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.

State Of Hawaii Dept. Of Health Adult Mental Health Division (NPI 1972866028)

Field	Value
Entity Type	Organization
Organization	State Of Hawaii Dept. Of Health Adult Mental Health Division
Address	1250 Punchbowl St
City	Honolulu
State	HI
ZIP	96813
Taxonomy	Community/Behavioral Health Agency
NPI Enumerated	June 22, 2012

Payer Source	Total Paid
Medicaid	$29.3M
Medicare	$0

Key Findings

This provider is effectively a Medicaid-focused entity: there is no Medicare billing on file and 100% of reported fee-for-service revenue is Medicaid-based, with total Medicaid revenue of $29.3M. The lack of Medicare activity means payer exposure and strategic positioning are concentrated entirely within state Medicaid programs.

Revenue is highly concentrated in a small set of services: the top three Medicaid codes (H2015, H2011, H0018) together account for 95.9% of the provider's total Medicaid revenue. Specifically, H2015 generated $17.4M (59.4%) across 140.2K claims at $124 avg paid/claim, H2011 generated $5.9M (20.1%) across 16K claims at $369 avg paid/claim, and H0018 generated $4.8M (16.4%) across 22.6K claims at $212 avg paid/claim.

The code mix signals core service lines: heavy billing for H2015 (Comprehensive community support services, per 15 minutes) and H2011 (Crisis intervention service, per 15 minutes) indicates a community-based, time-intense outpatient and mobile crisis orientation, while large volume in H0018 (short-term residential, per diem) shows substantial short-term residential treatment capacity without room and board. Together these codes describe a behavioral health agency operational model focused on high-frequency, time-based community supports plus short-term residential care.

Competitive standing in the state is dominant for key community services: the provider ranks #1 of 31 for H2015 (100th percentile) and is described as an "extreme outlier, far above typical state volume for this code," indicating statewide leadership and uniquely large scale in comprehensive community support. The provider also ranks #1 of 4 for H2011 and #1 of 2 for H0018 (both 100th percentile), though those volumes are characterized as typical for the subset of providers billing those codes rather than extreme.

Other Medicaid codes reinforce a broad service footprint: H0046 (Mental health services, NOS) produced $644.6K (2.2%) across 214.9K claims and ranks #1 of 9 in-state (100th percentile), noted as "notably above typical state volume." Smaller contributions from H0035, H0019, and H0038 indicate engagement in partial hospitalization, long-term residential, and peer/self-help services, with ranks of #3 of 5, #5 of 6, and #2 of 4 respectively, reflecting more modest participation in those subprograms.

The provider’s revenue profile implies sensitivity to Medicaid policy or rate changes: because 95.9% of Medicaid revenue comes from H2015, H2011, and H0018, any change in coverage, reimbursement rates, or utilization patterns for those services would materially affect the provider’s top-line Medicaid receipts. This concentration increases operational and financial exposure to shifts in how state Medicaid pays for community supports, crisis services, and short-term residential care.

Operational scale is substantial and time-driven: H2015 shows 140.2K claims billed at a time-based rate (per 15 minutes), H2011 shows 16K claims (per 15 minutes), and H0018 shows 22.6K per-diem claims, together indicating high-volume, labor- and contact-intensive delivery models that require substantial clinician/staff capacity and program infrastructure to sustain ongoing service volumes.

The provider has a long-enumerated presence in the NPI registry, with enumeration dated 2012-06-22 (~14 years ago), supporting an interpretation of established operations and continuity in the state Medicaid market; combined with its dominant ranks on several codes, this tenure aligns with sustained operational scale rather than a recent or transient billing pattern.

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
H2015	Comprehensive community support services, per 15 minutes	140,190	$120	$17.4M
H2011	Crisis intervention service, per 15 minutes	15,970	$370	$5.9M
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	22,570	$210	$4.8M
H0046	Mental health services, not otherwise specified	214,870	$1	$644.6K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	1,420	$250	$356K
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	770	$240	$180.5K
H0038	Self‑help/peer services, per 15 minutes	250	$100	$25.5K

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

State Of Hawaii Dept. Of Health Adult Mental Health Division — 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
H0018	Behavioral health; short-term residential (non-hospital residential treatment program), without room and board, per diem	1	10	17,780	$210	$3.7M
H2011	Crisis intervention service, per 15 minutes	1	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	5	10	2,210	$190	$1.3M
H2015	Comprehensive community support services, per 15 minutes	1	30	2,300	$30	$634.2K
H0046	Mental health services, not otherwise specified	1	10	3,960	$10	$380.3K
H0035	Mental health partial hospitalization, treatment, less than 24 hours	3	10	1,420	$130	$261.8K
H0038	Self‑help/peer services, per 15 minutes	2	10	230	$50	$19.2K

Nearby Providers

Other providers in the same ZIP code as State Of Hawaii Dept. Of Health Adult Mental Health Division, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
The Queens Medical Center	HI	General Acute Care Hospital	$0	$200M
Straub Clinic & Hospital	HI	General Acute Care Hospital	$0	$45.6M
Positive Behavior Supports Corporation	HI	Community/Behavioral Health Agency	$0	$26.4M
Easter Seals Hawaii	HI	Developmentally Disabled Services Day Training Agency	$0	$16.8M
The Emergency Group, Inc.	HI	Emergency Medicine Physician	$0	$15M
Hawaii Dental Group, Inc.	HI	General Practice Dentistry	$0	$12.4M
The Queen's Medical Center	HI	General Acute Care Hospital	$0	$10.3M
Hawaii Home Care Inc	HI	Nursing Care Agency	$0	$9.3M
Evergreen Adult Day Care	HI	Adult Day Care Clinic/Center	$0	$8.9M
Straub Clinic & Hospital	HI	Multi-Specialty Clinic/Center	$0	$8.2M

State Of Hawaii Dept. Of Health Adult Mental Health Division — Billing Profile & Reimbursement Data

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State Of Hawaii Dept. Of Health Adult Mental Health Division — 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