LIBERTY DIALYSIS - HAWAII LLC
NPI: 1134160187
· KAILUA KONA, HI 96740
· 261QE0700X
$9.03M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27,389 |
$662K |
| 2019 |
19,907 |
$364K |
| 2020 |
16,011 |
$377K |
| 2021 |
32,402 |
$836K |
| 2022 |
33,780 |
$877K |
| 2023 |
37,473 |
$1.01M |
| 2024 |
31,643 |
$4.90M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
38,926 |
2,871 |
$4.55M |
| J0887 |
Epoetin beta esrd use |
2,911 |
1,649 |
$4.27M |
| J1756 |
Iron sucrose injection |
5,429 |
1,173 |
$207K |
| 82728 |
|
1,111 |
907 |
$650.58 |
| 83550 |
|
3,055 |
2,473 |
$604.13 |
| 85025 |
|
3,211 |
2,593 |
$0.00 |
| 80051 |
|
2,934 |
2,361 |
$0.00 |
| A4657 |
Syringe w/wo needle |
59,068 |
2,455 |
$0.00 |
| 82040 |
|
3,021 |
2,391 |
$0.00 |
| 83036 |
|
229 |
212 |
$0.00 |
| 85018 |
|
7,828 |
2,399 |
$0.00 |
| 83735 |
|
1,032 |
841 |
$0.00 |
| 86803 |
|
31 |
27 |
$0.00 |
| 90686 |
|
61 |
43 |
$0.00 |
| 87340 |
|
881 |
681 |
$0.00 |
| 84075 |
|
1,013 |
835 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
1,188 |
130 |
$0.00 |
| 86706 |
|
229 |
177 |
$0.00 |
| 82746 |
|
234 |
184 |
$0.00 |
| G0008 |
Admin influenza virus vac |
157 |
126 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| J3490 |
Drugs unclassified injection |
46 |
24 |
$0.00 |
| 83970 |
|
1,303 |
1,000 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
40,659 |
1,567 |
$0.00 |
| 84100 |
|
3,600 |
2,441 |
$0.00 |
| 82565 |
|
2,999 |
2,386 |
$0.00 |
| 84155 |
|
3,149 |
2,569 |
$0.00 |
| 82108 |
|
434 |
352 |
$0.00 |
| 82310 |
|
3,526 |
2,403 |
$0.00 |
| 84520 |
|
6,934 |
2,528 |
$0.00 |
| 83540 |
|
3,239 |
2,613 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
129 |
14 |
$0.00 |
| 90682 |
|
24 |
20 |
$0.00 |