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 LLC (NPI 1609142173)

Field	Value
Entity Type	Organization
Organization	Dialysis Newco LLC
Address	226 N Kuakini St
City	Honolulu
State	HI
ZIP	96817
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	March 28, 2012

Payer Source	Total Paid
Medicaid	$6.3M
Medicare	$0

Key Findings

This provider has no Medicare billing on file and is effectively single-payer in this dataset, with Total Medicaid revenue of $6.3M reported. Analysts should treat Medicaid as the primary revenue source when evaluating this entity's commercial or public-payor exposure.

Revenue is highly concentrated: the precomputed top-3 Medicaid codes (J0887, 90999, J0882) together account for 97.9% of this provider's total Medicaid revenue. Individually those codes are J0887 ($3M, 48.5%), 90999 ($2.4M, 37.9%), and J0882 ($720.9K, 11.5%), so policy or price movement on those specific items would materially affect overall revenue.

The code mix is consistent with a functioning ESRD/dialysis center: large volumes of dialysis procedure reporting (90999) and frequent use of erythropoiesis-stimulating agents (J0887 and J0882). This pattern indicates routine in-center dialysis sessions with ongoing anemia management via injectable agents rather than, for example, a primarily hospital-based or transplant-focused practice.

On competitive standing within the state, the provider is a clear leader for darbepoetin use: J0882 ranks #1 of 11 providers in-state (100th percentile; notably above typical state volume). By contrast, its dialysis-procedure and epoetin volumes are typical for the market — 90999 ranks #5 of 45 (91th percentile; typical, unremarkable volume) and J0887 ranks #6 of 32 (84th percentile; typical, unremarkable volume) — signaling a niche strength on darbepoetin while being a modest participant on other top-revenue codes.

Claim volume underscores the operational tempo: 90999 appears on 59.4K claims, J0887 on 4.5K claims, and J0882 on 2.8K claims. Those high claim counts are consistent with frequent recurring treatments (dialysis sessions and scheduled injectable dosing) rather than one-off interventions.

The dataset shows many common lab and supply line items with substantial claim counts but $0 avg paid/claim and $0 revenue (examples include A4657 with 62.8K claims, J2501 with 23.8K claims, and J1644 with 23.6K claims). This pattern suggests that a large portion of ancillary labs and supplies are present on claims but do not drive separate Medicaid-paid revenue in this extract, which could reflect bundling or non-billable line-item treatment in the state Medicaid structure.

Business risk is concentrated: because 97.9% of Medicaid revenue is tied to three codes, changes in Medicaid reimbursement, prior authorization, or formulary policy affecting J0887, 90999, or J0882 would have outsized impact on the provider's topline. Payers and contracting teams should prioritize review of those codes when modeling rate changes or negotiating agreements with this provider.

The provider has an established billing presence, with its NPI enumerated on 2012-03-28 (~14 years ago), indicating a multi-year operating history in the state that supports interpretation of these utilization patterns as sustained rather than transient.

Medicaid: Complete Services Breakdown

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

57 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	4,500	$680	$3M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	59,440	$40	$2.4M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	2,830	$260	$720.9K
J1756	Injection, iron sucrose, 1 mg	8,900	$10	$80.1K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	4,910	$10	$44.2K
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…	500	$10	$6.5K
0001A	N/A	20	$0	$0
0002A	N/A	20	$0	$0
80048	The lab analyst performs a basic metabolic pane (BMP) test in which he measures the blood level of eight chemicals including total calcium, sodium, potassium, chloride, carbon dioxide, glucose, blood…	10	$0	$0
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	2,080	$0	$0

Showing 1–10 of 57

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 LLC — 1 of 6 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

57 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.	5	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	6	30	1,820	$1,150	$3M
J3490	Unclassified drugs	34	50	160	$200	$740.3K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	19	30	840	$350	$466.6K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	1	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…	6	30	100	$40	$178.7K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	8	20	110	$20	$92.9K
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).…	25	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…	28	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	7	40	1,190	$20	$62.3K

Showing 1–10 of 57

Related Providers

Other providers that share a Tax Identification Number (TIN) with Dialysis Newco LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Usrc Honolulu, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$5.8M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.9M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.9M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.6M
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$1.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$42.8M
Kalihi Palama Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$38.9M
Careresource Hawaii	HI	Home Health Agency	$0	$12.8M
Lanakila Pacific	HI	Home Delivered Meals	$0	$11.7M
Usrc Aloha LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.1M
Kuakini Medical Center	HI	General Acute Care Hospital	$0	$10.9M
Ku Aloha Ola Mau	HI	Counselor	$220.5K	$5.8M
Coastal Medical Supply, Inc.	HI	Durable Medical Equipment & Medical Supplies	$0	$4.7M
Pacific Asc LLC	HI	Ambulatory Surgical Clinic/Center	$1.9M	$684.5K
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$2.1M

Dialysis Newco LLC — Billing Profile & Reimbursement Data

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Dialysis Newco LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References