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

    NPI 1134160187 · Kailua Kona, 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 Kailua Kona, 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
    Address78-6831 Alii Dr Ste 336
    CityKailua Kona
    StateHI
    ZIP96740
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$9M
    Medicare$0

    Key Findings

    LIBERTY DIALYSIS - HAWAII LLC is an End-Stage Renal Disease (ESRD) treatment clinic located in KAILUA KONA, HI, with an NPI enumerated 2006-06-09 (~20 years ago). The provider reports $9M in lifetime Medicaid revenue and has no Medicare billing on file, indicating an operational footprint that is effectively single-payer in the available dataset.

    Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider's total Medicaid revenue. Those codes are 90999 ($4.6M, 50.4%), J0887 ($4.3M, 47.3%), and J1756 ($206.3K, 2.3%), which together constitute the entirety of reported Medicaid payments.

    The code mix is indicative of in-center dialysis with active anemia management: 90999 is used to report dialysis services, J0887 is epoetin beta (for ESRD on dialysis), and J1756 is iron sucrose. This combination suggests routine provision of dialysis sessions plus IV erythropoiesis-stimulating agent therapy and iron supplementation as core services.

    This entity is effectively single-payer in the claims data: there is no Medicare revenue on file compared with $9M in Medicaid revenue. That concentration in Medicaid can shape contract leverage and risk exposure to state Medicaid policy and reimbursement changes.

    On competitive standing within the state, the provider is a modest, typical participant for its top revenue codes rather than a dominant player. 90999 ranks #10 of 45 in-state (80th percentile; typical, unremarkable volume), J0887 ranks #10 of 32 (71th percentile; typical, unremarkable volume), and J1756 ranks #10 of 39 (76th percentile; typical, unremarkable volume), so volume sits around the upper-middle of peers but does not indicate statewide leadership.

    Payment detail shows a large per-claim payment disparity between the dialysis session and biologic therapy: J0887 has an average paid/claim of $1466 while 90999 has an average paid/claim of $117. This pattern means that although claim counts for 90999 are much larger (38.9K claims), a substantial share of Medicaid dollars flows to epoetin beta by unit value.

    Claims activity includes many ESRD-related lab and supply codes with high claim counts but $0 avg paid/claim and $0 revenue in the file (examples include A4657, J1644, and several common lab panels). The presence of high-volume, zero-paid line items alongside concentrated paid amounts in 90999 and J0887 is consistent with a reimbursement profile where dialysis sessions and injectable drugs capture most paid dollars while associated tests and supplies may be bundled or paid through other mechanisms.

    For payer/provider analysts, the operational and contracting implications are clear: the practice’s revenue is driven almost entirely by dialysis session reporting and injectable anemia treatments, so monitoring state Medicaid reimbursement policies for 90999 and J0887 — and utilization of J1756 — will be critical to forecasting revenue and negotiating contracts. Given the NPI tenure since 2006-06-09 (~20 years ago), the clinic appears established but remains dependent on a narrow set of Medicaid-paid services.

    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.38,930$120$4.6M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)2,910$1,470$4.3M
    J1756Injection, iron sucrose, 1 mg5,430$40$206.3K
    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…1,110$1$1.1K
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.2,930$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.3,020$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…430$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.3,530$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…3,000$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…230$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.105018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)10301,820$1,150$3M
    J3490Unclassified drugs3550160$200$740.3K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1520110$20$92.9K
    83036Sugar 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).…3670230$10$66.5K
    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…33901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg10401,190$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.1550540$20$34.9K
    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…1650620$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.1750320$10$18.1K

    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$8.9M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.7M
    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
    West Hawaii Community Health Center, Inc.HIFederally Qualified Health Center (FQHC)$0$46.8M
    S&g Labs Hawaii LLCHIClinical Medical Laboratory$292.7K$15.1M
    Full LifeHIDevelopmentally Disabled Services Day Training Agency$0$11M
    Mf Med IncHIPain Medicine (Anesthesiology) Physician$0$4.3M
    Jennifer LogigianHIDentist$0$1.8M
    Transformation Health NetworkHIUrgent Care Clinic/Center$0$1.7M
    Access Capabilities, IncHICommunity/Behavioral Health Agency$0$1.3M
    Alii Health CenterHIMulti-Specialty Clinic/Center$0$799.9K
    Edwin HerdHIPediatrics Physician$0$640.5K
    David Kwon Jr DdsHIDentist$0$611.1K

    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 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii