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.

Easter Seals Hawaii (NPI 1568739878)

Field	Value
Entity Type	Organization
Organization	Easter Seals Hawaii
Address	710 Green St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	November 30, 2011

Payer Source	Total Paid
Medicaid	$16.8M
Medicare	$0

Key Findings

EASTER SEALS HAWAII is effectively a Medicaid-focused provider: it has no Medicare billing on file and reports Total Medicaid revenue of $16.8M. This single-payer concentration means the organization’s financial performance and payer risk are tied overwhelmingly to Medicaid policy and reimbursement changes rather than Medicare dynamics.

Revenue is highly concentrated in a small set of waiver and habilitation codes: the precomputed top 3 Medicaid codes account for 69.9% of this provider’s total Medicaid revenue, led by H2021 (30.0%), H2032 (24.6%), and T2021 (15.3%). That concentration signals dependency on a few service categories for the majority of cash flow.

The code mix and claim volumes indicate the organization operates as a day habilitation and community-based developmental-disability services agency: H2021 (Community-based wrap-around services) generated 35.5K claims and $5M revenue at $142 avg paid/claim, H2032 (Activity therapy) had 59K claims and $4.1M revenue at $70 avg paid/claim, and T2021 (Day habilitation, waiver; per 15 minutes) produced 16.8K claims and $2.6M revenue at $153 avg paid/claim. These are time- and staff-intensive, per-15-minute and program-based services consistent with Developmentally Disabled Services Day Training Agency operations.

Competitive standing within Hawaii is strong for several core codes: H2021 ranks #2 of 24 providers in-state and is described as notably above typical state volume, while H2032 ranks #2 of 14 providers and is also notably above typical state volume. T2021 ranks #2 of 6 providers in-state (80th percentile) and is a solid but less exceptional contributor, indicating the provider is a leading in-state operator for key wrap-around and activity therapy services but not universally dominant across every habilitation code.

The provider holds top statewide positions for several niche per-diem and day-care codes even where those lines contribute modest revenue: T2020 (Day habilitation, waiver; per diem) is rank #1 of 7 with $479.2K revenue (2.9% of Medicaid revenue), S5100 (Day care services, adult; per 15 minutes) is rank #1 of 2 with $458.3K revenue (2.7%), and H2016 (Comprehensive community support services, per diem) is rank #1 of 6 with $113K revenue (0.7%). These #1 rankings suggest pockets of program-level leadership or unique service offerings despite their smaller share of total revenue.

Beyond day-program codes, the provider also bills substantial in-home and attendant services, indicating a mixed delivery model: 99509 shows 9.9K claims, $194 avg paid/claim and $1.9M revenue (11.4% of Medicaid revenue) and S5125 has 10.6K claims, $156 avg paid/claim and $1.7M revenue (9.9% of Medicaid revenue). Those codes rank #2 of 5 and #4 of 17 in-state respectively, reflecting meaningful scale in both center-based and home/attendant care services.

Given its NPI enumeration date of 2011-11-30 (~15 years ago), EASTER SEALS HAWAII appears to be an established provider in the state market with sustained Medicaid activity over time. The combination of tenure plus consistent high-volume billing for key habilitation and wrap-around codes supports its profile as a mature, operationally focused developmental-disability services agency.

The provider’s heavy dependence on a few Medicaid waiver and day-habilitation codes creates operational and reimbursement concentration risk: with the top three codes making up 69.9% of Medicaid revenue, shifts in utilization, rate-setting, or program eligibility for H2021, H2032, or T2021 could materially affect overall revenue. Analysts and contracting teams should therefore prioritize monitoring of waiver policy and utilization trends for these specific codes when evaluating financial or network-risk exposure.

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
H2021	Community-based wrap-around services, per 15 minutes	35,470	$140	$5M
H2032	Activity therapy, per 15 minutes	59,020	$70	$4.1M
T2021	Day habilitation, waiver; per 15 minutes	16,810	$150	$2.6M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	9,900	$190	$1.9M
S5125	Attendant care services; per 15 minutes	10,640	$160	$1.7M
T2020	Day habilitation, waiver; per diem	520	$920	$479.2K
S5100	Day care services, adult; per 15 minutes	6,460	$70	$458.3K
H2015	Comprehensive community support services, per 15 minutes	920	$250	$230.5K
H2016	Comprehensive community support services, per diem	500	$230	$113K
T2025	Waiver services; not otherwise specified (nos)	220	$360	$78.8K

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

Easter Seals Hawaii — 4 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
H2021	Community-based wrap-around services, per 15 minutes	2	20	4,710	$400	$3.5M
S5125	Attendant care services; per 15 minutes	4	20	1,140	$640	$2.9M
T2021	Day habilitation, waiver; per 15 minutes	2	10	5,770	$350	$2.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	2	10	6,200	$350	$2.1M
H2032	Activity therapy, per 15 minutes	2	10	1,660	$110	$1.6M
H2015	Comprehensive community support services, per 15 minutes	17	30	2,300	$30	$634.2K
T2025	Waiver services; not otherwise specified (nos)	11	20	300	$220	$577K
S5100	Day care services, adult; per 15 minutes	1	10	3,880	$70	$271K
T2020	Day habilitation, waiver; per diem	1	10	270	$760	$239.4K
H2016	Comprehensive community support services, per diem	1	10	240	$300	$80.1K

Showing 1–10 of 12

Nearby Providers

Other providers in the same ZIP code as Easter Seals Hawaii, 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
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
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

Easter Seals Hawaii — Billing Profile & Reimbursement Data

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Easter Seals Hawaii — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References