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    OpenPayerNPI Medicare & MedicaidHawaii Life Flight, LLC
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    Hawaii Life Flight, LLC — Billing Profile & Reimbursement Data

    NPI 1871006361 · Lihue, HI · Air Ambulance

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    Hawaii Life Flight, LLC is a air ambulance provider located in Lihue, Hawaii. This profile covers 2 Medicare and 2 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationHawaii Life Flight, LLC
    Address4480 Kuene St
    CityLihue
    StateHI
    ZIP96766
    TaxonomyAir Ambulance
    NPI EnumeratedNovember 7, 2017

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$458.5K
    Medicaid$370K

    Key Findings

    HAWAII LIFE FLIGHT, LLC operates as a fixed‑wing air ambulance specialist: its top Medicare and Medicaid revenue drivers are air-transport and mileage codes A0430 and A0435, consistent with a business model focused on conventional air services and statute-mile billing. For Medicare A0430 generated $351.5K (76.7% of the provider's Medicare revenue) and A0435 generated $106.7K (23.3%), while for Medicaid A0430 generated $322.6K (87.2% of the provider's Medicaid revenue) and A0435 generated $47.4K (12.8%).

    Revenue is highly concentrated in a narrow code set for both payers: the precomputed top three Medicare codes account for 100.0% of the provider's Medicare revenue, and the precomputed top three Medicaid codes account for 100.0% of the provider's Medicaid revenue. This concentration indicates the organization’s financial performance is driven almost exclusively by air transport and related mileage services rather than a broader mix of CPT/HCPCS lines.

    HAWAII LIFE FLIGHT bills meaningful but not large absolute volumes to both programs: total Medicare revenue is $458.5K while total Medicaid revenue is $370K, so the provider participates in both payers rather than operating as a single‑payer shop. The two payers are comparable in scale on the life‑time revenue totals supplied, with Medicare representing the larger single source at the figures reported.

    Payer price and claim‑count patterns differ materially by code: Medicare shows 78 claims for A0430 at an average paid per claim of $4506, whereas Medicaid shows 128 claims for A0430 at an average paid per claim of $2520, highlighting lower average Medicaid payments for the same transport code. For the mileage code A0435 Medicare reports 8.9K claims at $12 avg paid/claim while Medicaid reports 98 claims at $484 avg paid/claim, indicating very different unitization or payment structures between the two programs for mileage billing.

    Competitive standing by code is modest to low: nationally A0430 ranks #38 of 92 providers (58th percentile; typical, unremarkable volume) and A0435 ranks #68 of 92 (26th percentile; typical, unremarkable volume), which together position the provider as a non‑dominant national participant for these fixed‑wing services. Within the state, A0430 ranks #6 of 7 providers (17th percentile) and A0435 ranks #5 of 6 providers (20th percentile), signaling relatively low in‑state market share for the same top codes.

    Operationally, the dominance of A0430 revenue (76.7% of Medicare revenue and 87.2% of Medicaid revenue) implies that one‑way fixed‑wing transports are the core revenue engine, with mileage billing via A0435 representing a secondary but necessary revenue stream. This mix suggests the entity’s margins and utilization patterns will be sensitive to transport volume and payer mileage reimbursement policies.

    The provider’s NPI was enumerated on 2017-11-07 (~9 years ago), indicating several years of operational history under the current billing profile; that tenure provides a modest claims history for trend and comparative analysis. Analysts seeking longitudinal shifts should compare earlier and later periods around this enumeration date but can treat the provider as established rather than brand new.

    Both top codes are described in the source as having “typical, unremarkable volume” in their respective rank/percentile notes across payers, and no code is flagged as an extreme outlier in the provided data. That labeling aligns with the rank positions and suggests billing volumes are within expected ranges for comparable air ambulance providers rather than being statistically exceptional.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    2 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)80$4,510$351.5K
    A0435Fixed wing air mileage, per statute mile8,890$10$106.7K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    2 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A043021060$4,410$290.8K
    A043541010,200$10$114.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    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 CodeDescriptionClaimsAvg PaidRevenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)130$2,520$322.6K
    A0435Fixed wing air mileage, per statute mile100$480$47.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Hawaii median

    2 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    A0430Ambulance service, conventional air services, transport, one way (fixed wing)610270$3,580$1.8M
    A0435Fixed wing air mileage, per statute mile510230$720$228.9K

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Wilcox Memorial HospitalHIRural Acute Care Hospital$0$28M
    Kauai Medical ClinicHIMulti-Specialty Clinic/Center$0$5M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.7M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.5M
    Karin StollHIMental Health Counselor$52.7K$1.2M
    Kuhio Pediatric Dental LLCHIGeneral Practice Dentistry$0$925.9K
    Hawaiian Island Dental, Inc.HIGeneral Practice Dentistry$0$875.6K
    Toothbuds Kauai, LLCHIDentist$0$803.9K
    Stephanie Skow Md IncHIPsychiatry Physician$0$545.8K
    Mastercare IncHIIn Home Supportive Care Agency$0$522.7K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Hawaii Distribution
    Hawaii Life Flight, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii
    Medicaid Revenue by Year vs. Hawaii Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Hawaii Life Flight, LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii