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.

Aloha Habilitation Services, Inc. (NPI 1831427608)

Field	Value
Entity Type	Organization
Organization	Aloha Habilitation Services, Inc.
Address	100 Kahelu Avenue
City	Mililani
State	HI
ZIP	96789
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	December 6, 2009

Payer Source	Total Paid
Medicaid	$8M
Medicare	$0

Key Findings

This provider is effectively single-payer: Total Medicare revenue is none (no Medicare billing on file) while Total Medicaid revenue is $8M, indicating all recorded public-billing activity is Medicaid-driven. The NPI was enumerated 2009-12-06 (~17 years ago), so the organization appears to be an established Medicaid-focused operator rather than a mixed Medicare/Medicaid provider.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 98.5% of this provider's total Medicaid revenue, with H2021 at 52.2%, T2016 at 38.3%, and S5125 at 8.1% as the dominant line items. That concentration means business performance will be closely tied to reimbursement and utilization trends for those three service types.

The code mix signals a developmental disabilities services provider focused on community and residential habilitation: H2021 (community-based wrap-around services, per 15 minutes) and T2016 (habilitation, residential, waiver; per diem) together drive the bulk of revenue, and S5125 (attendant care services; per 15 minutes) provides supplemental support services. These codes are consistent with an operation delivering residential habilitation and community support/attendant care under waiver programs rather than episodic medical or Medicare-style services.

H2021 is the single largest revenue source at $4.2M with 4.8K claims and an average paid/claim of $874; the provider ranks #12 of 24 providers in-state (52th percentile; typical, unremarkable volume for this code). That ranking places the organization near the median statewide for community-based wrap-around services, indicating it is a stable but not dominant participant in that statewide market segment.

T2016 is the second-largest line at $3.1M from 2.7K claims with an average paid/claim of $1119; the provider ranks #5 of 9 providers in-state (50th percentile; typical, unremarkable volume for this code). Given the small denominator (9 statewide residential-waiver billers), a mid-rank position suggests the provider operates a mid-sized residential habilitation program within the state’s waiver landscape.

S5125 contributes $650K from 636 claims at an average paid/claim of $1022 and ranks #11 of 17 providers in-state (38th percentile; typical, unremarkable volume for this code). This places the provider below the state median on attendant care volume, indicating attendant care is an important but secondary revenue stream relative to its residential and wrap-around services.

Other listed Medicaid codes are de minimis relative to the top three: H2015 reported $77.9K (1.0% of total Medicaid revenue), T2025 $27.4K (0.3%), and S5150 $11.5K (0.1%). These small amounts reinforce the operational focus on H2021/T2016/S5125 and underscore concentration risk if reimbursement or utilization for those primary waiver and community services shifts.

Because the entity has been enumerated since 2009-12-06 (~17 years ago) and shows no Medicare activity, strategic exposure is concentrated to state Medicaid policy, waiver program rules, and managed Medicaid contracting. Analysts should treat changes in state waiver rates, service definitions for H2021/T2016, or network decisions by Medicaid plans as the primary levers that could materially affect this provider's revenue base.

Medicaid: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
H2021	Community-based wrap-around services, per 15 minutes	4,780	$870	$4.2M
T2016	Habilitation, residential, waiver; per diem	2,740	$1,120	$3.1M
S5125	Attendant care services; per 15 minutes	640	$1,020	$650K
H2015	Comprehensive community support services, per 15 minutes	700	$110	$77.9K
T2025	Waiver services; not otherwise specified (nos)	230	$120	$27.4K
S5150	Unskilled respite care, not hospice; per 15 minutes	20	$550	$11.5K

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

Aloha Habilitation Services, Inc. — 0 of 6 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

6 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2016	Habilitation, residential, waiver; per diem	5	10	2,740	$1,170	$8.6M
H2021	Community-based wrap-around services, per 15 minutes	12	20	4,710	$400	$3.5M
S5125	Attendant care services; per 15 minutes	11	20	1,140	$640	$2.9M
H2015	Comprehensive community support services, per 15 minutes	19	30	2,300	$30	$634.2K
T2025	Waiver services; not otherwise specified (nos)	9	20	300	$220	$577K
S5150	Unskilled respite care, not hospice; per 15 minutes	3	10	100	$150	$337.2K

Nearby Providers

Other providers in the same ZIP code as Aloha Habilitation Services, Inc., 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	$10.3M
Jnm Medical LLC	HI	Durable Medical Equipment & Medical Supplies	$0	$1.4M
Hope Inc	HI	Exclusive Provider Organization	$0	$1.3M
Longs Drug Stores California LLC	HI	Community/Retail Pharmacy	$356.2K	$26.8K
Complete Dermatology	HI	Dermatology Physician	$0	$379K
Fields Psychiatric Consultants LLC	HI	Community/Behavioral Health Agency	$0	$298.7K
Yonie Herrera	HI	Mental Health Counselor	$0	$231.1K
Carlos Omphroy	HI	Ophthalmology Physician	$185.5K	$0
Suzanna Grima	HI	Dermatology Physician	$172K	$0
Longs Drug Stores California LLC	HI	Pharmacy	$155.2K	$3.3K

Aloha Habilitation Services, Inc. — Billing Profile & Reimbursement Data

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Aloha Habilitation 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