Providers

HALE MAKUA HEALTH SERVICES

NPI 1235132242, organization, Wailuku, HI, Home Health

3
Evidence tier
network structure with a list link
  • Part of provider network D1-00104, ranked 104 nationally.
score 64 of 100, rank 1492, $21K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NameHALE MAKUA HEALTH SERVICES (also HALE MAKUA HOME HEALTH AGENCY)
TypeOrganization
StatusActive
NPI issuedMay 23, 2005, last updated March 23, 2017
Practice location1520 E MAIN ST, Wailuku, HI 96793-1958, 808-244-3661
Authorized officialWESLEY LO (Chief Executive Officer)
Specialties
Home Health (251E00000X, primary, license HHA-3 HI)

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
G0151PT in home health or hospice setting each 15 min$210K64%$453$203 (top 5% from $565)89th percentile
G0299Direct skilled nursing by RN in home health or hospice each 15 min$104K32%$250$151 (top 5% from $742)66th percentile
G0152OT in home health or hospice setting each 15 min$16K5%$188$182 (top 5% from $529)52nd percentile
Q5001Medicaid service code$00%$0.00$0.00 (top 5% from $3K)too few months to rank
S0209Medicaid service code$00%$0.00$90 (top 5% from $460)0th percentile
A0130Medicaid service code$00%$0.00$190 (top 5% from $598)0th percentile

In this area

4 providers in Maui County, HI carry an indicator in the public record, with $1.5M at stake between them. The most common is part of a provider network, on 3 of them, followed by more hours than a day holds on 1.

tierproviderat stakewhy
3B.C.P., INC.
Wailuku, HI, ranked 1559
$8K
  • Part of provider network D1-00127, ranked 127 nationally.
3HALE MAKUA HEALTH SERVICES
Wailuku, HI, ranked 5568
$0
  • Part of provider network D1-00104, ranked 104 nationally.
3HALE MAKUA HEALTH SERVICES
Kahului, HI, ranked 7138
$0
  • Part of provider network D1-00104, ranked 104 nationally.
4NATHAN HARRINGTON-FOSTER
Kihei, HI, ranked 8831
$1.5M
  • Hours beyond a day in 8 months, but with up to 1549 patients a month, which points to a supervising clinician on the claims rather than one person's hours.
  • Records needed.

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.