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 House, Inc. (NPI 1972647477)

Aloha House, Inc. is a mental health counselor provider located in Kahului, Hawaii. This profile covers 0 Medicare and 18 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Aloha House, Inc.
Address	135 S Wakea Ave Ste 201
City	Kahului
State	HI
ZIP	96732
Taxonomy	Mental Health Counselor
NPI Enumerated	February 16, 2007

Payer Source	Total Paid
Medicaid	$4.5M
Medicare	$0

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	27,610	$80	$2.2M
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	16,690	$60	$1M
90833	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient, in addition to an evaluation and management service in the…	17,690	$40	$619.1K
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	1,240	$200	$248.8K
99215	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…	3,690	$50	$184.6K
H2015	Comprehensive community support services, per 15 minutes	22,940	$1	$45.9K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	1,450	$30	$44.9K
90836	In this add–on service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient in addition to an evaluation and management service in the…	740	$50	$33.1K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	1,920	$20	$30.8K
H2011	Crisis intervention service, per 15 minutes	60	$350	$19.6K

Showing 1–10 of 18

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 House, Inc. — 4 of 16 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

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
H2011	Crisis intervention service, per 15 minutes	4	10	4,710	$340	$2.2M
H0019	Behavioral health; long‑term residential (non‑medical, non‑acute care in a residential treatment program where stay is typically longer than 30 days), without room and board, per diem	4	10	2,210	$190	$1.3M
H2015	Comprehensive community support services, per 15 minutes	8	30	2,300	$30	$634.2K
90832	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	50	70	370	$150	$457.3K
H0015	Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan), including…	8	10	2,220	$60	$300.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	243	710	650	$90	$274.1K
99214	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…	18	690	650	$90	$235.4K
H0044	Supported housing, per month	13	10	610	$190	$167.1K
90834	In this service, the provider performs psychotherapy, a series of techniques for treating the psychiatric disorders of the patient. The treatment session with the patient typically lasts for anywhere…	57	80	320	$100	$119.2K
90837	In this service, the provider performs psychotherapy, a series of technique for treating the psychiatric disorders of the patient. The treatment session typically lasts for a minimum of 53 minutes or…	1	440	500	$90	$116.1K

Showing 1–10 of 18

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Americare Hawaii, Incorporated	HI	In Home Supportive Care Agency	$0	$4.7M
Hale Mahaolu	HI	Home Delivered Meals	$0	$3.7M
Americare Hawaii, LLC	HI	Home Health Agency	$0	$3.2M
Maui Cardiology, Ltd.	HI	Cardiovascular Disease Physician	$0	$2.3M
Gammie Homecare, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Pedodontic Associates Inc	HI	Pediatric Dentistry	$0	$1.4M
Pediatric Therapies Hawaii	HI	Pediatric Physical Therapist	$0	$1.4M
Aloha Dermatology And Laser Center LLC	HI	Dermatology Physician	$0	$1.3M
Anamcara Care Hawaii Inc	HI	In Home Supportive Care Agency	$0	$1.3M
Aloha Surgical Center LLC	HI	Ambulatory Surgical Clinic/Center	$826.3K	$247K

Aloha House, Inc. — Billing Profile & Reimbursement Data

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Aloha House, Inc. — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Neal Campbell	HI	Clinical Social Worker	$0	$370.5K
Aloha House, Inc.	HI	Substance Abuse Rehabilitation Facility	$0	$145.9K
Patricia Lynn	HI	Marriage & Family Therapist	$0	$96.6K