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 Beretania, LLC (NPI 1366804478)

Field	Value
Entity Type	Organization
Organization	Usrc Beretania, LLC
Address	1908 S Beretania St
City	Honolulu
State	HI
ZIP	96826
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	March 28, 2016

Payer Source	Total Paid
Medicaid	$7.3M
Medicare	$0

Key Findings

USRC BERETANIA, LLC operates as an ESRD treatment clinic: its top revenue-driving codes are 90999 (dialysis services), Q4081 (epoetin alfa), and J0887 (epoetin beta), which matches the expected service mix for an outpatient dialysis center that delivers hemodialysis sessions alongside routine anemia management and related injectable therapies. The presence of J1756 (iron sucrose) and multiple dialysis-related lab codes further supports this characterization of core clinical activity.

Medicaid revenue is highly concentrated: the precomputed top three Medicaid codes (90999, Q4081, J0887) account for 99.7% of the provider's total Medicaid revenue. Individually those codes show $4.1M (56.6%) from 90999, $2M (27.1%) from Q4081, and $1.2M (16.0%) from J0887, underscoring that dialysis sessions and associated epoetin therapy drive nearly all recorded Medicaid receipts.

This provider is effectively single-payer in the available data: there is no Medicare billing on file while total Medicaid revenue is $7.3M. The absence of any Medicare revenue means payers and analysts should treat the observed $7.3M Medicaid footprint as the primary operational revenue signal in claims-based analysis.

The facility reports high procedure volume for dialysis sessions by claim count (90999: 19.3K claims at $215 avg paid/claim) but ranks mid‑state for that procedure (ranks #22 of 45, 52th percentile; typical, unremarkable volume for this code), indicating steady utilization consistent with a typical in-state dialysis provider rather than a dominant statewide operator for dialysis procedures.

For anemia management, USRC BERETANIA shows relatively strong placement for epoetin alfa (Q4081: 2.5K claims, $788 avg paid/claim, $2M revenue), ranking #6 of 26 providers in-state and sitting at the 80th percentile (typical, unremarkable volume for this code). This suggests the clinic is comparatively more active or efficient at capturing epoetin alfa reimbursement versus many peers in Hawaii.

By contrast, epoetin beta (J0887: 1.3K claims, $903 avg paid/claim, $1.2M revenue) ranks #19 of 32 providers (42th percentile; typical, unremarkable volume for this code), indicating a more modest role for that specific agent in the clinic's anemia-management mix compared with its stronger position in Q4081.

A large number of lab and supply codes show substantial claim counts but $0 avg paid/claim and $0 recorded revenue (examples include A4657: 15.9K claims $0 avg paid/claim; multiple lab tests such as 85018, 84450, 82565 with 1.1K–1.6K claims at $0). This pattern suggests these items are either bundled into dialysis payments, reconciled outside the Medicaid payment file, or reflected as zero-dollar claim lines in the dataset — they generate activity but do not appear in the Medicaid revenue totals.

The NPI tenure (enumerated 2016-03-28, ~10 years ago) indicates an established local presence. Coupled with the Medicaid-only revenue profile, this tenure supports the view that USRC BERETANIA is an established, Medicaid-focused dialysis operator in Honolulu rather than a newer entrant or a Medicare-focused facility.

Medicaid: Complete Services Breakdown

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

37 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.	19,280	$220	$4.1M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	2,520	$790	$2M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	1,290	$900	$1.2M
J1756	Injection, iron sucrose, 1 mg	1,190	$20	$21.4K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	970	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	1,030	$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…	50	$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…	90	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	1,430	$0	$0
82374	The lab analyst measures the carbon dioxide, primarily in serum. Most of the carbon dioxide in blood exists as bicarbonate with much of the balance as carbonic acid.	70	$0	$0

Showing 1–10 of 37

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 Beretania, 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

37 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.	22	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	19	30	1,820	$1,150	$3M
J3490	Unclassified drugs	37	50	160	$200	$740.3K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	6	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…	15	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).…	65	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…	49	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	20	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.	27	50	540	$20	$34.9K
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	18	30	130	$10	$31.1K

Showing 1–10 of 37

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Kapiolani Medical Center For Women & Children	HI	Children's Hospital	$0	$102.4M
Emergency Medicine Physicians Of Honolulu Kapiolani, LLC	HI	Emergency Medicine Physician	$0	$7.9M
Kapiolani Medical Specialists	HI	Multi-Specialty Clinic/Center	$0	$5.1M
Hawaii Anesthesia Group Inc	HI	Anesthesiology Physician	$0	$3.6M
Waikiki Health	HI	Federally Qualified Health Center (FQHC)	$0	$3.5M
Kapiolani Medical Center For Women & Children	HI	Multi-Specialty Clinic/Center	$0	$3.3M
Shriners Hospitals For Children	HI	Children's Hospital	$0	$2.8M
Pediatric Ophthalmology Associates Of Hawaii Inc	HI	Ophthalmology Physician	$0	$1.7M
Dentistry For Children Inc.	HI	Pediatric Dentistry	$0	$1.5M
Peggy Liao	HI	Ophthalmology Physician	$3.3K	$968K

Usrc Beretania, LLC — Billing Profile & Reimbursement Data

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Usrc Beretania, 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

Nearby Providers

Frequently Asked Questions

References