Providers

PRIME CARE SERVICES HAWAII INC

NPI 1730176488, organization, Honolulu, 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 1601, $4K at stake

National provider registry

From the CMS NPPES Registry, refreshed daily.

NamePRIME CARE SERVICES HAWAII INC
TypeOrganization
StatusActive
NPI issuedSeptember 27, 2005, last updated October 3, 2022
Practice location3375 KOAPAKA ST, SUITE I-570, Honolulu, HI 96819-1800, 808-531-0050
Authorized officialRandall Hata (VP)
Specialties
Home Health (251E00000X, primary, license HHA-31 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$43K64%$164$203 (top 5% from $565)44th percentile
G0299Direct skilled nursing by RN in home health or hospice each 15 min$13K20%$309$151 (top 5% from $742)too few months to rank
G0157PT assistant in home health or hospice setting each 15 min$9K13%$99$0.00 (top 5% from $388)72nd percentile
G0152OT in home health or hospice setting each 15 min$2K3%$47$182 (top 5% from $529)too few months to rank

In this area

19 providers in Honolulu County, HI carry an indicator in the public record, with $2.5M 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.
3WESTERN HEALTH RESOURCES
Kaneohe, HI, ranked 1230
$294K
  • Part of provider network D1-00071, ranked 71 nationally.
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.
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

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