Providers

WESTERN HEALTH RESOURCES

NPI 1093147886, organization, Kaneohe, HI, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00071, ranked 71 nationally.
score 65 of 100, rank 1230, $294K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameWESTERN HEALTH RESOURCES (also ADVENTIST HEALTH HOME CARE SERVICES)
TypeOrganization
StatusActive
NPI issuedAugust 2, 2013, last updated December 1, 2025
Practice location45-045 KAMEHAMEHA HWY HPU ANNEX, Kaneohe, HI 96744-5221, 808-263-5077
Mailing addressPO BOX 619120, Roseville, CA 95661-9120
Authorized officialMelissa Ward (President)
Specialties
Home Health (251E00000X, primary)

Procedures billed

The specific codes behind the dollars. Medicaid figures come from T-MSIS (2018 to 2024) and are compared with every other provider billing the same code; Medicare figures come from the 2024 physician and supplier file and compare this provider's submitted charge with what Medicare allowed, against the usual ratio for that code.

Medicaid, largest codes
codewhat it ispaidshareper patient-monthtypicalrank among providers
G0299Direct skilled nursing by RN in home health or hospice each 15 min$960K50%$380$151 (top 5% from $742)82nd percentile
G0152OT in home health or hospice setting each 15 min$453K24%$482$182 (top 5% from $529)92nd percentile
G0151PT in home health or hospice setting each 15 min$444K23%$221$203 (top 5% from $565)55th percentile
G0300Direct skilled nursing by LPN in home health or hospice each 15 min$34K2%$249$133 (top 5% from $1K)66th percentile
G0157PT assistant in home health or hospice setting each 15 min$14K1%$215$0.00 (top 5% from $388)too few months to rank
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)0th percentile
1AA11Medicaid service code$00%$0.00$0.00 (top 5% from $8.93)0th percentile

In this area

19 providers in Honolulu County, HI carry an indicator in the public record, with $2.2M at stake between them. The most common is part of a provider network, on 15 of them, followed by named in an enforcement record on 2. 1 is tier 1: documented action, then payment.

tierproviderat stakewhy
1LELAND DAO
Haleiwa, HI, ranked 239
$21K
  • Listed on the Medicare revocation list since September 18, 2020.
  • Medicaid still paid claims in 27 later months, $21,135 in total.
3B.C.P., INC.
Honolulu, HI, ranked 1306
$156K
  • Part of provider network D1-00127, ranked 127 nationally.
3BRISTOL HOSPICE - HAWAII, LLC
Honolulu, HI, ranked 1365
$92K
  • Part of provider network D1-00104, ranked 104 nationally.
3PRIME CARE SERVICES HAWAII INC
Honolulu, HI, ranked 1601
$4K
  • Part of provider network D1-00104, ranked 104 nationally.
3ANN PEARL CARE HOME, INC
Kaneohe, HI, ranked 2595
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3LILIHA KUPUNA SNF, LLC.
Honolulu, HI, ranked 2771
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3DANIEL K AKAKA STATE VETERANS HOME
Kapolei, HI, ranked 4263
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3ST. FRANCIS COMMUNITY HEALTH SERVICES
Honolulu, HI, ranked 4377
$0
  • Part of provider network D1-00104, ranked 104 nationally.
All 19 in HI

Referral packet

The packet is a draft for a reviewer. It reads every public record behind this case, states what the records show with a citation for each finding, names the regulation each finding relates to, and lists the ordinary explanations to rule out first. It never asserts intent.

Ask this case

Answers come only from the evidence tables, and every sentence cites the record it used.