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.

Hospice Of Hilo (NPI 1326048406)

Field	Value
Entity Type	Organization
Organization	Hospice Of Hilo
Address	1011 Waianuenue Ave
City	Hilo
State	HI
ZIP	96720
Taxonomy	Community Based Hospice Care Agency
NPI Enumerated	July 29, 2005

Payer Source	Total Paid
Medicaid	$177.8K
Medicare	$0

Medicaid: Complete Services Breakdown

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

4 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
Q5001	Hospice or home health care provided in patient's home/residence	1,470	$70	$104.3K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	720	$100	$73.5K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	70	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	130	$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

Hospice Of Hilo — 0 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

4 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	9	20	980	$60	$244.4K
Q5001	Hospice or home health care provided in patient's home/residence	3	10	300	$90	$50.8K
G0155	Services of clinical social worker in home health or hospice settings, each 15 minutes	4	10	420	$0	$0
G0156	Services of home health/hospice aide in home health or hospice settings, each 15 minutes	3	10	2,430	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Hospice Of Hilo, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Lynda Dolan	HI	Family Medicine Physician	$147.9K	$0
Craig Shikuma	HI	Internal Medicine Physician	$66.1K	$0
Kimberly Mora	HI	Adult Health Nurse Practitioner	$12.7K	$0

Hospice Of Hilo — Billing Profile & Reimbursement Data

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Hospice Of Hilo — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Frequently Asked Questions

References