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 1629344122)

Field	Value
Entity Type	Organization
Organization	Dialysis Newco LLC
Address	98-1005 Moanalua Rd
City	Aiea
State	HI
ZIP	96701
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	March 29, 2012

Payer Source	Total Paid
Medicaid	$5.8M
Medicare	$0

Key Findings

DIALYSIS NEWCO LLC is effectively a single-payer Medicaid operator: there is no Medicare billing on file while total Medicaid revenue is $5.8M, indicating the provider’s entire recorded payer activity in the dataset is concentrated in Medicaid rather than Medicare. This makes the entity primarily relevant to state Medicaid networks and contract negotiations rather than Medicare fee-for-service markets.

Revenue concentration is extreme: the top 3 Medicaid codes (J0887, 90999, J0882) together account for 96.7% of this provider's total Medicaid revenue, showing that a very small set of ESRD-related services—erythropoiesis-stimulating agents and dialysis procedure coding—drive nearly all billed dollars. This concentration suggests limited service-line diversity in the reported Medicaid claims.

The top revenue code is J0887 (epoetin beta) with $3M revenue, representing 51.4% of the provider's Medicaid revenue, demonstrating heavy reliance on ESA medication billing. J0887 ranks #9 of 32 in-state (74th percentile), which the state-level note describes as typical and unremarkable volume; this indicates the provider is not an outlier for epoetin use but uses it at a materially revenue-driving scale for this practice.

The second largest revenue source is 90999 (unspecified dialysis services) with $2M revenue, 34.0% of Medicaid revenue, and 57.6K claims; it ranks #6 of 45 in-state (89th percentile). High claim volume paired with an in-state ranking near the top percentile implies the facility delivers a large number of dialysis encounters, consistent with an operational ESRD clinic performing routine dialysis sessions rather than focusing on ancillary specialties.

J0882 (darbepoetin alfa) is the third revenue driver at $646.9K (11.2% of Medicaid revenue) and ranks #3 of 11 in-state (80th percentile). The presence of two different ESA codes (J0887 and J0882) among the top three reinforces that anemia management and injectable ESAs are core billable services; together these medication codes dominate the revenue mix rather than a broad portfolio of outpatient procedures.

Several lab and supply codes appear frequently by claim count but show $0 paid/claim in the data (for example, J2501, J1644, many lab panels and labs such as 82306, 84520, 85018). Some of these codes rank at or near the top intra-state percentiles (e.g., J2501 rank #1 of 12 and J0606 rank #1 of 5), which signals that while these services are commonly reported, they are not major revenue contributors in the Medicaid payments captured here; operationally this is consistent with routine dialysis clinics that document many lab and supply items alongside higher-revenue drug and procedure codes.

Competitive standing within the state is mixed: for its highest-revenue items the provider sits in the upper-middle range—90999 at the 89th percentile and J0882 at the 80th percentile—indicating it is a meaningful local provider of dialysis encounters and ESA therapy but not a clear statewide dominant (the top ranks for some supply codes do show elevated volume for specific items). Overall, DIALYSIS NEWCO LLC is a solid regional participant in Medicaid-funded ESRD services rather than a market-leading outlier.

The provider has an established operational tenure: the NPI was enumerated on 2012-03-29 (about 14 years ago). This longevity aligns with the high claim counts for recurring dialysis services and maintenance medications, suggesting sustained service delivery to a stable ESRD patient population over time.

Medicaid: Complete Services Breakdown

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

53 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	4,020	$740	$3M
90999	Use 90999 to report dialysis services or procedures that do not have a specific code.	57,610	$30	$2M
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	2,140	$300	$646.9K
J1756	Injection, iron sucrose, 1 mg	6,480	$30	$174.9K
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…	360	$30	$11.4K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	4,710	$1	$4.7K
0001A	N/A	40	$0	$0
0002A	N/A	30	$0	$0
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	2,430	$0	$0
80069	The 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.	580	$0	$0

Showing 1–10 of 53

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 — 0 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

53 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.	6	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	9	30	1,820	$1,150	$3M
J3490	Unclassified drugs	36	50	160	$200	$740.3K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	17	30	840	$350	$466.6K
J0882	Injection, darbepoetin alfa, 1 microgram (for esrd on dialysis)	3	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…	7	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).…	29	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…	29	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	8	40	1,190	$20	$62.3K
83718	The lab analyst performs a test to directly measure the high density lipoprotein, HDL, cholesterol in a patient specimen.	7	10	70	$10	$44.5K

Showing 1–10 of 53

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
Dialysis Newco LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.3M
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
Diagnostic Laboratory Services, Inc	HI	Clinical Medical Laboratory	$10.5M	$46M
Pali Momi Medical Center	HI	General Acute Care Hospital	$0	$49.3M
Dlmc, Inc.	HI	Home Health Agency	$0	$39.5M
Usrc Pearlridge, LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$11.7M
International Life Support Inc	HI	Ambulance	$1.2M	$8.6M
Pharmacare International, Inc.	HI	Community/Retail Pharmacy	$125.1K	$4.7M
Emergency Medicine Physicians Of Honolulu Pali Momi, LLC	HI	Emergency Medicine Physician	$0	$4.2M
Absolute Care Management Services	HI	Point of Service	$0	$3.2M
Derek B Tom Dds LLC	HI	Pediatric Dentistry	$0	$2.6M
Sleep Center Hawaii LLC	HI	Sleep Disorder Diagnostic Clinic/Center	$0	$2.5M

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