Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Hawaii for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Hawaii only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Hawaii (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Usrc Honolulu, LLC (NPI 1093382012)

Field	Value
Entity Type	Organization
Organization	Usrc Honolulu, LLC
Address	226 N Kuakini St Fl 2
City	Honolulu
State	HI
ZIP	96817
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	June 8, 2021

Payer Source	Total Paid
Medicaid	$8.1M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only billing entity in our data: there is no Medicare billing on file while lifetime Medicaid revenue is $8.1M. Its NPI was enumerated 2021-06-08 (~5 years ago), indicating a relatively recent market entry compared with many long-standing ESRD providers.

Revenue is highly concentrated in a very small set of Medicaid codes: the top 3 Medicaid codes by revenue account for 97.8% of this provider's total Medicaid revenue. Those top codes are 90999 ($5.2M, 64.3% of Medicaid revenue), Q4081 ($2.2M, 26.7%), and J1756 ($548.8K, 6.8%), showing most dollars flow through dialysis services and anemia/iron-management injections.

The code mix is consistent with an active ESRD dialysis clinic: the dominant code 90999 (8.9K claims, $584 avg paid/claim) captures dialysis services or procedures without a specific code, while Q4081 (3.2K claims, $680 avg paid/claim) and J1756 (996 claims, $551 avg paid/claim) reflect epoetin alfa administration and iron sucrose therapy for dialysis patients. This pattern indicates the center’s core business is facility-based dialysis with on-site injectable anemia management.

Competitive standing across these key Medicaid codes is mixed within the state. Q4081 ranks #3 of 26 providers in-state (92th percentile) and therefore represents a comparatively strong position for epoetin alfa injections, but 90999 ranks #29 of 45 (36th percentile) and J1756 ranks #22 of 39 (45th percentile), both characterized in the dataset as typical, unremarkable volume — together suggesting the provider is a meaningful niche player for drug administration but only a modest participant on the general dialysis-service code.

Several lab and supply codes show substantial claim counts but $0 average paid/claim in the Medicaid file, for example A4657 (8.3K claims, $0 avg paid/claim), 84520 (1.3K claims, $0 avg paid/claim), and numerous chemistry/hematology codes with hundreds of claims each and $0 recorded revenue. These $0-paid items are common across the provider’s billing mix and imply that a large portion of documented encounters involve tests and supplies that did not generate standalone Medicaid revenue in this dataset.

Average paid-per-claim for the revenue-driving items is material and concentrated: 90999 reports $584 avg paid/claim, Q4081 $680 avg paid/claim, and J1756 $551 avg paid/claim. Coupled with the heavy claim counts for those codes (8.9K, 3.2K, and 996 respectively), this explains why the top three codes together dominate the $8.1M Medicaid revenue figure.

Given the absence of Medicare billing, the provider’s commercial and Medicaid contracting mix will be critical to evaluate growth or competitive threats; as currently observed, the organization’s financial footprint in our dataset is effectively single-payer (Medicaid) and highly dependent on dialysis procedures plus associated injectable therapies.

Medicaid: Complete Services Breakdown

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

38 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	8,880	$580	$5.2M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	3,170	$680	$2.2M
J1756	Injection, iron sucrose, 1 mg	1,000	$550	$548.8K
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	310	$580	$176.8K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	540	$0	$0
80069	The 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.	20	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	640	$0	$0
82108	The 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…	10	$0	$0
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	40	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	760	$0	$0

Showing 1–10 of 38

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Hawaii Distribution

Usrc Honolulu, LLC — 0 of 4 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Hawaii

Full comparison — all codes billed, vs. Hawaii median

38 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	29	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	27	30	1,820	$1,150	$3M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	3	30	840	$350	$466.6K
82306	The lab analyst measures the vitamin D level, typically on a serum specimen. This analyte, commonly known as vitamin D, is not really a vitamin, but is an important steroid hormone that is produced…	20	30	100	$40	$178.7K
83036	Sugar in the bloodstream can get attached to the hemoglobin in red blood cells. Once the sugar is attached, it stays there for the lifetime of the red blood cell (around 120 days or over 3 months).…	56	70	230	$10	$66.5K
85025	A 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…	58	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	22	40	1,190	$20	$62.3K
83970	Parathyroid 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.	32	50	540	$20	$34.9K
86704	The 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.	11	10	210	$10	$34.1K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	24	30	130	$10	$31.1K

Showing 1–10 of 38

Related Providers

Other providers that share a Tax Identification Number (TIN) with Usrc Honolulu, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M

Nearby Providers

Other providers in the same ZIP code as Usrc Honolulu, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$42.8M
Kalihi Palama Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$38.9M
Careresource Hawaii	HI	Home Health Agency	$0	$12.8M
Lanakila Pacific	HI	Home Delivered Meals	$0	$11.7M
Usrc Aloha LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
Kuakini Medical Center	HI	General Acute Care Hospital	$0	$10.9M
Ku Aloha Ola Mau	HI	Counselor	$220.5K	$5.8M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Coastal Medical Supply, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$4.7M
Pacific Asc LLC	HI	Ambulatory Surgical Clinic/Center	$1.9M	$684.5K

Usrc Honolulu, LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References