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.

Lanakila Pacific (NPI 1710129945)

Field	Value
Entity Type	Organization
Organization	Lanakila Pacific
Address	1809 Bachelot St
City	Honolulu
State	HI
ZIP	96817
Taxonomy	Home Delivered Meals
NPI Enumerated	April 2, 2009

Payer Source	Total Paid
Medicaid	$11.7M
Medicare	$0

Key Findings

LANAKILA PACIFIC has no Medicare billing on file and is effectively a single-payer Medicaid provider, reporting $11.7M in lifetime Medicaid revenue with no parallel Medicare revenue stream; this concentration makes the organization highly exposed to Medicaid program rules, rates, and contracting dynamics.

Revenue is extremely concentrated: the precomputed top three Medicaid codes account for 99.5% of the provider’s total Medicaid revenue, indicating that a very small set of services drives nearly all reported receipts and creating financial dependence on those service lines.

S5170 (Home delivered meals, per meal) is the dominant revenue driver at $9.5M (81.3% of Medicaid revenue), with 38.3K claims and an average paid of $248 per claim; this code profile identifies the operation primarily as a meal-delivery program with large claim volume and mid-range per-claim payments.

H2032 (Activity therapy, per 15 minutes) is the secondary revenue source at $1.9M (15.9% of Medicaid revenue), with 29.4K claims and a $63 average paid per claim, which signals a significant parallel service line focused on client engagement/therapy rather than high-dollar per-diem services.

T2020 (Day habilitation, waiver; per diem) contributes $280.4K (2.4% of Medicaid revenue) from 273 claims at a $1,027 average paid per claim, suggesting a smaller but higher-paid per-diem program component that complements the high-volume meal and activity therapy services.

Competitive standing within Hawaii is modest: S5170 ranks #2 of 6 providers in-state at the 80th percentile and is described as typical/unremarkable volume, H2032 ranks #4 of 14 at the 77th percentile and is also typical, and T2020 ranks #4 of 7 at the 50th percentile; collectively these rankings indicate the provider is an important regional participant but not a dominant statewide leader across these codes.

There are small or minimal footprints in several ancillary community services: H2021 (Community-based wrap-around services) accounts for $28.8K (0.2% of revenue) and ranks #22 of 24 (9th percentile), indicating a very limited presence in wrap-around offerings, while H2016 (Comprehensive community support services) is also small at $24.4K (0.2%) and ranks #4 of 6 (40th percentile).

The provider’s NPI was enumerated 2009-04-02 (~17 years ago), signaling a long-tenured presence in the market; combined with the concentrated Medicaid-only revenue mix, this tenure suggests operational stability but also a reliance on a narrow set of Medicaid-funded programs for ongoing revenue.

Medicaid: Complete Services Breakdown

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

5 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5170	Home delivered meals, including preparation; per meal	38,280	$250	$9.5M
H2032	Activity therapy, per 15 minutes	29,390	$60	$1.9M
T2020	Day habilitation, waiver; per diem	270	$1,030	$280.4K
H2021	Community-based wrap-around services, per 15 minutes	520	$60	$28.8K
H2016	Comprehensive community support services, per diem	220	$110	$24.4K

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

Lanakila Pacific — 0 of 5 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

5 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2021	Community-based wrap-around services, per 15 minutes	22	20	4,710	$400	$3.5M
S5170	Home delivered meals, including preparation; per meal	2	10	4,260	$110	$2.5M
H2032	Activity therapy, per 15 minutes	4	10	1,660	$110	$1.6M
T2020	Day habilitation, waiver; per diem	4	10	270	$760	$239.4K
H2016	Comprehensive community support services, per diem	4	10	240	$300	$80.1K

Nearby Providers

Other providers in the same ZIP code as Lanakila Pacific, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$42.8M
Kalihi Palama Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$38.9M
Careresource Hawaii	HI	Home Health Agency	$0	$12.8M
Usrc Aloha LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
Kuakini Medical Center	HI	General Acute Care Hospital	$0	$10.9M
Usrc Honolulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
Ku Aloha Ola Mau	HI	Counselor	$220.5K	$5.8M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Coastal Medical Supply, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$4.7M

Lanakila Pacific — Billing Profile & Reimbursement Data

Sign up for Lanakila Pacific — Billing Profile & Reimbursement Data policy alerts

Lanakila Pacific — Billing Profile & Reimbursement Data

Sign up for Lanakila Pacific — 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