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    OpenPayerNPI Medicare & MedicaidAll Island Case Management Corporation
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    All Island Case Management Corporation — Billing Profile & Reimbursement Data

    NPI 1699164780 · Honolulu, HI · Case Management Agency

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    All Island Case Management Corporation is a case management agency provider located in Honolulu, Hawaii. This profile covers 0 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationAll Island Case Management Corporation
    Address1188 Bishop St
    CityHonolulu
    StateHI
    ZIP96813
    TaxonomyCase Management Agency
    NPI EnumeratedJanuary 13, 2015

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$7.3M
    Medicare$0

    Key Findings

    Service-line profile: The provider’s billing is concentrated in case management and waiver support services, as reflected by the dominant codes T2022 (Case management, per month) and T2025 (Waiver services; not otherwise specified). This code mix is consistent with an organization that delivers ongoing care coordination and Medicaid waiver program management rather than episodic clinical procedures or evaluation-and-management services.

    Revenue concentration: Medicaid revenue of $7.3M is almost entirely driven by two codes: T2022 accounts for $4.9M (68.0% of this provider's total Medicaid revenue) and T2025 accounts for $2.3M (32.0% of this provider's total Medicaid revenue). Precomputed summary notes that the top 3 codes account for 100.0% of this provider’s Medicaid revenue, indicating extremely high revenue concentration in a very narrow set of services.

    Payer mix: This entity is effectively single-payer at the federal program level — there is no Medicare billing on file while Medicaid accounts for the provider’s entire reported lifetime revenue ($7.3M). Analysts should treat Medicaid policy and waiver program changes as the primary external risk drivers for the business.

    Competitive standing in-state: For its core services the provider is a major in-state participant — T2022 ranks #2 of 23 providers in Hawaii at the 95th percentile and T2025 ranks #2 of 15 providers at the 93th percentile. Those rankings, combined with the revenue shares above, place the organization among the top statewide suppliers of monthly case management and waiver services.

    Claim volume and unit economics: Activity levels are substantial for a case management agency, with 13.8K claims for T2022 at an average paid per claim of $358 and 8K claims for T2025 at an average paid per claim of $290. These volumes and per-claim payment levels underline a high-throughput, recurring-revenue operational model tied to monthly service delivery.

    Statistical outlier signals: Both principal codes are described as "notably above typical state volume for this code," which marks the provider as an outlier in utilization for these services. From an analytic perspective, this suggests above-average market share or operational scale in Hawaii’s Medicaid case-management and waiver service segments.

    Tenure and stability: The NPI was enumerated on 2015-01-13 (~11 years ago), indicating the organization has been established for about a decade; combined with multi-year Medicaid revenue accumulation ($7.3M) this suggests a sustained operating presence rather than a recent entrant.

    Business risk and concentration implications: Given that 100.0% of Medicaid revenue is captured by the top billing codes and there is no Medicare revenue, the provider faces concentrated exposure to changes in Medicaid reimbursement, waiver program rules, or state contracting decisions. Diversification away from these two codes or expansion into other payers would materially reduce revenue concentration risk.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    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 CodeDescriptionClaimsAvg PaidRevenue
    T2022Case management, per month13,810$360$4.9M
    T2025Waiver services; not otherwise specified (nos)8,010$290$2.3M

    Medicaid: Competitive Analysis & Benchmarks

    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

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    T2022Case management, per month2201,640$280$990.2K
    T2025Waiver services; not otherwise specified (nos)220300$220$577K

    Nearby Providers

    Other providers in the same ZIP code as All Island Case Management Corporation, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Queens Medical CenterHIGeneral Acute Care Hospital$0$200M
    Straub Clinic & HospitalHIGeneral Acute Care Hospital$0$45.6M
    State Of Hawaii Dept. Of Health Adult Mental Health DivisionHICommunity/Behavioral Health Agency$0$29.3M
    Positive Behavior Supports CorporationHICommunity/Behavioral Health Agency$0$26.4M
    Easter Seals HawaiiHIDevelopmentally Disabled Services Day Training Agency$0$16.8M
    The Emergency Group, Inc.HIEmergency Medicine Physician$0$15M
    Hawaii Dental Group, Inc.HIGeneral Practice Dentistry$0$12.4M
    The Queen's Medical CenterHIGeneral Acute Care Hospital$0$10.3M
    Hawaii Home Care IncHINursing Care Agency$0$9.3M
    Evergreen Adult Day CareHIAdult Day Care Clinic/Center$0$8.9M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    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.

    Medicaid Revenue by Year vs. Hawaii Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    All Island Case Management Corporation — 1 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii