradle N' Crayons, LLC — Billing Profile & Reimbursement Data

Sign up for Cradle N' Crayons, LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References