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    OpenPayerNPI Medicare & MedicaidLiberty Dialysis - Hawaii LLC
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    Liberty Dialysis - Hawaii LLC — Billing Profile & Reimbursement Data

    NPI 1073060638 · Honolulu, HI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Liberty Dialysis - Hawaii LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Honolulu, Hawaii. This profile covers 0 Medicare and 33 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLiberty Dialysis - Hawaii LLC
    Address4380 Lawehana St Ste 100
    CityHonolulu
    StateHI
    ZIP96818
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedSeptember 1, 2016

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$6.7M
    Medicare$0

    Key Findings

    This entity has no Medicare billing on file and reports $6.7M in lifetime Medicaid revenue, making its public payer footprint effectively single-payer (Medicaid) in the dataset. Analysts should treat Medicaid as the primary revenue source when evaluating this provider's financial exposure and contracting leverage.

    Revenue is highly concentrated: the precomputed top-3 Medicaid codes account for 100.0% of this provider's total Medicaid revenue, with 90999 at $3.5M (51.4% of Medicaid revenue) and J0887 at $3.3M (48.6% of Medicaid revenue); 83970 appears in the top three but shows $0 revenue (0.0%). This concentration means two codes drive virtually all Medicaid dollars reported for this provider.

    The code mix is consistent with an in-center ESRD dialysis operation: 90999 (general dialysis services) is the top revenue driver and J0887 (epoetin beta for ESRD on dialysis) is the second. Together these codes indicate the business is focused on routine dialysis treatments plus associated injectable anemia management rather than broader outpatient medical services.

    State-level competitive standing on the revenue-driving codes is modest: 90999 ranks #14 of 45 providers in-state (70th percentile; typical, unremarkable volume) and J0887 ranks #15 of 32 providers in-state (55th percentile; typical, unremarkable volume). These placements indicate the provider is a typical, not dominant, Medicaid participant for these dialysis-related services within Hawaii.

    Operational activity is evident in high claim counts even where paid amounts are zero for many lab and supply lines—examples include 90999 with 27.4K claims and A4657 (syringe) with 53.3K claims. High-frequency claim activity across procedure and supply codes supports characterization as a high-volume, routine dialysis provider, but the $0 avg paid/claim on many lab codes suggests those services may be bundled or not captured as separate Medicaid spend.

    Several common dialysis-related lab tests and supplies appear frequently on claims but record $0 paid/claim and $0 revenue in the dataset (examples: 85018 with 6.2K claims, 84520 with 4.7K claims, and multiple chemistries with 1–2K claims each). This pattern is consistent with labs and consumables being billed but reimbursed via alternative arrangements or bundled payments, and it warrants attention when reconciling clinical activity to reported Medicaid spend.

    The provider has an established enrollment history, with an NPI enumerated on 2016-09-01 (~10 years ago), indicating roughly a decade of presence in the market; that tenure aligns with the sustained, recurring claim volumes seen in dialysis and injectable codes. Analysts considering network stability or historical performance can treat this as an entrenched local dialysis operator.

    Because there is no Medicare billing to benchmark against national ESRD peers, comparability is limited and payers should be cautious using Medicare-based rate or utilization norms; instead, in-state Medicaid rank and the documented concentration in 90999 and J0887 should guide competitive and utilization assessments. The lack of Medicare activity also concentrates reimbursement risk on Medicaid payment policies and contracting for this provider.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    33 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.27,430$130$3.5M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)2,070$1,580$3.3M
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.1,830$0$0
    80069The lab analyst performs a renal function panel test in which he measures the blood level of certain chemicals the descriptor lists to evaluate how well the kidney is functioning.60$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.1,850$0$0
    82108The lab analyst performs a quantitative measurement of the element aluminum. Most commonly the source is serum or urine. This quantitation is important in patients on kidney dialysis or medications…110$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.2,270$0$0
    82565The lab analyst measures the amount of creatinine in a patient specimen, typically of blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…1,850$0$0
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…720$0$0
    82746The lab analyst measures the folic acid level in serum to determine if there is a deficiency. Folic acid deficiency is attributed to many conditions such as malabsorption, Crohn’s disease, celiac…160$0$0

    Showing 1–10 of 33

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Hawaii providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Hawaii median

    33 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.145018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)15301,820$1,150$3M
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1520110$20$92.9K
    85025A complete blood count (better known as a CBC) is a blood test request by a doctor that provides detailed information about various types of cells in a patient's blood. Usually a pathologist or a…39901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg11401,190$20$62.3K
    83970Parathyroid hormone test measures the level of PTH in the blood. This test is done to ascertain the level of calcium and evaluate the parathyroid function.1450540$20$34.9K
    86704The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for total hepatitis B core antibodies. This test gives a total result of all immunoglobulin types.910210$10$34.1K
    82728The lab analyst measures the level of ferritin, an important protein composed of about 20 percent iron. Ferritin also acts as an iron reserve in the body, and is present in serum in only minute…2250620$10$18.7K
    87340The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.2950320$10$18.1K
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…1130910$1$13.5K

    Showing 1–10 of 33

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Liberty Dialysis - Hawaii LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$42.8M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.4M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.3M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$15.6M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.7M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.3M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.9M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.7M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.6M

    Nearby Providers

    Other providers in the same ZIP code as Liberty Dialysis - Hawaii LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Longs Drug Stores California LLCHICommunity/Retail Pharmacy$334.4K$68K
    Health Services Hawaii 808, Inc.HICase Management Agency$0$173.1K
    Longs Drug Stores California LLCHIPharmacy$94.8K$8.9K
    Kyle ShojiHIOccupational Therapist$920$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Hawaii Providers
    1 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Liberty Dialysis - Hawaii LLC — 0 of 2 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii