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

    NPI 1700828043 · Waianae, HI · End-Stage Renal Disease (ESRD) Treatment Clinic/Center

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    Liberty Dialysis - Hawaii LLC is a end-stage renal disease (esrd) treatment clinic/center provider located in Waianae, Hawaii. This profile covers 0 Medicare and 46 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 - Hawaii LLC
    Address86-080 Farrington Hwy Ste 101
    CityWaianae
    StateHI
    ZIP96792
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 12, 2006

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

    Payer SourceTotal Paid
    Medicaid$8.9M
    Medicare$0

    Key Findings

    LIBERTY DIALYSIS - HAWAII LLC is an ESRD treatment clinic located in WAIANAE, HI with an NPI enumerated 2006-06-12 (~20 years ago). It reports $8.9M in lifetime Medicaid revenue and has no Medicare billing on file, making it effectively a single-payer (Medicaid) operator in this dataset.

    Revenue is highly concentrated in three Medicaid codes that together account for 100.0% of this provider's Medicaid revenue: 90999 ($5.7M, 64.3%), J0887 ($3.2M, 35.6%), and J0606 ($8.3K, 0.1%). This concentration indicates that a very small set of dialysis- and ESRD-related codes drive the entirety of reported Medicaid receipts.

    The code mix points to an in-center dialysis business model with integrated anemia management: 90999 (dialysis services without a specific code) is the top revenue driver and J0887 (epoetin beta for ESRD on dialysis) is the second-largest contributor. The presence of J0606 (etelcalcetide) further signals management of mineral bone/secondary hyperparathyroidism in the dialysis population, although it contributes only $8.3K (0.1%) of Medicaid revenue.

    Competitive standing within the state is modest-to-notable but not dominant for its top codes: 90999 ranks #9 of 45 providers in-state (82th percentile; typical, unremarkable volume for this code) and J0887 ranks #7 of 32 providers in-state (81th percentile; typical, unremarkable volume for this code). By contrast, J0606 ranks #5 of 5 providers in-state (0th percentile; typical, unremarkable volume for this code), indicating minimal revenue footprint for that specific medication despite being offered.

    Operational activity beyond direct revenue lines is visible in large claim volumes for ancillary supplies and labs that report $0 paid per claim in this file, consistent with bundled dialysis reimbursement or separate lab arrangements. Notable examples include J1644 (57.1K claims, $0 revenue), A4657 (87.9K claims, $0 revenue), and 85018 (11.6K claims, $0 revenue), which together indicate frequent anticoagulation, syringe use, and routine hematology testing associated with ongoing dialysis treatments.

    Payer-mix and reimbursement dynamics show a contrast in per-claim payments between service and drug codes: 90999 posts 44.8K claims at $127 avg paid/claim while J0887 posts 4.2K claims at $743 avg paid/claim, reflecting that anemia biologics represent a high per-claim cost even though dialysis procedure volume dominates by claim count. This split underscores dependence on both procedure volume and expensive injectable therapeutics for Medicaid revenue.

    Given the absence of Medicare billing on file and $8.9M of Medicaid receipts, the provider is exposed to Medicaid payment policy and contracting changes; any shifts in Medicaid formulary, injectables reimbursement, or dialysis payment bundling could materially affect revenue, because the top two codes account for 99.9% of reported Medicaid dollars (64.3% + 35.6% + 0.1% = 100.0% as allocated).

    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.

    46 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.44,840$130$5.7M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)4,240$740$3.2M
    J0606Injection, etelcalcetide, 0.1 mg920$10$8.3K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)90$1$360
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.620$0$0
    80069The 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.2,620$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.720$0$0
    82108The 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…450$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.2,020$0$0
    82565The 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…540$0$0

    Showing 1–10 of 46

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Hawaii median

    46 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.95018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)7301,820$1,150$3M
    J3490Unclassified drugs1450160$200$740.3K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)2330840$350$466.6K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1420110$20$92.9K
    83036Sugar 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).…4070230$10$66.5K
    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…31901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg6401,190$20$62.3K
    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.1050540$20$34.9K
    86704The lab analyst performs an immunoassay to evaluate the patient’s specimen, typically serum, for total hepatitis B core antibodies. This test gives a total result of all immunoglobulin types.510210$10$34.1K

    Showing 1–10 of 46

    Related Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$42.8M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.4M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$19.3M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$15.6M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$14.7M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$10.3M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$9M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.7M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.7M
    Liberty Dialysis - Hawaii LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.6M

    Nearby Providers

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

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Waianae District Comprehensive Health And Hospital Board, IncHIFamily Medicine Physician$0$125.3M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$18.5M
    Kokua Villa, Inc.HIDevelopmental Disabilities Clinic/Center$0$3.9M
    Usrc Waianae, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$3.4M
    Alternative Structures InternationalHIDevelopmentally Disabled Services Day Training Agency$0$3.2M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$2.2M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$1.4M
    Waianae District Comprehensive Health And Hospital Board, IncorporatedHIFederally Qualified Health Center (FQHC)$0$893.6K
    Dm Wellness LLCHICommunity/Behavioral Health Agency$0$746.3K
    Moana GasparHIMental Health Counselor$0$745.9K

    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. Hawaii Providers
    2 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Hawaii Distribution
    Liberty Dialysis - Hawaii LLC — 0 of 4 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii