LIBERTY DIALYSIS - HAWAII LLC
NPI: 1003931494
· HONOLULU, HI 96816
· 261QE0700X
$3.61M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
23,670 |
$493K |
| 2019 |
20,797 |
$522K |
| 2020 |
11,027 |
$329K |
| 2021 |
15,170 |
$401K |
| 2022 |
21,945 |
$495K |
| 2023 |
20,096 |
$490K |
| 2024 |
13,592 |
$880K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
25,824 |
2,147 |
$2.47M |
| J0887 |
Epoetin beta esrd use |
1,965 |
1,147 |
$1.14M |
| A4657 |
Syringe w/wo needle |
42,559 |
1,755 |
$3K |
| J1756 |
Iron sucrose injection |
2,454 |
569 |
$155.54 |
| J1644 |
Inj heparin sodium per 1000u |
27,378 |
993 |
$43.58 |
| 85025 |
|
2,127 |
1,795 |
$0.00 |
| 87340 |
|
162 |
132 |
$0.00 |
| 85018 |
|
5,941 |
1,858 |
$0.00 |
| 80069 |
|
721 |
638 |
$0.00 |
| G0008 |
Admin influenza virus vac |
84 |
73 |
$0.00 |
| 80051 |
|
359 |
292 |
$0.00 |
| 84075 |
|
668 |
570 |
$0.00 |
| 86706 |
|
132 |
108 |
$0.00 |
| 82040 |
|
493 |
392 |
$0.00 |
| 83550 |
|
1,246 |
991 |
$0.00 |
| 83735 |
|
671 |
574 |
$0.00 |
| 82728 |
|
675 |
575 |
$0.00 |
| 82746 |
|
142 |
113 |
$0.00 |
| 90688 |
|
17 |
15 |
$0.00 |
| 83036 |
|
12 |
12 |
$0.00 |
| 90686 |
|
18 |
13 |
$0.00 |
| 86803 |
|
17 |
15 |
$0.00 |
| 86580 |
|
15 |
15 |
$0.00 |
| 83540 |
|
2,154 |
1,812 |
$0.00 |
| 84155 |
|
2,136 |
1,810 |
$0.00 |
| 82310 |
|
1,216 |
751 |
$0.00 |
| 84100 |
|
1,102 |
661 |
$0.00 |
| 84520 |
|
3,760 |
1,826 |
$0.00 |
| 82565 |
|
393 |
325 |
$0.00 |
| 82108 |
|
316 |
268 |
$0.00 |
| 84466 |
|
543 |
496 |
$0.00 |
| 83970 |
|
846 |
716 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
129 |
13 |
$0.00 |
| 90682 |
|
22 |
19 |
$0.00 |