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.

Liberty Dialysis - Hawaii LLC (NPI 1851332894)

Field	Value
Entity Type	Organization
Organization	Liberty Dialysis - Hawaii LLC
Address	1384 Kinoole St
City	Hilo
State	HI
ZIP	96720
Taxonomy	End-Stage Renal Disease (ESRD) Treatment Clinic/Center
NPI Enumerated	June 9, 2006

Payer Source	Total Paid
Medicaid	$19.3M
Medicare	$0

Key Findings

This provider is effectively single-payer: there is no Medicare billing on file and all reported lifetime payment flows come from Medicaid totaling $19.3M. The absence of Medicare activity means analyses of Medicare competitiveness or cross-payer mix are not applicable for this entity and Medicaid patterns will drive any payer-strategy considerations.

Medicaid revenue is extremely concentrated: the top three Medicaid codes account for 99.8% of this provider's Medicaid revenue, with two codes alone representing the overwhelming share — 90999 at 54.6% and J0887 at 45.0%. Specifically, 90999 generated $10.5M (94.8K claims, $111 avg paid/claim) and J0887 generated $8.7M (7.8K claims, $1108 avg paid/claim), while the third code Q4081 contributed $52.3K (2.6K claims, $20 avg paid/claim).

The code mix aligns with an operational ESRD dialysis center focused on in-center dialysis services and anemia management: heavy billing for 90999 (dialysis services) combined with large-volume, high-dollar J0887 (epoetin beta injections for ESRD on dialysis) indicates routine provision of dialysis sessions and on-site administration of erythropoiesis-stimulating agents. Q4081 appears as a very small supplementary revenue source relative to the two primary codes, consistent with occasional use of alternative epoetin products.

State-level competitive standing is strong for core service lines: the provider ranks #2 of 45 in-state for 90999 at the 98th percentile (described as notably above typical state volume) and #2 of 32 for J0887 at the 97th percentile (also notably above typical state volume). These rank and percentile positions signal the provider is a major regional participant in both dialysis session billing and epoetin administration compared with in-state peers.

Operational reporting shows very high volumes of ancillary lab and supply claims that contribute no recorded Medicaid revenue in this file: examples include J1644 (109.9K claims, $0 revenue; rank #2 of 43, notably above typical state volume), 85018 (20.9K claims, $0 revenue; rank #3 of 65, notably above typical state volume), and A4657 (145.8K claims, $0 revenue; rank #2 of 44, notably above typical state volume). The presence of many high-count, $0-paid lab and supply codes suggests these items are either bundled into dialysis payments or documented for reporting rather than separate Medicaid reimbursement.

The provider shows sustained tenure in the market, with the NPI enumerated on 2006-06-09 (~20 years ago), indicating long-established operations that likely underpin the high procedure volumes and state-level ranking for core ESRD services. This longevity supports the interpretation of the volume data as the output of an established dialysis center rather than a recent entrant.

Concentration of revenue in two specific codes creates both negotiating leverage and operational sensitivity: because 54.6% of Medicaid revenue comes from 90999 and 45.0% from J0887, changes to reimbursement policy, utilization controls, or formulary/access to epoetin products could materially affect overall revenue. Analysts should treat contract-level terms and any state Medicaid policy changes around dialysis session billing or ESA coverage as primary drivers of future revenue volatility for this provider.

Medicaid: Complete Services Breakdown

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

51 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.	94,770	$110	$10.5M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	7,820	$1,110	$8.7M
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	2,620	$20	$52.3K
J1756	Injection, iron sucrose, 1 mg	14,580	$1	$29.2K
0011A	N/A	20	$1	$100
0012A	N/A	20	$10	$90
80051	The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.	5,900	$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.	2,060	$0	$0
82040	The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.	6,080	$0	$0
82108	The 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…	1,200	$0	$0

Showing 1–10 of 51

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

Liberty Dialysis - Hawaii LLC — 3 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

51 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.	2	50	18,270	$130	$3.3M
J0887	Injection, epoetin beta, 1 microgram, (for esrd on dialysis)	2	30	1,820	$1,150	$3M
J3490	Unclassified drugs	15	50	160	$200	$740.3K
Q4081	Injection, epoetin alfa, 100 units (for esrd on dialysis)	4	30	840	$350	$466.6K
86803	Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody	9	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).…	19	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…	22	90	1,810	$1	$65.6K
J1756	Injection, iron sucrose, 1 mg	2	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.	4	50	540	$20	$34.9K
J0604	Cinacalcet, oral, 1 mg, (for esrd on dialysis)	7	20	1,820	$10	$24.3K

Showing 1–10 of 51

Related Providers

Other providers that share a Tax Identification Number (TIN) with Liberty Dialysis - Hawaii 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
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$19.4M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$15.6M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$14.7M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$10.3M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$9M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$8.9M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$6.7M
Liberty Dialysis - Hawaii LLC	HI	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$4.7M
Liberty Dialysis - Hawaii LLC	HI	End-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.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Hilo Benioff Medical Center	HI	General Acute Care Hospital	$0	$51.2M
Metropacific Group, Corp	HI	Developmentally Disabled Services Day Training Agency	$0	$13.3M
Triple Ace Venture Capital, Corp.	HI	In Home Supportive Care Agency	$0	$10.5M
Whchc - Hawaii Island Community Health Center	HI	Federally Qualified Health Center (FQHC)	$0	$8.1M
West Hawaii Community Health Center, Inc.	HI	Federally Qualified Health Center (FQHC)	$0	$7.1M
Hilo Urgent Care Center, LLC	HI	Urgent Care Clinic/Center	$0	$6.5M
Alpha Care Hawaii LLC	HI	In Home Supportive Care Agency	$0	$5.9M
Mastercare Inc	HI	In Home Supportive Care Agency	$0	$5.4M
Americare Hawaii Incorporated	HI	In Home Supportive Care Agency	$0	$3.7M
Garret K. Uehara, Dds Inc. Dba	HI	General Practice Dentistry	$0	$3.6M

Liberty Dialysis - Hawaii LLC — Billing Profile & Reimbursement Data

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Liberty Dialysis - Hawaii 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