LIBERTY DIALYSIS - HAWAII LLC
NPI: 1073060638
· HONOLULU, HI 96818
· 261QE0700X
$6.71M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
12,574 |
$429K |
| 2019 |
17,668 |
$486K |
| 2020 |
12,414 |
$370K |
| 2021 |
28,377 |
$647K |
| 2022 |
26,339 |
$647K |
| 2023 |
28,758 |
$546K |
| 2024 |
27,752 |
$3.58M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 90999 |
|
27,432 |
2,160 |
$3.44M |
| J0887 |
Epoetin beta esrd use |
2,066 |
1,185 |
$3.26M |
| J1756 |
Iron sucrose injection |
3,329 |
716 |
$52.28 |
| 83970 |
|
1,306 |
1,091 |
$18.00 |
| J1644 |
Inj heparin sodium per 1000u |
34,094 |
1,138 |
$9.67 |
| A4657 |
Syringe w/wo needle |
53,267 |
1,921 |
$5.69 |
| 82310 |
|
2,265 |
1,654 |
$4.36 |
| 84100 |
|
2,195 |
1,672 |
$4.02 |
| 84520 |
|
4,706 |
1,873 |
$3.34 |
| 85018 |
|
6,237 |
1,878 |
$3.04 |
| 85025 |
|
2,119 |
1,840 |
$1.69 |
| 83540 |
|
2,116 |
1,828 |
$1.41 |
| 82565 |
|
1,847 |
1,579 |
$1.11 |
| 80051 |
|
1,827 |
1,582 |
$1.09 |
| 82040 |
|
1,845 |
1,594 |
$1.08 |
| 84155 |
|
2,121 |
1,837 |
$0.80 |
| 84466 |
|
151 |
141 |
$0.00 |
| 82108 |
|
112 |
90 |
$0.00 |
| 90682 |
|
17 |
14 |
$0.00 |
| 82728 |
|
718 |
631 |
$0.00 |
| 83735 |
|
696 |
609 |
$0.00 |
| 83550 |
|
1,772 |
1,515 |
$0.00 |
| 86580 |
|
56 |
49 |
$0.00 |
| 84075 |
|
710 |
625 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
107 |
27 |
$0.00 |
| 86706 |
|
165 |
144 |
$0.00 |
| G0008 |
Admin influenza virus vac |
102 |
89 |
$0.00 |
| 90686 |
|
17 |
14 |
$0.00 |
| 80069 |
|
56 |
49 |
$0.00 |
| 82746 |
|
160 |
136 |
$0.00 |
| 87340 |
|
199 |
180 |
$0.00 |
| 86803 |
|
31 |
28 |
$0.00 |
| 86704 |
|
41 |
38 |
$0.00 |