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.

Molokai Ohana Health Care, Inc. (NPI 1336805621)

Field	Value
Entity Type	Organization
Organization	Molokai Ohana Health Care, Inc.
Address	30 Oki Place
City	Kaunakakai
State	HI
ZIP	96748
Taxonomy	Federally Qualified Health Center (FQHC)
NPI Enumerated	November 11, 2021

Payer Source	Total Paid
Medicaid	$612.7K
Medicare	$0

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
D9999	N/A	1,510	$270	$414.6K
D0140	Limited oral evaluation – problem focused	780	$250	$198.1K

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

Molokai Ohana Health Care, Inc. — 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D9999	N/A	13	20	2,200	$280	$1.6M
D0140	Limited oral evaluation – problem focused	42	120	400	$140	$150.2K

Nearby Providers

Other providers in the same ZIP code as Molokai Ohana Health Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Molokai General Hospital	HI	Critical Access Hospital	$0	$14.5M
Molokai Ohana Health Care, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$3.1M
Molokai General Hospital	HI	Rural Health Clinic/Center	$0	$3.1M
Careresource Hawaii	HI	In Home Supportive Care Agency	$0	$2M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.1M
Hawaii Life Flight, LLC	HI	Air Ambulance	$0	$568.8K
Aluli And Reyes LLP	HI	Family Medicine Physician	$0	$172.6K
Molokai Drugs, Inc.	HI	Community/Retail Pharmacy	$18.1K	$2.1K

Molokai Ohana Health Care, Inc. — Billing Profile & Reimbursement Data

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Molokai Ohana Health Care, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References