Agency
Alternative Structures International
Alternative Structures International was paid $3.22M by Medicaid between Mar 2020 and Nov 2024, across 5 billing codes. Its largest line is H2021, Community-based wrap-around services, per 15 minutes — 86% of everything it billed.
33Billing provider infoALTERNATIVE STRUCTURES INTERNATIONAL
WAIANAE, HI 96792
WAIANAE, HI 96792
33aNPI1043645021assigned 09/09/2013
33bProvider typeDevelopmentally Disabled Services Day Training Agency
28Total paid$3.22M
24GClaims23,041
24DCodes billed5
24AFirst – last monthMar 2020 – Nov 2024
Compared with peers
Next to other Developmentally Disabled Services Day Training Agency providers in Hawaii
Rank by total paid#8 of 11
Median peer was paid$4.87M
This provider vs. median0.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 2,316 | $470K | |
| 2021 | 4,281 | $564K | |
| 2022 | 5,562 | $698K | |
| 2023 | 5,806 | $783K | |
| 2024incomplete | 5,076 | $706K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2021 | Community-based wrap-around services, per 15 minutes | 86% | 14,474 | 1,266 | $2.76M |
| H2032 | Activity therapy, per 15 minutes | 12% | 8,193 | 724 | $386K |
| T2020 | Day habilitation, waiver; per diem | 1.3% | 67 | 67 | $42K |
| H2016 | Community support for mental illness or disability, billed per dayComprehensive community support services, per diem | <1% | 68 | 68 | $31K |
| H2015 | Community support for mental illness or disability, per 15 minutesComprehensive community support services, per 15 minutes | <1% | 239 | 26 | $7K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMCDONALD, TOM (CHIEF ADMINISTRATIVE OFFICER)
| Provider | Location | Paid |
|---|---|---|
| AIDS Medical Enterprises, INC. | Whittier, CA | $213K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.