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.

Hawaii Health Services, Inc. (NPI 1780953398)

Field	Value
Entity Type	Organization
Organization	Hawaii Health Services, Inc.
Address	94-422 Uke'e Street, Bay 1
City	Waipahu
State	HI
ZIP	96797
Taxonomy	Home Health Agency
NPI Enumerated	December 28, 2011

Payer Source	Total Paid
Medicaid	$29.4M
Medicare	$0

Key Findings

HAWAII HEALTH SERVICES, INC. is effectively a single-payer Medicaid operator: there is no Medicare billing on file, while total Medicaid revenue is $29.4M. The absence of Medicare activity indicates the organization’s revenue and service footprint are concentrated entirely in state Medicaid programs rather than dual-eligible or Medicare markets.

Revenue is highly concentrated in a very small set of service codes: the precomputed top three Medicaid codes account for 92.8% of the provider’s total Medicaid revenue, driven by H2021, S5125, and T2016. Individually these are H2021 $14.2M (48.2% of total), S5125 $11M (37.2%), and T2016 $2.2M (7.3%), highlighting a narrow revenue base focused on a few high-value Medicaid service lines.

The code mix points to a community-based long-term support and personal care operation: H2021 (community-based wrap-around services) and S5125 (attendant care services) together comprise the majority of revenue, while T2016 (habilitation, residential, waiver) shows a smaller but material residential habilitation component. This mix is consistent with an agency delivering wrap‑around care, attendant/personal care, and some residential waiver habilitation rather than acute medical or Medicare-driven home health services.

HAWAII HEALTH SERVICES’ competitive standing on its largest code H2021 is mid-pack in-state: it ranks #13 of 24 providers (48th percentile) and is described as having typical, unremarkable volume for that code. That placement suggests it is a meaningful but not dominant provider of community-based wrap-around services within Hawaii.

For attendant care S5125 the provider ranks #7 of 17 (63th percentile), indicating a stronger-than-median position in-state for attendant/personal care, though still not among the top statewide leaders. The characterization provided explicitly calls this a typical, unremarkable volume even as the percentile positions it above the median.

By contrast, the provider’s footprint in residential habilitation (T2016) is limited: T2016 ranks #8 of 9 providers (13th percentile) and is labeled typical, unremarkable volume, signaling a relatively small market share in waiver residential habilitation compared with statewide peers. This low percentile underlines that residential services are a minor competitive area for the organization.

Smaller ancillary service lines collectively form a long tail beneath the top three: H2032 $1M (3.4%), S5140 $711.7K (2.4%), S5150 $155K (0.5%), H2015 $125.2K (0.4%), T2025 $112.9K (0.4%), and 98960 $5.2K (0.0%). These codes are all described as typical, unremarkable volumes with modest state rankings (e.g., H2032 #12 of 14, S5140 #6 of 7, 98960 #5 of 5), indicating limited diversification beyond the core wrap-around and attendant care services.

The provider has an established tenure in the Medicaid market, with its NPI enumerated on 2011-12-28 (~15 years ago), which aligns with the multi‑million-dollar lifetime Medicaid revenue and suggests operational stability in its service niches. Combined with the concentrated revenue mix, this tenure implies a stable, focused business rather than a rapidly scaling or broadly diversified Medicaid provider.

Medicaid: Complete Services Breakdown

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

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	4,640	$3,060	$14.2M
S5125	Attendant care services; per 15 minutes	1,850	$5,930	$11M
T2016	Habilitation, residential, waiver; per diem	540	$3,980	$2.2M
H2032	Activity therapy, per 15 minutes	700	$1,450	$1M
S5140	Foster care, adult; per diem	150	$4,680	$711.7K
S5150	Unskilled respite care, not hospice; per 15 minutes	100	$1,600	$155K
H2015	Comprehensive community support services, per 15 minutes	400	$310	$125.2K
T2025	Waiver services; not otherwise specified (nos)	230	$490	$112.9K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	40	$130	$5.2K

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

Hawaii Health Services, Inc. — 0 of 9 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

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	8	10	2,740	$1,170	$8.6M
H2021	Community-based wrap-around services, per 15 minutes	13	20	4,710	$400	$3.5M
S5140	Foster care, adult; per diem	6	10	340	$4,170	$3.2M
S5125	Attendant care services; per 15 minutes	7	20	1,140	$640	$2.9M
H2032	Activity therapy, per 15 minutes	12	10	1,660	$110	$1.6M
H2015	Comprehensive community support services, per 15 minutes	21	30	2,300	$30	$634.2K
T2025	Waiver services; not otherwise specified (nos)	10	20	300	$220	$577K
S5150	Unskilled respite care, not hospice; per 15 minutes	2	10	100	$150	$337.2K
98960	A nonphysician qualified healthcare professional uses a standard curriculum to educate a patient about their disease or disorder and how to manage it more effectively. This code represents each 30…	5	10	550	$120	$91.5K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Home & Community Based Services, Inc.	HI	Developmentally Disabled Services Day Training Agency	$0	$66.9M
Bayada Home Care	HI	Developmentally Disabled Services Day Training Agency	$0	$33.3M
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

Hawaii Health Services, Inc. — Billing Profile & Reimbursement Data

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Hawaii Health Services, 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

Nearby Providers

Frequently Asked Questions

References