Agency
Nightingale Case Management, INC
Nightingale Case Management, INC was paid $1.17M by Medicaid between Jun 2022 and Nov 2024, across 1 billing code. Its largest line is T2022, Case management, per month — 100% of everything it billed.
33Billing provider infoNIGHTINGALE CASE MANAGEMENT, INC
AIEA, HI 96701
AIEA, HI 96701
33aNPI1093470841assigned 11/06/2021
33bProvider typeCase Management Agency
28Total paid$1.17M
24GClaims2,933
24DCodes billed1
24AFirst – last monthJun 2022 – Nov 2024
Compared with peers
Next to other Case Management Agency providers in Hawaii
Rank by total paid#9 of 26
Median peer was paid$208K
This provider vs. median5.6×
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.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Single-Code Concentration100% of spending on code T2022 with only 1 total codes billed. Highly concentrated billing profile.
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 | |
|---|---|---|---|
| 2022 | 271 | $90K | |
| 2023 | 1,350 | $547K | |
| 2024incomplete | 1,312 | $536K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2022 | Case management, per month | 100% | 2,933 | 2,702 | $1.17M |
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 officialMALALIS, ROSALINDA (CEO)