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.

Dialysis Newco Inc (NPI 1497017495)

Field	Value
Entity Type	Organization
Organization	Dialysis Newco Inc
Address	94-862 Kahuailani St
City	Waipahu
State	HI
ZIP	96797
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	June 14, 2012

Payer Source	Total Paid
Medicaid	$432.4K
Medicare	$0

Medicaid: Complete Services Breakdown

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

36 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	810	$340	$276.9K
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	4,320	$40	$155.5K
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	260	$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…	40	$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…	40	$0	$0
82310	The lab analyst measures the calcium level, primarily on a serum sample.	280	$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.	230	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	230	$0	$0
82565	The 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…	240	$0	$0
82607	The lab analyst performs a test to measure the amount of vitamin B12 in a patient specimen, typically in patient blood.	40	$0	$0

Showing 1–10 of 36

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

Dialysis Newco Inc — 0 of 2 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

36 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.	35	50	18,270	$130	$3.3M
J3490	Unclassified drugs	41	50	160	$200	$740.3K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	6	10	810	$290	$349.1K
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…	23	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).…	51	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…	69	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	23	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.	35	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.	23	30	130	$10	$31.1K
82728	The 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…	40	50	620	$10	$18.7K

Showing 1–10 of 36

Nearby Providers

Other providers in the same ZIP code as Dialysis Newco Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Preferred Home & Community Based Services, Inc.	HI	Developmentally Disabled Services Day Training Agency	$0	$66.9M
Bayada Home Care	HI	Developmentally Disabled Services Day Training Agency	$0	$33.3M
Hawaii Health Services, Inc.	HI	Home Health Agency	$0	$29.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.4M
Dsi Waipahu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$7.7M
Blue Water Resources	HI	Case Management Agency	$0	$5.7M
Family Services Of Oahu,llc	HI	Developmentally Disabled Services Day Training Agency	$0	$4.9M
Loving Care Health Provider, Inc.	HI	In Home Supportive Care Agency	$0	$4.2M
Leeward Pedodontix, LLC	HI	Pediatric Dentistry	$0	$4.1M
Metropacific Group, Corp	HI	In Home Supportive Care Agency	$0	$2.8M

Dialysis Newco Inc — Billing Profile & Reimbursement Data

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Dialysis Newco Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References