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

    NPI 1164684825 · Waipahu, 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 Waipahu, Hawaii. This profile covers 0 Medicare and 51 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
    Address94-450 Mokuola St Ste 109
    CityWaipahu
    StateHI
    ZIP96797
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 25, 2008

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

    Payer SourceTotal Paid
    Medicaid$19.4M
    Medicare$0

    Key Findings

    This facility has no Medicare billing on file and is effectively a Medicaid-focused operation, reporting $19.4M in lifetime Medicaid revenue and no Medicare revenue to compare against. The absence of Medicare activity makes Medicaid the sole observable payer driving the provider’s billed services and financial profile in our dataset.

    Revenue is highly concentrated in three Medicaid codes: J0887 ($9.7M, 49.7% of Medicaid revenue), 90999 ($9.4M, 48.3% of Medicaid revenue), and J1756 ($349.1K, 1.8% of Medicaid revenue); those top three codes together account for 99.9% of this provider’s total Medicaid revenue. This concentration indicates that almost all billed Medicaid dollars derive from dialysis session reporting and dialysis-related injectable therapies.

    The code mix (90999 – catch-all dialysis services, J0887 – epoetin beta injections, and J1756 – iron sucrose) is consistent with an in-center ESRD dialysis clinic model that both delivers hemodialysis sessions and administers anemia management agents onsite. High volumes for 90999 (92K claims, $102 avg paid/claim) and J0887 (7.2K claims, $1350 avg paid/claim) point to routine, repeated dialysis treatments plus recurring injectable anemia therapy as the core service lines.

    Competitive standing within the state is meaningful for dialysis-related services: for 90999 the provider ranks #3 of 45 providers in-state and sits at the 95th percentile, described as notably above typical state volume for this code, and for J0887 it ranks #3 of 32 providers (94th percentile) where the dataset labels the volume as typical/unremarkable for that code. J1756 also ranks #3 of 39 providers (95th percentile) and is labeled notably above typical state volume. These ranks show the facility is a major in-state participant for core dialysis and related drug administration codes.

    Operational/billing nuance shows many common lab and supply codes reported in high claim volumes but with $0 reported Medicaid revenue (for example A4657 124.9K claims, J1644 91.2K claims, 85018 17.8K claims). The presence of large claim counts with zero paid amounts suggests bundled payments or facility-level bundling for many labs and supplies typical of dialysis facility billing rather than separate paid line items.

    Because J0887 and 90999 individually account for roughly half of Medicaid revenue each, the provider’s financial performance is sensitive to reimbursement or utilization changes for dialysis sessions and erythropoiesis-stimulating agents. Any policy, clinical, or payer-level change affecting payment or use of epoetin products or the reporting/valuation of 90999 would materially affect total reported Medicaid revenue.

    The provider has a long tenure in the NPI registry, enumerated on 2008-06-25 (~18 years ago), indicating established operations in the market. That duration, combined with top-state rankings on key dialysis codes, supports a profile of an entrenched dialysis clinic serving a steady Medicaid caseload.

    Given the effective single-payer Medicaid footprint and the extremely concentrated revenue mix (99.9% from the top three codes), this entity should be evaluated as a specialized dialysis provider with limited service diversification in the claims data; analysts should therefore expect most utilization and revenue risk to be tied to dialysis session volumes and onsite injectable therapy administration rather than ancillary outpatient 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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)7,150$1,350$9.7M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.91,980$100$9.4M
    J1756Injection, iron sucrose, 1 mg11,640$30$349.1K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)440$40$18.8K
    J0604Cinacalcet, oral, 1 mg, (for esrd on dialysis)7,340$1$7.3K
    J3490Unclassified drugs2,400$1$2.4K
    0064AN/A20$10$140
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.4,080$0$0
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.20$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.2,590$0$0

    Showing 1–10 of 51

    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

    51 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.35018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)3301,820$1,150$3M
    J3490Unclassified drugs1850160$200$740.3K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)1830840$350$466.6K
    80061The lab analyst performs a lipid panel test in which he measures the blood level of cholesterol and fats called triglycerides in the blood.1920660$20$408.6K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1020110$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).…2370230$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…24901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg3401,190$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.550540$20$34.9K

    Showing 1–10 of 51

    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$19.3M
    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$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
    Preferred Home & Community Based Services, Inc.HIDevelopmentally Disabled Services Day Training Agency$0$66.9M
    Bayada Home CareHIDevelopmentally Disabled Services Day Training Agency$0$33.3M
    Hawaii Health Services, Inc.HIHome Health Agency$0$29.4M
    Dsi Waipahu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$7.7M
    Blue Water ResourcesHICase Management Agency$0$5.7M
    Family Services Of Oahu,llcHIDevelopmentally Disabled Services Day Training Agency$0$4.9M
    Loving Care Health Provider, Inc.HIIn Home Supportive Care Agency$0$4.2M
    Leeward Pedodontix, LLCHIPediatric Dentistry$0$4.1M
    Metropacific Group, CorpHIIn Home Supportive Care Agency$0$2.8M
    Triple Ace Venture Capital Corp.HIIn Home Supportive Care Agency$0$2.4M

    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
    7 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 — 1 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii