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

    NPI 1487692950 · Idaho Falls, ID · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Liberty Dialysis - Idaho Falls LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Idaho Falls, Idaho. This profile covers 0 Medicare and 27 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 - Idaho Falls LLC
    Address2381 E Sunnyside Rd
    CityIdaho Falls
    StateID
    ZIP83404
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 4, 2006

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

    Payer SourceTotal Paid
    Medicaid$664K
    Medicare$0

    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.

    27 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.19,580$30$607.1K
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)670$50$31.5K
    A4657Syringe, with or without needle, each5,480$1$11K
    84520The lab analyst performs a test to measure the amount of urea nitrogen in patient blood.2,590$1$2.6K
    84100The lab analyst performs a test to evaluate the level of phosphate, which is phosphorus not contained in biological compounds, in a patient specimen such as serum.1,570$1$1.6K
    82310The lab analyst measures the calcium level, primarily on a serum sample.1,540$1$1.5K
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.1,460$1$1.5K
    83540The lab analyst measures the iron level, primarily in serum. Iron is one of the essential elements in the body, and the greatest portion is present combined with hemoglobin within the red blood cells.1,430$1$1.4K
    87340The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.1,410$1$1.4K
    84155The lab analyst performs the technical lab test to quantitate total protein in a serum, plasma, or whole blood specimen using one of several assay methods, excluding refractometry. Total protein is a…1,390$1$1.4K

    Showing 1–10 of 27

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Idaho providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Idaho median

    27 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.3206,790$30$266K
    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…48901,410$1$27.8K
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)310210$40$14.4K
    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…1440250$10$5.6K
    87340The lab analyst performs a test to detect hepatitis B surface antigen, also called HBsAg, using an immunoassay technique, such as EIA.630570$10$5.3K
    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.830230$10$5.3K
    A4657Syringe, with or without needle, each6201,530$1$5.2K
    83735The lab analyst performs a test to measure the amount of magnesium in a patient specimen.2030270$1$4.5K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody132040$10$3.5K
    J1756Injection, iron sucrose, 1 mg1320680$1$2.8K

    Showing 1–10 of 27

    Nearby Providers

    Other providers in the same ZIP code as Liberty Dialysis - Idaho Falls LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Mountain View Hospital LLCIDGeneral Acute Care Hospital$0$45.7M
    Eastern Idaho Health Services IncIDGeneral Acute Care Hospital$0$12.1M
    Rm Lab LLCIDClinical Medical Laboratory$1.1M$8.2M
    Medical Center For Children & Adolescents, PAIDPediatrics Physician$0$8.8M
    Aaa American Healthcare LLCIDMental Health Counselor$0$8.7M
    Intermountain Emergency PhysiciansIDEmergency Medicine Physician$0$6.6M
    24-7 Professional SolutionsIDIn Home Supportive Care Agency$0$5.9M
    Just 4 Kids Health LLCIDUrgent Care Clinic/Center$0$5.2M
    Foothills Rehabilitation & Performance Services, PLLCIDPhysical Therapist$0$5M
    Innovative Health Care Concepts, IncIDDevelopmental Disabilities Clinic/Center$0$4.8M

    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. Idaho Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Liberty Dialysis - Idaho Falls LLC — 1 of 19 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho