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.

Alpha Care Hawaii LLC (NPI 1861935793)

Field	Value
Entity Type	Organization
Organization	Alpha Care Hawaii LLC
Address	1289 Kilauea Ave
City	Hilo
State	HI
ZIP	96720
Taxonomy	In Home Supportive Care Agency
NPI Enumerated	November 25, 2016

Payer Source	Total Paid
Medicaid	$5.9M
Medicare	$0

Key Findings

ALPHA CARE HAWAII LLC has no Medicare billing on file and is effectively a single-payer Medicaid operator, reporting Total Medicaid revenue: $5.9M. The absence of Medicare claims suggests the organization’s commercial footprint is concentrated in state Medicaid long-term services and supports rather than fee-for-service Medicare markets.

Revenue is highly concentrated in a narrow set of service codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, with the two listed codes alone representing the full reported Medicaid revenue. S5130 accounts for 52.0% and S9122 accounts for 48.0% of Medicaid revenue, indicating near-total dependence on personal-care and aide services.

The service-line mix — dominated by S5130 (Homemaker service, per 15 minutes) and S9122 (Home health aide or certified nurse assistant, per hour) — is consistent with an in-home supportive care agency model focused on homemaker/personal care and direct caregiver hours. High claim volumes (S5130: 31.8K claims, S9122: 19.1K claims) and the billing modalities (per‑15‑minute vs per‑hour units) suggest operations organized around many short-duration homemaker visits plus substantial hourly aide time.

Unit economics differ between the two dominant codes: S5130 reports $96 avg paid/claim across 31.8K claims for $3M revenue, while S9122 reports $147 avg paid/claim across 19.1K claims for $2.8M revenue. Those averages reflect the expected pricing difference between per‑15‑minute homemaker units and per‑hour aide units and explain how similar revenue totals can arise from different claim counts and service durations.

Competitive standing within Hawaii is mixed by code: for S5130 the provider ranks #4 of 83 in-state (96th percentile) and is described as notably above typical state volume, indicating a dominant or major presence for homemaker services. For S9122 the provider ranks #14 of 67 (80th percentile) with a “typical, unremarkable volume” label, characterizing it as a solid but not leading participant in the home health aide segment.

The concentration of 100.0% of Medicaid revenue in the top codes creates operational and reimbursement risk: reliance on two Medicaid service lines means changes in state policy, code rates, or authorization practices for homemaker or aide services could materially affect overall revenue. This concentration also implies limited diversification across other Medicaid service categories or payers.

Tenure data show the NPI was enumerated on 2016-11-25 (~10 years ago), indicating the provider has been active long enough to establish steady Medicaid billing patterns and build scale in the in-home supportive care market. That tenure, combined with the high rank on S5130, suggests the organization has established operational capacity and claimant volume in HILO and statewide Medicaid networks.

Medicaid: Complete Services Breakdown

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

2 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S5130	Homemaker service, nos; per 15 minutes	31,750	$100	$3M
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	19,110	$150	$2.8M

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

Alpha Care Hawaii LLC — 1 of 2 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

2 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
S9122	Home health aide or certified nurse assistant, providing care in the home; per hour	14	70	5,120	$130	$1.2M
S5130	Homemaker service, nos; per 15 minutes	4	80	5,320	$90	$776.6K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$51.2M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.3M
Metropacific Group, Corp	HI	Developmentally Disabled Services Day Training Agency	$0	$13.3M
Triple Ace Venture Capital, Corp.	HI	In Home Supportive Care Agency	$0	$10.5M
Whchc - Hawaii Island Community Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$8.1M
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$7.1M
Hilo Urgent Care Center, LLC	HI	Urgent Care Clinic/Center	$0	$6.5M
Mastercare Inc	HI	In Home Supportive Care Agency	$0	$5.4M
Americare Hawaii Incorporated	HI	In Home Supportive Care Agency	$0	$3.7M
Garret K. Uehara, Dds Inc. Dba	HI	General Practice Dentistry	$0	$3.6M

Alpha Care Hawaii LLC — Billing Profile & Reimbursement Data

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Alpha Care Hawaii LLC — 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