Loading...
NPI 1376553107 · Honolulu, HI · Counselor
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Ku Aloha Ola Mau is a counselor provider located in Honolulu, Hawaii. This profile covers 2 Medicare and 15 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Ku Aloha Ola Mau |
| Address | 1130 N Nimitz Hwy |
| City | Honolulu |
| State | HI |
| ZIP | 96817 |
| Taxonomy | Counselor |
| NPI Enumerated | August 8, 2006 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $5.8M |
| Medicare | $220.5K |
This provider is heavily Medicaid-focused by revenue: Total Medicare revenue is $220.5K while Total Medicaid revenue is $5.8M, indicating Medicaid drives the scale of the operation rather than Medicare. The billing mix suggests the entity functions primarily as a state-focused behavioral health and opioid treatment program with relatively modest Medicare activity in comparison to its Medicaid footprint.
Medicare revenue is highly concentrated: the precomputed top 3 Medicare codes account for 100.0% of the provider's Medicare revenue. G2067 alone represents $210.7K (95.4% of Medicare revenue) across 846 claims at $249 avg paid/claim, while G2078 contributes $10.1K (4.6%) across 273 claims at $37 avg paid/claim, showing Medicare billing is dominated by methadone medication-assisted treatment bundles.
Medicaid revenue is also concentrated in a small set of services: the precomputed top 3 Medicaid codes account for 77.6% of the provider's Medicaid revenue. H0020 ($3.2M, 245.6K claims), 90837 ($754.2K, 8.2K claims), and T1015 ($571.7K, 44K claims) together form the bulk of Medicaid income, indicating a combined business model of high-volume methadone administration, extended individual psychotherapy, and high-volume clinic encounters.
The provider is a significant in-state player for methadone services and psychotherapy. H0020 ranks #1 of 4 providers in-state at the 100th percentile (labeled typical for that code), while 90837 ranks #7 of 441 providers in-state at the 99th percentile and is described as an "extreme outlier," and T1015 ranks #1 of 15 providers in-state at the 100th percentile and is also described as an "extreme outlier." These rankings indicate the provider occupies a leading, unusually high-volume position in multiple Medicaid behavioral-health service lines statewide.
The service-line mix—large H0020 and G2067 volumes alongside very high counts for psychotherapy and group codes—points to operation as a medication-assisted treatment program that also delivers substantial psychotherapy and clinic-based services. Specific supporting items include H0020 (245.6K claims), G2067 in Medicaid (4K claims) and Medicare (846 claims), 90832 (23.5K claims), 90853 (18.9K claims), and 90837 (8.2K claims), which together imply integrated dispensing, counseling, individual and group therapy, and testing workflow.
High claim counts in Medicaid suggest significant throughput and clinic infrastructure: examples include H0020 at 245.6K claims, T1015 at 44K claims, 90832 at 23.5K claims, and 90853 at 18.9K claims. That volume profile supports the interpretation of a large, steady patient flow requiring staffing and operational capacity for frequent dosing visits, clinic encounters, and recurring therapy sessions.
Despite the provider's dominant state-level Medicaid presence, its Medicare competitive standing is modest on the national stage for its principal MAT code. G2067 ranks #301 of 830 providers nationally (64th percentile) and is characterized as "typical, unremarkable volume for this code," which indicates the provider is not a national leader in Medicare MAT billing even though it bills the same service heavily in Medicaid.
The provider has long tenure in the dataset, with an NPI enumerated on 2006-08-08 (~20 years ago). This longevity, combined with concentrated Medicaid dominance and repeated high-volume psychotherapy and clinic codes, is consistent with an established, specialized clinic that has scaled around methadone-based medication-assisted treatment and behavioral-health services in-state.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
2 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 850 | $250 | $210.7K |
| G2078 | Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | 270 | $40 | $10.1K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
15 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 245,630 | $10 | $3.2M |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 8,200 | $90 | $754.2K |
| T1015 | Clinic visit/encounter, all-inclusive | 43,980 | $10 | $571.7K |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 23,520 | $20 | $399.8K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 18,860 | $20 | $320.5K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 3,540 | $40 | $155.6K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 2,370 | $50 | $128.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 4,000 | $30 | $124K |
| 99211 | An established patient presents for an office or other outpatient visit that may not require the presence of a physician or other qualified healthcare professional. | 5,450 | $10 | $70.8K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 1,260 | $50 | $59K |
Showing 1–10 of 15
How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Hawaii median
15 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| H0020 | Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | 1 | 10 | 36,790 | $20 | $1.7M |
| 90832 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 2 | 70 | 370 | $150 | $457.3K |
| 99213 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the… | 173 | 710 | 650 | $90 | $274.1K |
| 99214 | The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the… | 238 | 690 | 650 | $90 | $235.4K |
| T1015 | Clinic visit/encounter, all-inclusive | 1 | 20 | 120 | $30 | $121.8K |
| 90834 | In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere… | 11 | 80 | 320 | $100 | $119.2K |
| 90837 | In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or… | 7 | 440 | 500 | $90 | $116.1K |
| G2067 | Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed… | 2 | 10 | 4,000 | $30 | $108.1K |
| 90853 | Group psychotherapy is provided to a group of people who are normally not acquainted with each other but might be sharing similar kinds of psychological issues. The psychotherapist selects a group of… | 1 | 30 | 780 | $40 | $93.2K |
| 82075 | The lab analyst performs the technical lab test to analyze the quantitative amount of alcohol in a patient’s breath and correlates the measurement to blood alcohol content. | 1 | 10 | 3,220 | $10 | $41.4K |
Showing 1–10 of 15
Other providers in the same ZIP code as Ku Aloha Ola Mau, ranked by combined Medicare and Medicaid revenue.
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.