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

    NPI 1740221621 · Honolulu, 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 Honolulu, Hawaii. This profile covers 0 Medicare and 60 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
    Address2230 Liliha St
    CityHonolulu
    StateHI
    ZIP96817
    TaxonomyEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center
    NPI EnumeratedJune 9, 2006

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

    Payer SourceTotal Paid
    Medicaid$42.8M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and all documented government revenue is Medicaid-only, with total Medicaid revenue of $42.8M. In practical terms LIBERTY DIALYSIS - HAWAII LLC functions as an effectively single-payer (Medicaid) operation in the data set, which concentrates payment risk and commercial/payer-negotiation exposure on one program rather than a mixed Medicare/Medicaid mix.

    Medicaid revenue is highly concentrated: the precomputed top three codes account for 99.4% of the provider’s Medicaid revenue. Specifically, J0887 (14.9K claims, $1488 avg paid/claim, $22.1M revenue) and 90999 (175.1K claims, $115 avg paid/claim, $20.1M revenue) together dominate receipts, while J0604 contributes a much smaller share (11K claims, $25 avg paid/claim, $276.2K revenue).

    The code mix is consistent with an in-center ESRD dialysis operation that provides both dialysis sessions and associated injectable anemia management: 90999 is billed for dialysis services or procedures, and J0887 is epoetin beta for ESRD patients on dialysis. The per-claim payment profiles ($1488 for J0887 vs $115 for 90999 vs $25 for J0604) show that high-dollar biologic/medication billing (epoetin) drives a disproportionate share of revenue relative to per-session dialysis reimbursement.

    State-level competitive standing is dominant for the provider’s top revenue drivers: LIBERTY DIALYSIS - HAWAII LLC ranks #1 in-state and at the 100th percentile for both J0887 (51.7% of the provider’s Medicaid revenue; labeled an extreme outlier) and 90999 (47.1% of the provider’s Medicaid revenue; labeled an extreme outlier). These rankings indicate the provider is a major, market-leading supplier of those specific ESRD services in Hawaii.

    Several ancillary lab, supply, and pharmacy line items show extremely high claim volumes but report $0 average paid/claim in the file (examples include A4657: 248.9K claims, $0 avg paid/claim; J1644: 194.9K claims, $0 avg paid/claim; 85018: 34.6K claims, $0 avg paid/claim). Many of these codes are labeled as extreme outliers or notably above typical state volume, suggesting heavy utilization or reporting of dialysis-associated supplies and labs that do not appear as Medicaid-paid revenue in these extracts (may reflect bundling, pass-through reporting practices, or state payment policies rather than lack of clinical activity).

    Smaller but notable medication volumes further characterize service lines: J0604 (cinacalcet) ranks #1 of 16 in-state and is described as notably above typical state volume, while J1756 (iron sucrose) and several injectable antibiotics/vaccines appear in claims lists at lower revenue impact. These additional drug and vaccine lines align with comprehensive dialysis care (anemia management, mineral metabolism, infection prevention/therapy).

    The provider has long tenure: the NPI was enumerated on 2006-06-09 (~20 years ago), indicating an established presence in the Hawaii ESRD dialysis market. Combined with the dominant state rankings on top codes, this tenure supports a profile of an established dialysis operator with sustained Medicaid activity and market footprint.

    From an operational risk perspective, the business is highly sensitive to reimbursement changes for a very small number of codes because J0887 and 90999 together produce the overwhelming share of Medicaid revenue (top 3 codes = 99.4% of revenue). Given the absence of Medicare volume, reimbursement policy changes or formulary/pricing shifts in Medicaid for epoetin products or dialysis session reporting could materially affect the provider’s topline.

    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.

    60 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)14,860$1,490$22.1M
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.175,140$120$20.1M
    J0604Cinacalcet, oral, 1 mg, (for esrd on dialysis)11,050$30$276.2K
    J1756Injection, iron sucrose, 1 mg21,910$10$131.4K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)2,300$30$68.9K
    J0606Injection, etelcalcetide, 0.1 mg1,780$10$17.8K
    90740This code represents a vaccine product administered intramuscularly to protect against the liver disease hepatitis B. The vaccine has a three–dose schedule. The dosage is for patients who are…310$50$14.1K
    J3370Injection, vancomycin hcl, 500 mg80$60$4.6K
    J0713Injection, ceftazidime, per 500 mg70$50$3.1K
    0064AN/A40$10$270

    Showing 1–10 of 60

    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

    60 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.15018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)1301,820$1,150$3M
    J3490Unclassified drugs450160$200$740.3K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)730840$350$466.6K
    82570The lab analyst measures the amount of creatinine, in a patient specimen, other than blood. Creatinine is the waste material generated by the muscle tissue produced from the breakdown of creatine…10102,730$10$104.1K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody720110$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).…1370230$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…17901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg1401,190$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.350540$20$34.9K

    Showing 1–10 of 60

    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$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$8.9M
    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
    Kalihi Palama Health CenterHIFederally Qualified Health Center (FQHC)$0$38.9M
    Careresource HawaiiHIHome Health Agency$0$12.8M
    Lanakila PacificHIHome Delivered Meals$0$11.7M
    Usrc Aloha LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$11.1M
    Kuakini Medical CenterHIGeneral Acute Care Hospital$0$10.9M
    Usrc Honolulu, LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$8.1M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$6.3M
    Ku Aloha Ola MauHICounselor$220.5K$5.8M
    Dialysis Newco LLCHIEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center$0$4.9M
    Coastal Medical Supply, Inc.HIDurable Medical Equipment & Medical Supplies$0$4.7M

    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
    7 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 — 5 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii