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.

Preferred Home & Community Based Services, Inc. (NPI 1538438544)

Field	Value
Entity Type	Organization
Organization	Preferred Home & Community Based Services, Inc.
Address	94-412 Maikoiko Street
City	Waipahu
State	HI
ZIP	96797
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 20, 2011

Payer Source	Total Paid
Medicaid	$66.9M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-centric organization with $66.9M in lifetime Medicaid revenue and no Medicare billing on file; Medicaid is the sole payor driving its reported revenue streams. The absence of Medicare activity indicates the entity operates almost entirely within state Medicaid programs rather than fee-for-service Medicare markets.

Revenue is highly concentrated in a very small set of service lines: the top three Medicaid codes (T2016, S5140, H2021) account for 97.0% of this provider's total Medicaid revenue. In particular, T2016 generated $45.9M revenue (68.6% of this provider's total Medicaid revenue), S5140 generated $13.1M revenue (19.6%), and H2021 generated $5.9M revenue (8.8%), highlighting a dependence on a few high-revenue codes.

The code mix (T2016 – habilitation, residential, waiver per diem; S5140 – foster care, adult per diem; and H2021 – community-based wrap-around services per 15 minutes) indicates the provider operates primarily as a residential and foster-care-focused developmental disabilities services agency with supplemental wrap-around behavioral or care coordination billed in short time increments. This combination suggests a business model centered on per-diem residential supports supplemented by billed episodic or time-based community services rather than high-volume clinic- or procedure-based care.

Competitive standing varies by code: for T2016 the provider ranks #3 of 9 in-state at the 75th percentile, described as typical or unremarkable volume for that code, so it is a meaningful but not dominant residential habilitation provider in-state. By contrast, for S5140 it ranks #1 of 7 in-state at the 100th percentile and is labeled notably above typical state volume, identifying the provider as a state-leading operator in adult foster-care per-diem services.

H2021 activity (7K claims, $846 avg paid/claim, $5.9M revenue) places the provider at #9 of 24 in-state (65th percentile), which is consistent with a modest, typical participant in community-based wrap-around services rather than a leading specialist in that time-based modality. The presence of both per-diem and per-15-minute billing patterns implies operational capabilities for both sustained residential placements and shorter-duration community supports.

The provider has maintained an active NPI since 2011-12-20 (~15 years ago), indicating an established tenure in the market that aligns with sizeable cumulative Medicaid receipts. Longevity combined with top-state ranking for S5140 suggests sustained specialization in adult foster-care services over time.

Smaller codes collectively represent minimal diversification: H2032 produced $1.1M revenue (1.6% of total Medicaid revenue), S5125 produced $784.3K revenue (1.2%), and H2015 produced $80.6K revenue (0.1%), with these codes generally ranking in the middle to lower percentiles statewide. This shallow tail of ancillary service revenue implies the provider relies heavily on its three principal lines and has limited revenue contribution from a broader set of Medicaid service categories.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2016	Habilitation, residential, waiver; per diem	10,390	$4,420	$45.9M
S5140	Foster care, adult; per diem	2,870	$4,570	$13.1M
H2021	Community-based wrap-around services, per 15 minutes	6,950	$850	$5.9M
H2032	Activity therapy, per 15 minutes	1,220	$890	$1.1M
S5125	Attendant care services; per 15 minutes	930	$850	$784.3K
H2015	Comprehensive community support services, per 15 minutes	880	$90	$80.6K
T2025	Waiver services; not otherwise specified (nos)	300	$100	$28.6K

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

Preferred Home & Community Based Services, Inc. — 1 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	3	10	2,740	$1,170	$8.6M
H2021	Community-based wrap-around services, per 15 minutes	9	20	4,710	$400	$3.5M
S5140	Foster care, adult; per diem	1	10	340	$4,170	$3.2M
S5125	Attendant care services; per 15 minutes	10	20	1,140	$640	$2.9M
H2032	Activity therapy, per 15 minutes	9	10	1,660	$110	$1.6M
H2015	Comprehensive community support services, per 15 minutes	18	30	2,300	$30	$634.2K
T2025	Waiver services; not otherwise specified (nos)	8	20	300	$220	$577K

Nearby Providers

Other providers in the same ZIP code as Preferred Home & Community Based Services, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Bayada Home Care	HI	Developmentally Disabled Services Day Training Agency	$0	$33.3M
Hawaii Health Services, Inc.	HI	Home Health Agency	$0	$29.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.4M
Dsi Waipahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.7M
Blue Water Resources	HI	Case Management Agency	$0	$5.7M
Family Services Of Oahu,llc	HI	Developmentally Disabled Services Day Training Agency	$0	$4.9M
Loving Care Health Provider, Inc.	HI	In Home Supportive Care Agency	$0	$4.2M
Leeward Pedodontix, LLC	HI	Pediatric Dentistry	$0	$4.1M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$2.8M
Triple Ace Venture Capital Corp.	HI	In Home Supportive Care Agency	$0	$2.4M

Preferred Home & Community Based Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Preferred Home & Community Based Services, Inc. — Billing Profile & Reimbursement Data policy alerts

Preferred Home & Community Based Services, Inc. — Billing Profile & Reimbursement Data

Sign up for Preferred Home & Community Based Services, Inc. — 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