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

    NPI 1427099332 · Ewa Beach, 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 Ewa Beach, Hawaii. This profile covers 0 Medicare and 47 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
    Address91-2137 Fort Weaver Rd
    CityEwa Beach
    StateHI
    ZIP96706
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 10, 2006

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

    Payer SourceTotal Paid
    Medicaid$14.7M
    Medicare$0

    Key Findings

    LIBERTY DIALYSIS - HAWAII LLC is an End-Stage Renal Disease (ESRD) treatment clinic located in EWA BEACH, HI, with an NPI enumerated on 2006-06-10 (~20 years ago). The tenure indicates a long-established facility in the state renal services market, consistent with the steady, procedure-driven Medicaid activity reported below.

    This provider has no Medicare billing on file (none below) and reports total Medicaid revenue of $14.7M, making its Medicaid activity effectively the sole recorded payer relationship in the available claims dataset. Analysts should treat this entity as a Medicaid-centric operator for competitive and utilization comparisons.

    Revenue is highly concentrated in a very small set of codes: the precomputed top 3 Medicaid codes account for 100.0% of this provider’s Medicaid revenue. Specifically, J0887 accounts for $8.1M (55.1% of Medicaid revenue) and 90999 accounts for $6.6M (44.9% of Medicaid revenue), which together comprise essentially all recorded Medicaid payments.

    The code mix (dominance of J0887 – epoetin beta injections – and 90999 – unspecified dialysis services) points to a classic in-center dialysis operation that combines routine dialysis encounters with anemia management through injectable erythropoiesis-stimulating agents. The presence of high-volume lab and supply claims in the file (examples include heparin J1644, iron sucrose J1756, and multiple routine lab panels) further supports that the facility provides integrated dialysis care with medication administration and frequent laboratory monitoring.

    Competitive standing by code shows the provider is a substantial in-state participant but not an outlier in the two revenue-driving codes: J0887 ranks #4 of 32 providers in-state at the 90th percentile and is labeled typical, unremarkable volume; 90999 ranks #7 of 45 providers at the 86th percentile and is also labeled typical, unremarkable volume. These rank/percentile positions indicate above-average scale within Hawaii’s Medicaid dialysis market but not a unique statewide dominance for those services.

    Several supply and lab CPTs have large claim counts but report $0 avg paid/claim (and $0 revenue) in the dataset, including multiple routine lab panels and common supplies (examples: 83970, 83735, 85018, 84520, 83540). This pattern is consistent with claims for routine monitoring and consumables that may be paid under bundled rates or separate arrangements outside of line-item Medicaid reimbursements shown here; it denotes high utilization rather than line-item revenue contribution.

    A cluster of ancillary codes are flagged as notably above typical state volume, which aligns with intensive dialysis operations: J1756 (11K claims) is described as notably above typical state volume (rank #4 of 39, 92th percentile), A4657 (113.3K claims) is notably above typical (rank #4 of 44, 93th percentile), J1644 (84.8K claims) is notably above typical (rank #4 of 43, 93th percentile), and 85018 (13.6K claims) is also notably above typical (rank #5 of 65, 94th percentile). These elevated claim counts for infusion, anticoagulant, and laboratory-related codes reinforce that the clinic delivers frequent, procedure-heavy dialysis care.

    Non-revenue-contributing codes and very small line items are present but immaterial to topline Medicaid dollars: examples include 0064A ($209 revenue) and 0002A ($171 revenue), each with 19 claims and representing 0.0% of the provider’s Medicaid revenue. The predominance of two codes (J0887 and 90999) for nearly all revenue suggests the provider’s financial exposure and performance in Medicaid will be highly sensitive to rate and reimbursement changes affecting those specific 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.

    47 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)6,310$1,280$8.1M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.56,900$120$6.6M
    0064AN/A20$10$210
    0002AN/A20$10$170
    0001AN/A20$0$0
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.3,360$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.1,440$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.3,400$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…770$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.4,160$0$0

    Showing 1–10 of 47

    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

    47 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.75018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)4301,820$1,150$3M
    J3490Unclassified drugs2050160$200$740.3K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1120110$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).…3070230$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…27901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg4401,190$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.1150540$20$34.9K
    J0604Cinacalcet, oral, 1 mg, (for esrd on dialysis)15201,820$10$24.3K
    0002AN/A6770160$40$20.8K

    Showing 1–10 of 47

    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$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
    Clinical Laboratories Of Hawaii LLPHIClinical Medical Laboratory$5M$45.8M
    The Queen's Medical CenterHIGeneral Acute Care Hospital$0$42.7M
    Case Management Professionals, IncHICase Management Agency$0$4.2M
    Pan Pacific Pathologists, LLCHIAnatomic Pathology & Clinical Pathology Physician$0$4M
    3g's Direct Care Services Provider LLCHIIn Home Supportive Care Agency$0$3.2M
    Yongsok Do, D.m.d., L.L.CHIPediatric Dentistry$0$2.1M
    Usrc Ewa Beach, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$928.8K
    James H.e. Ireland Md, LLCHINephrology Physician$0$892.7K
    Rainbow Shower Inpatient Services LLCHIInternal Medicine Physician$0$788.6K
    Venture Medical 21 IncHIClinic/Center$0$787.8K

    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
    3 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