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.

Full Life (NPI 1851307375)

Field	Value
Entity Type	Organization
Organization	Full Life
Address	75-6082 Alii Dr Ste 8
City	Kailua Kona
State	HI
ZIP	96740
Taxonomy	Developmentally Disabled Services Day Training Agency
NPI Enumerated	August 1, 2006
NPI Deactivated	June 19, 2007

Payer Source	Total Paid
Medicaid	$11M
Medicare	$0

Key Findings

FULL LIFE reports no Medicare activity (none (no Medicare billing on file)) and $11M in lifetime Medicaid revenue, making it effectively a Medicaid-focused operation rather than a dual-payer provider. Its NPI was enumerated on 2006-08-01 (~20 years ago), indicating long tenure in the market and an established Medicaid billing history.

Revenue is highly concentrated: the top 3 Medicaid codes account for 98.2% of this provider's total Medicaid revenue, indicating that a very small set of services drive almost the entire Medicaid book of business. That concentration creates exposure to rate or utilization changes for those specific codes.

The provider’s dominant revenue engines are T2021 and 99509. T2021 (T2021 – Day habilitation, waiver; per 15 minutes) accounted for 20.2K claims, $272 avg paid/claim, $5.5M revenue (50.2% of this provider's total Medicaid revenue), and 99509 (home health/ADL visits) accounted for 14.7K claims, $352 avg paid/claim, $5.2M revenue (47.2% of this provider's total Medicaid revenue), so operations appear centered on day habilitation and frequent home-based ADL support.

Despite accounting for the majority of revenue, both T2021 and 99509 are described as “typical, unremarkable volume for this code” but rank #1 in-state (T2021: #1 of 6 providers in-state, 100th percentile; 99509: #1 of 5 providers in-state, 100th percentile). This profile indicates FULL LIFE is a leading provider for these service lines within Hawaii, yet its activity levels are not flagged as statistical extremes relative to national/state expectations for those codes.

Smaller codes make up a negligible share of revenue and appear to be secondary offerings: S5100 (1.3K claims, $65 avg paid/claim, $84.4K revenue, 0.8% of Medicaid revenue; ranks #2 of 2 providers in-state, 0th percentile) and S5135/S5115 each contribute under 1% of Medicaid revenue. These lines are operationally marginal to the provider’s financials and unlikely to materially offset changes to the top two codes.

Operationally, the mix of per-15-minute day habilitation (T2021) and frequent home-visit ADL services (99509) suggests a labor-intensive, high-frequency delivery model focused on community and home-based supports for individuals with developmental disabilities. The pairing of waiver day habilitation with ADL/home visit codes points to integrated day-program and in-home support offerings rather than facility-based inpatient care.

From a competitive standpoint, FULL LIFE’s Medicaid profile shows local market leadership for its primary services but very limited service diversification; ranking #1 for both T2021 and 99509 in-state signals a dominant position for those lines within Hawaii’s small provider set, yet the absence of Medicare activity means it has no presence in that payer channel. Analysts should view the provider as a specialized Medicaid market participant with concentrated service exposure.

Statistical notes: key high-revenue codes are characterized in the data as “typical, unremarkable volume” despite top in-state ranks, indicating that being first among a small number of providers does not equate to an extreme outlier pattern. Conversely, S5100’s 0th percentile rank signals that certain ancillary adult day care codes are minimal contributors and fall at the low end of in-state peer distribution.

Medicaid: Complete Services Breakdown

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

7 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T2021	Day habilitation, waiver; per 15 minutes	20,230	$270	$5.5M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	14,700	$350	$5.2M
S5100	Day care services, adult; per 15 minutes	1,300	$70	$84.4K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1,200	$70	$82.5K
S5115	Home care training, non-family; per 15 minutes	1,690	$50	$77.7K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	10	$3,260	$39.1K
S5111	Home care training, family; per session	50	$40	$1.9K

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

Full Life — 4 of 7 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

7 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T2021	Day habilitation, waiver; per 15 minutes	1	10	5,770	$350	$2.9M
99509	A home health provider, such as a registered nurse, or a non nursing practitioner, visits a patient to provide help with activities of daily living, or ADLs, and self care.	1	10	6,200	$350	$2.1M
S5111	Home care training, family; per session	2	10	11,410	$60	$653.4K
S5100	Day care services, adult; per 15 minutes	2	10	3,880	$70	$271K
S5115	Home care training, non-family; per 15 minutes	1	10	560	$70	$53.9K
S5135	Companion care, adult (e.g., iadl/adl); per 15 minutes	1	10	540	$80	$48K
T2033	Residential care, not otherwise specified (nos), waiver; per diem	1	10	10	$3,260	$39.1K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$46.8M
S&g Labs Hawaii LLC	HI	Clinical Medical Laboratory	$292.7K	$15.1M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9M
Mf Med Inc	HI	Pain Medicine (Anesthesiology) Physician	$0	$4.3M
Jennifer Logigian	HI	Dentist	$0	$1.8M
Transformation Health Network	HI	Urgent Care Clinic/Center	$0	$1.7M
Access Capabilities, Inc	HI	Community/Behavioral Health Agency	$0	$1.3M
Alii Health Center	HI	Multi-Specialty Clinic/Center	$0	$799.9K
Edwin Herd	HI	Pediatrics Physician	$0	$640.5K
David Kwon Jr Dds	HI	Dentist	$0	$611.1K

Full Life — Billing Profile & Reimbursement Data

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Full Life — 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