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

    NPI 1932140811 · Wailuku, 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 Wailuku, Hawaii. This profile covers 0 Medicare and 51 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
    Address105 Maui Lani Pkwy
    CityWailuku
    StateHI
    ZIP96793
    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$15.6M
    Medicare$0

    Key Findings

    This provider is effectively single‑payer in the available data: there is no Medicare billing on file and all reported lifetime revenue is Medicaid totaling $15.6M, indicating the facility’s Medicaid business dominates its public-payer footprint. The absence of Medicare claims suggests its billing exposure and payer negotiations are concentrated on Medicaid rather than a split Medicare/Medicaid mix.

    Revenue is highly concentrated: the precomputed top three Medicaid codes account for 99.8% of the provider’s total Medicaid revenue. Specifically, 90999 drives $7.9M (50.5% of Medicaid revenue), J0887 drives $7.6M (48.6% of Medicaid revenue), and J1756 contributes $108.8K (0.7% of Medicaid revenue).

    The code mix is characteristic of an ESRD dialysis center focused on dialysis sessions and anemia management. 90999 is used to report dialysis services or procedures without a specific code, while J0887 (epoetin beta, for ESRD on dialysis) and J1756 (iron sucrose) indicate routine use of erythropoiesis‑stimulating agents and IV iron consistent with in‑center dialysis care. These three codes together imply primary operations deliver dialysis treatments with on‑site management of dialysis‑related anemia.

    State-level competitive standing for the revenue-driving codes places the provider among higher-volume peers but not a statewide dominator. 90999 ranks #4 of 45 (93th percentile; typical, unremarkable volume for this code), J0887 ranks #5 of 32 (87th percentile; typical, unremarkable volume for this code), and J1756 ranks #5 of 39 (89th percentile; typical, unremarkable volume for this code), which positions the clinic as a significant regional participant for dialysis and related injectables without being an extreme outlier.

    Many frequently billed lab and supply codes show large claim counts but $0 avg paid/claim and $0 revenue on file, suggesting those services are either bundled into facility payments or paid through another mechanism. Examples include A4657 (90K claims, $0 avg paid/claim, $0 revenue; ranks #5 of 44, 91th percentile), J1644 (67.2K claims, $0 avg paid/claim, $0 revenue; ranks #5 of 43, 90th percentile), 84520 (8.2K claims, $0 avg paid/claim, $0 revenue; ranks #7 of 58, 89th percentile) and multiple common lab CPTs (85018, 85025, 84155) that appear in the top claims list but generate no direct Medicaid revenue on file.

    Operational risk is concentrated around a very small set of revenue sources: 90999 (50.5% of Medicaid revenue) and J0887 (48.6% of Medicaid revenue) together account for the overwhelming share of payments, so reimbursement changes or utilization shifts for dialysis sessions or epoetin could materially affect the provider’s revenue base. The small contribution from J1756 (0.7%) indicates less revenue diversification across ancillary injectables.

    The provider has a long tenure in billing records, with NPI enumeration dated 2006-06-09 (~20 years ago), which supports an established operation in the market and explains the sizable cumulative Medicaid billing history. Longevity combined with the concentrated code mix indicates a mature dialysis operator whose Medicaid relationships and clinical protocols are likely stable.

    Descriptive labels attached to the top codes characterize the provider’s volumes as typical rather than exceptional despite high percentile ranks; for example, the data flags 90999 and J0887 as 'typical, unremarkable volume for this code' even while they sit in the 93th and 87th percentiles respectively. This suggests the provider sits comfortably within the higher end of normal statewide activity for dialysis services rather than being a statistical outlier requiring special scrutiny.

    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.

    51 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.74,560$110$7.9M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)4,880$1,560$7.6M
    J1756Injection, iron sucrose, 1 mg10,880$10$108.8K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)570$60$31.5K
    0064AN/A20$20$270
    80051The lab analyst performs an electrolyte panel; this panel must include measurement of carbon dioxide, chloride, potassium, and sodium.2,480$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.2,360$0$0
    82040The lab analyst performs a quantitative measurement on a serum, plasma, or whole blood specimen for albumin.2,820$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…720$0$0
    82310The lab analyst measures the calcium level, primarily on a serum sample.3,410$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.

    Full comparison — all codes billed, vs. Hawaii median

    51 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    90999Use 90999 to report dialysis services or procedures that do not have a specific code.45018,270$130$3.3M
    J0887Injection, epoetin beta, 1 microgram, (for esrd on dialysis)5301,820$1,150$3M
    J3490Unclassified drugs1650160$200$740.3K
    Q4081Injection, epoetin alfa, 100 units (for esrd on dialysis)1530840$350$466.6K
    86803Qualitative or Semiquantitative Immunoassays; Hepatitis C antibody1220110$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).…3170230$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…26901,810$1$65.6K
    J1756Injection, iron sucrose, 1 mg5401,190$20$62.3K
    82652The lab analyst measures the level of vitamin D, 1, 25 dihydroxy, a fat soluble steroid that stimulates calcium absorption in the intestine. Vitamin D, 1, 25 dihydroxy is the hormonally active form…3101,900$40$48.5K
    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.750540$20$34.9K

    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.

    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$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
    Maui Health System A Kaiser Foundation Hospitals LLCHIGeneral Acute Care Hospital$0$60.3M
    Community Clinic Of Maui, Inc.HICommunity Health Clinic/Center$0$21.6M
    Maui Medical Group IncHIInternal Medicine Physician$0$9M
    Bayada Home CareHINursing Care Agency$0$6M
    Community Clinic Of Maui, Inc.HIMulti-Specialty Clinic/Center$0$4.8M
    Maui Memorial Emergency Medical Associates IncHIEmergency Medicine Physician$0$3.8M
    Bayada Home CareHIIn Home Supportive Care Agency$0$3.7M
    Ka Lima O Maui LtdHIDevelopmentally Disabled Services Day Training Agency$0$1.7M
    Metropacific Group, CorpHIIn Home Supportive Care Agency$0$1.3M
    Hawaii Life Flight, LLCHIAir Ambulance$218.1K$883.5K

    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
    6 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 5 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Hawaii