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.

Positive Behavior Supports Corporation (NPI 1528405008)

Field	Value
Entity Type	Organization
Organization	Positive Behavior Supports Corporation
Address	500 Ala Moana Blvd Ste 7-400
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	May 24, 2013

Payer Source	Total Paid
Medicaid	$26.4M
Medicare	$0

Key Findings

This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all documented federal reimbursement is from Medicaid totaling $26.4M. Analysts should treat this entity as Medicaid‑dependent for federal revenue exposure and contracting considerations rather than as a dual‑payer operator.

Revenue is highly concentrated in a narrow set of behavioral‑health services: the precomputed top 3 Medicaid codes account for 85.0% of the provider’s total Medicaid revenue, with H2019 producing $17.6M (66.7% of Medicaid revenue), H0032 producing $2.8M (10.5%), and H2012 producing $2.1M (7.8%). This concentration indicates that changes in reimbursement policy or utilization for these codes would materially affect overall revenue.

The code mix points to a high‑volume, session‑based behavioral health operation: H2019 (Therapeutic behavioral services, per 15 minutes), H0032 (Mental health service plan development by non‑physician), and H2012 (Behavioral health day treatment, per hour) dominate revenue, suggesting the provider delivers frequent short‑interval therapeutic encounters and structured day‑treatment programming as core services. The prominence of per‑15‑minute and per‑hour codes implies operational emphasis on throughput and episode‑based scheduling rather than episodic inpatient care.

Service delivery appears to rely on a mixed clinician/technician model plus caregiver training: the presence of technician‑level adaptive behavior codes such as 97153 and supervisory/plan codes 97155/97156, together with home‑care training codes S5111 and S5110, indicates the provider bills both technician‑delivered treatments and family/home training sessions. This combination is consistent with applied behavior analysis (ABA) style programs that use supervised technicians for direct interventions and structured caregiver education.

Competitive standing is uneven across codes and likely influenced by small in‑state peer counts: H2019 and H0032 both rank #1 of 1 providers in‑state (no state peer volume comparison available), meaning this provider is the sole reported in‑state biller for those codes in the dataset and therefore functionally dominant in the available data for those lines. By contrast, H2012 ranks #2 of 3 providers in‑state (50th percentile; typical, unremarkable volume for this code), which signals a more conventional mid‑table position among peers for hour‑based day treatment.

Several secondary codes register as typical rather than exceptional despite relatively high rank in small peer sets: S5111 ranks #1 of 2 providers (100th percentile; typical, unremarkable volume), H0046 ranks #3 of 9 (75th percentile; typical, unremarkable volume), and 97153 ranks #3 of 7 (67th percentile; typical, unremarkable volume). These annotations suggest that apparent leadership on some codes reflects limited state peer reporting more than large absolute market share, so analysts should be cautious interpreting rank without accompanying peer volume context.

The provider’s enrollment history shows longevity in the market: NPI enumeration on 2013-05-24 (~13 years ago) indicates an established operating history in Honolulu and may have supported the accumulation of the reported $26.4M in Medicaid revenue. Tenure paired with concentrated service lines suggests institutional experience in delivering the specific behavioral services driving revenue.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2019	Therapeutic behavioral services, per 15 minutes	154,610	$110	$17.6M
H0032	Mental health service plan development by non-physician	23,410	$120	$2.8M
H2012	Behavioral health day treatment, per hour	11,890	$170	$2.1M
S5111	Home care training, family; per session	22,760	$60	$1.3M
S5110	Home care training, family; per 15 minutes	8,470	$120	$1M
H0046	Mental health services, not otherwise specified	8,630	$90	$811.1K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	1,610	$260	$419.1K
H0031	Mental health assessment, by non-physician	2,120	$150	$307.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	650	$100	$65.2K
S5108	Home care training to home care client, per 15 minutes	110	$130	$14.4K

Showing 1–10 of 12

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

Positive Behavior Supports Corporation — 3 of 12 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

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2019	Therapeutic behavioral services, per 15 minutes	1	10	154,610	$110	$17.6M
H0032	Mental health service plan development by non-physician	1	10	23,410	$120	$2.8M
H2012	Behavioral health day treatment, per hour	2	10	11,890	$120	$2.2M
S5110	Home care training, family; per 15 minutes	1	10	8,470	$120	$1M
S5111	Home care training, family; per session	1	10	11,410	$60	$653.4K
H0046	Mental health services, not otherwise specified	3	10	3,960	$10	$380.3K
97153	A technician, supervised by a physician or other qualified healthcare professional, administers adaptive behavior treatments that target conditions such as developmental disabilities associated with…	3	10	1,030	$190	$224.8K
H0031	Mental health assessment, by non-physician	1	10	2,010	$80	$153.7K
97155	The provider, a physician or other qualified healthcare professional, administers adaptive behavior treatment face–to–face with one patient and makes modifications in the protocol targets and…	3	10	410	$180	$117.3K
97151	The provider, a physician or other qualified healthcare professional, identifies the adaptive or maladaptive behavior of the patient by administering several different types of tests in person; he…	2	10	210	$140	$29.3K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Positive Behavior Supports Corporation, 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
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
Straub Clinic & Hospital	HI	Multi-Specialty Clinic/Center	$0	$8.2M

Positive Behavior Supports Corporation — Billing Profile & Reimbursement Data

Sign up for Positive Behavior Supports Corporation — Billing Profile & Reimbursement Data policy alerts

Positive Behavior Supports Corporation — Billing Profile & Reimbursement Data

Sign up for Positive Behavior Supports Corporation — 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