Loading...
NPI 1912410416 · Kailua Kona, HI · Air Ambulance
Customize your policy alerts
Get alerted when relevant policies change without checking for updates manually.
Monitor payer policy activity
Hawaii Life Flight, LLC is a air ambulance provider located in Kailua Kona, 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)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Hawaii Life Flight, LLC |
| Address | 73-990 Kukuinui St |
| City | Kailua Kona |
| State | HI |
| ZIP | 96740 |
| Taxonomy | Air Ambulance |
| NPI Enumerated | November 7, 2017 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $507.4K |
| Medicaid | $54.4K |
HAWAII LIFE FLIGHT, LLC bills exclusively as an air ambulance operator: its top revenue-driving codes are A0431 (rotary wing one-way transports) and A0436 (rotary wing air mileage), indicating the business is focused on helicopter transport services where both transport events and mileage are billed separately. The presence of large counts on A0436 in Medicare suggests frequent mileage billing alongside fewer discrete A0431 transports.
Medicare revenue is concentrated entirely in a small set of transport/mileage codes: the precomputed top-3 Medicare codes account for 100.0% of the provider's Medicare revenue, with A0431 generating $278.4K (55.1% of Medicare revenue) and A0436 generating $226.5K (44.9% of Medicare revenue). This concentration underscores that all Medicare activity is driven by rotary-wing transport and mileage services rather than other ancillary codes.
Medicaid billing is similarly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of Medicaid revenue, with A0431 responsible for $39.2K (72.0% of Medicaid revenue) and A0436 for $15.2K (28.0% of Medicaid revenue). Medicaid revenue is therefore driven by the same two rotary-wing service lines, reinforcing a narrow Medicaid service mix focused on air transport and mileage.
The payer mix is heavily weighted toward Medicare in scale: lifetime Medicare revenue of $507.4K vastly exceeds lifetime Medicaid revenue of $54.4K, indicating that Medicare is the dominant payer by dollars for this provider. Medicaid activity exists but is a much smaller portion of lifetime billed revenue, so analyses of overall financial exposure should prioritize Medicare dynamics.
Competitive standing is mixed: for Medicare A0436 the provider ranks #118 of 348 nationally (66th percentile) and is described as having typical, unremarkable volume, suggesting a modestly above-median presence nationally on mileage billing; by contrast A0431 ranks #296 of 348 (15th percentile) with typical, unremarkable volume, indicating relatively low national rank on rotary-wing transport events. For Medicaid both A0431 and A0436 rank #1 of 1 in-state with a 0th percentile label and "no state peer volume comparison available," so this provider appears to be the sole in-state reporter in the Medicaid data rather than a demonstrated statewide volume leader.
Observed average payments per claim differ notably between payers and codes: Medicare reports A0431 at $5253 avg paid/claim and A0436 at $31 avg paid/claim, while Medicaid reports A0431 at $2449 avg paid/claim and A0436 at $953 avg paid/claim. These cross-payer contrasts—combined with large Medicare claim counts on A0436 (7.3K claims) versus small Medicaid claim counts (16 claims)—suggest differences in how units are billed or aggregated between payers, which should be reviewed when reconciling utilization patterns.
The provider has an established NPI tenure, enumerated on 2017-11-07 (~9 years ago), indicating multiple years of reported activity to evaluate trends and year-over-year changes in both Medicare and Medicaid air-ambulance billing. Given the narrow code mix and consistent presence in the dataset across payers, historical trend analysis on A0431 and A0436 will capture the vast majority of this entity's billing behavior.
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 2 CPT/HCPCS codes.
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
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
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
Other providers in the same ZIP code as Hawaii Life Flight, LLC, ranked by combined Medicare and Medicaid revenue.
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.