Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidLiberty Dialysis - Hawaii LLC
    Ask Trek AI about this page

    Liberty Dialysis - Hawaii LLC — Billing Profile & Reimbursement Data

    NPI 1487180097 · Mililani, HI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

    Customize your policy alerts

    Sign up for Liberty Dialysis - Hawaii LLC — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Liberty Dialysis - Hawaii LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Mililani, Hawaii. This profile covers 0 Medicare and 34 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 9

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationLiberty Dialysis - Hawaii LLC
    Address95-1105 Ainamakua Dr Ste 100
    CityMililani
    StateHI
    ZIP96789
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedMay 3, 2017

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

    Payer SourceTotal Paid
    Medicaid$10.3M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer: there is no Medicare billing on file while reported Medicaid lifetime revenue is $10.3M, so Medicaid represents the entirety of recorded public-payer activity for this entity. Analysts should treat Medicaid reimbursement trends as the primary driver of the provider’s financial exposure and payer mix.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 100.0% of this provider’s total Medicaid revenue, driven by J0887 ($6.4M, 61.6% of Medicaid revenue), 90999 ($3.9M, 38.3% of Medicaid revenue), and J1756 ($19K, 0.2% of Medicaid revenue). This concentration means a small set of services determines the vast majority of billed value.

    The code mix is consistent with an ESRD dialysis center focused on dialysis delivery and anemia management: J0887 (epoetin beta), 90999 (dialysis services/procedures not otherwise specified), and J1756 (iron sucrose) together dominate revenue, indicating the operation centers on routine dialysis sessions supplemented by injectable anemia therapies. These codes align with a typical outpatient dialysis service-line model rather than broader multi-specialty services.

    J0887 is the single largest revenue driver at $6.4M (61.6% of Medicaid revenue) and ranks #13 of 32 providers in-state (61th percentile; typical, unremarkable volume for this code), which positions the provider as a moderate statewide contributor on epoetin beta utilization rather than a market leader. Given its outsized share of total revenue, any changes in reimbursement or utilization of J0887 would disproportionately affect the provider’s Medicaid receipts.

    90999 generates $3.9M (38.3% of Medicaid revenue) and ranks #15 of 45 providers in-state (68th percentile; typical, unremarkable volume for this code), signaling a meaningful but not dominant presence in reporting non-specific dialysis procedure services within the state. Its ranking and share indicate routine dialysis procedural volume consistent with a mid-tier in-state dialysis operator.

    J1756 accounts for only $19K (0.2% of Medicaid revenue) but ranks #12 of 39 providers in-state (71th percentile; typical, unremarkable volume for this code), showing that although the provider reports relatively frequent iron sucrose administrations versus peers, the financial impact is minimal compared with epoetin and dialysis procedures. This suggests the provider’s anemia-management spend is concentrated in higher-cost agents (J0887) rather than J1756.

    A large number of ancillary lab and supply codes (for example, J1644, A4657, multiple common dialysis labs such as 85018, 82728, 84100) show substantial claim counts but $0 avg paid/claim and $0 recorded revenue. This pattern implies labs and disposables are either bundled into the paid dialysis/drug lines or are being reported with no separate Medicaid payment, so utilization signals exist in claims volume even when they do not translate into additional paid dollars.

    NPI enumeration date is 2017-05-03 (~9 years ago), indicating several years of enrollment and an established operating history; combined with the concentrated revenue profile, this tenure supports interpreting current billing as a stable, service-line-focused dialysis operation rather than a newly started or highly diversified provider.

    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.

    34 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)2,210$2,870$6.4M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.27,050$150$3.9M
    J1756Injection, iron sucrose, 1 mg3,170$10$19K
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.250$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.1,030$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.360$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…310$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.680$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…340$0$0
    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…830$0$0

    Showing 1–10 of 34

    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

    34 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.155018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)13301,820$1,150$3M
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1320110$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).…3870230$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…40901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg12401,190$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.1750540$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…2050620$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.2750320$10$18.1K
    83550The lab analyst measures the iron binding capacity, typically in a serum sample. This analyte is an important measurement of the capacity of iron to bind to transferrin. That capacity is also known…1030910$1$13.5K

    Showing 1–10 of 34

    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$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
    Aloha Habilitation Services, Inc.HIDevelopmentally Disabled Services Day Training Agency$0$8M
    Jnm Medical LLCHIDurable Medical Equipment & Medical Supplies$0$1.4M
    Hope IncHIExclusive Provider Organization$0$1.3M
    Longs Drug Stores California LLCHICommunity/Retail Pharmacy$356.2K$26.8K
    Complete DermatologyHIDermatology Physician$0$379K
    Fields Psychiatric Consultants LLCHICommunity/Behavioral Health Agency$0$298.7K
    Yonie HerreraHIMental Health Counselor$0$231.1K
    Carlos OmphroyHIOphthalmology Physician$185.5K$0
    Suzanna GrimaHIDermatology Physician$172K$0
    Longs Drug Stores California LLCHIPharmacy$155.2K$3.3K

    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 6 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 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii