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 Waianae, LLC (NPI 1578160909)

Field	Value
Entity Type	Organization
Organization	Usrc Waianae, LLC
Address	86-120 Farrington Hwy Ste B211
City	Waianae
State	HI
ZIP	96792
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	October 8, 2020

Payer Source	Total Paid
Medicaid	$3.4M
Medicare	$0

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 Code	Description	Claims	Avg Paid	Revenue
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	6,730	$480	$3.2M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	220	$650	$142.1K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	1,260	$10	$7.6K
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	250	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	290	$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.	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.	20	$0	$0
82435	The lab analyst performs the technical lab test to analyze the amount of chloride, sometimes abbreviated Cl, in the blood.	20	$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…	280	$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.

Claims Volume vs. Hawaii Distribution

Usrc Waianae, LLC — 0 of 3 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

34 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.	32	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	28	30	1,820	$1,150	$3M
J3490	Unclassified drugs	46	50	160	$200	$740.3K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	12	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…	22	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).…	70	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…	67	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	35	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.	37	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.	26	30	130	$10	$31.1K

Showing 1–10 of 34

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Waianae District Comprehensive Health And Hospital Board, Inc	HI	Family Medicine Physician	$0	$125.3M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$18.5M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.9M
Kokua Villa, Inc.	HI	Developmental Disabilities Clinic/Center	$0	$3.9M
Alternative Structures International	HI	Developmentally Disabled Services Day Training Agency	$0	$3.2M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$2.2M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$1.4M
Waianae District Comprehensive Health And Hospital Board, Incorporated	HI	Federally Qualified Health Center (FQHC)	$0	$893.6K
Dm Wellness LLC	HI	Community/Behavioral Health Agency	$0	$746.3K
Moana Gaspar	HI	Mental Health Counselor	$0	$745.9K

Usrc Waianae, LLC — Billing Profile & Reimbursement Data

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Usrc Waianae, LLC — 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