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.

Care Hawaii, Inc. (NPI 1770603425)

Field	Value
Entity Type	Organization
Organization	Care Hawaii, Inc.
Address	197 Sand Island Access Rd Ste 201d
City	Honolulu
State	HI
ZIP	96819
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	March 29, 2007

Payer Source	Total Paid
Medicaid	$11.8M
Medicare	$0

Key Findings

CARE HAWAII, INC. is effectively a Medicaid-focused provider with no Medicare billing on file and $11.8M in lifetime Medicaid revenue; the absence of Medicare activity indicates payer concentration risk and that analyses of revenue drivers should be interpreted in a single-payer (Medicaid) context.

Revenue is highly concentrated: the precomputed top three Medicaid codes (H2012, H2011, H0018) together account for 80.6% of this provider's total Medicaid revenue, led by H2012 at $4.3M (36.0%), followed by H2011 at $2.7M (22.5%) and H0018 at $2.6M (22.1%).

The code mix points to an intensive community behavioral health operation: H2012 (behavioral health day treatment, per hour), H2011 (crisis intervention, per 15 minutes) and H0018 (short-term residential, per diem) dominate revenue, suggesting primary service lines are day treatment, crisis services, and short-term residential programming rather than office-based primary care.

Competitive standing on the high-volume codes is mixed and must be read in the context of small in-state provider sets: H2012 ranks #1 of 3 providers in-state (100th percentile; characterized as typical/unremarkable volume), H2011 ranks #2 of 4 (67th percentile), and H0018 ranks #2 of 2 (0th percentile). These ranks imply CARE HAWAII leads or is a top participant among a small number of peers, but statewide comparisons are volatile given the limited provider pool.

Several ancillary and supportive service lines are notably above typical state volumes despite representing smaller revenue shares: H0044 (supported housing) is $550.6K and ranks #1 of 14 (100th percentile; notably above typical), H2015 (comprehensive community support services) is $94.1K and ranks #2 of 31 (97th percentile; notably above typical), and Q3014 (telehealth originating site fee) is $75.3K and ranks #2 of 29 (96th percentile; notably above typical), indicating above-peer strength in housing supports, community supports, and telehealth enabling services.

Clinical psychotherapy and E/M activity are present alongside the core behavioral/residential mix: 90833 generated $234K (2.0% of Medicaid revenue) and ranks #3 of 85 (98th percentile; notably above typical), while 99213 and 99214 together contribute modestly ($182.2K and $154.3K respectively) and rank in the 90s percentile for in-state peers. This suggests integration of structured psychotherapy and outpatient evaluation/management into the provider's community behavioral health offerings.

Operational outreach activity is prominent on volume metrics but not on paid revenue: H0023 shows 23.9K claims with $0 avg paid/claim and $0 revenue, and ranks #1 of 13 providers in-state (100th percentile; notably above typical). The high claim count with no associated paid revenue in the dataset points to substantial outreach/engagement activity that may be funded or recorded outside traditional Medicaid paid-claim lines.

CARE HAWAII's NPI has been enumerated since 2007-03-29 (~19 years ago), indicating long tenure in the market; combined with the concentrated Medicaid revenue mix and above-peer strengths in supported housing and telehealth, this tenure supports a profile of an established community behavioral health agency with deep Medicaid-dependent service lines.

Medicaid: Complete Services Breakdown

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

20 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2012	Behavioral health day treatment, per hour	38,710	$110	$4.3M
H2011	Crisis intervention service, per 15 minutes	9,150	$290	$2.7M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	12,980	$200	$2.6M
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	9,510	$80	$770.1K
H0044	Supported housing, per month	3,700	$150	$550.6K
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	10,170	$20	$234K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	8,680	$20	$182.2K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	4,820	$30	$154.3K
H2015	Comprehensive community support services, per 15 minutes	94,100	$1	$94.1K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	2,140	$40	$89.8K

Showing 1–10 of 20

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

Care Hawaii, Inc. — 6 of 19 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

20 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	2	10	17,780	$210	$3.7M
H2012	Behavioral health day treatment, per hour	1	10	11,890	$120	$2.2M
H2011	Crisis intervention service, per 15 minutes	2	10	4,710	$340	$2.2M
H2015	Comprehensive community support services, per 15 minutes	2	30	2,300	$30	$634.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	61	70	370	$150	$457.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	2	10	2,220	$60	$300.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	52	710	650	$90	$274.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	73	690	650	$90	$235.4K
H0044	Supported housing, per month	1	10	610	$190	$167.1K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	165	440	500	$90	$116.1K

Showing 1–10 of 20

Related Providers

Other providers that share a Tax Identification Number (TIN) with Care Hawaii, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Joseph Giannasio	HI	Psychiatry Physician	$9.1K	$0
Nidhi Chabora	HI	Psychiatric/Mental Health Nurse Practitioner	$7.2K	$0

Nearby Providers

Other providers in the same ZIP code as Care Hawaii, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kaiser Foundation Hospitals	HI	General Acute Care Hospital	$0	$76.5M
Hawaii Permanente Medical Group Inc	HI	Health Maintenance Organization	$0	$75.8M
Procare Pharmacy, L.L.C.	HI	Specialty Pharmacy	$0	$41.8M
Value Drug Ltd	HI	Pharmacy	$0	$21.7M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$10M
Hawaii Life Flight, LLC	HI	Air Ambulance	$636.1K	$8.5M
City And County Of Honolulu	HI	Land Ambulance	$3.3M	$5.3M
Keiki Dental Specialists	HI	Pediatric Dentistry	$0	$5.7M
Kokua Kalihi Valley Comprehensive Family Services	HI	Federally Qualified Health Center (FQHC)	$0	$2M
Imua Medical Equipment And Supplies,llc	HI	Durable Medical Equipment & Medical Supplies	$0	$1.7M

Care Hawaii, Inc. — Billing Profile & Reimbursement Data

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Care Hawaii, Inc. — 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

Related Providers

Nearby Providers

Frequently Asked Questions

References