LIBERTY DIALYSIS - HAWAII LLC
NPI: 1235171588
· LIHUE, HI 96766
· 261QE0700X
$4.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,305 |
$238K |
| 2019 |
9,217 |
$241K |
| 2020 |
8,901 |
$310K |
| 2021 |
11,082 |
$430K |
| 2022 |
16,331 |
$601K |
| 2023 |
17,580 |
$681K |
| 2024 |
12,161 |
$2.20M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
2,314 |
1,183 |
$2.58M |
| 90999 |
|
28,859 |
1,693 |
$2.05M |
| J1756 |
Iron sucrose injection |
1,808 |
374 |
$71K |
| A4657 |
Syringe w/wo needle |
24,298 |
1,096 |
$284.65 |
| 85025 |
|
1,983 |
1,484 |
$0.00 |
| 85018 |
|
5,333 |
1,424 |
$0.00 |
| 83550 |
|
1,386 |
988 |
$0.00 |
| 82728 |
|
678 |
509 |
$0.00 |
| 82040 |
|
597 |
469 |
$0.00 |
| 80051 |
|
531 |
425 |
$0.00 |
| 84075 |
|
659 |
495 |
$0.00 |
| 86706 |
|
143 |
111 |
$0.00 |
| 80069 |
|
655 |
513 |
$0.00 |
| G0008 |
Admin influenza virus vac |
113 |
84 |
$0.00 |
| 86803 |
|
17 |
17 |
$0.00 |
| 82746 |
|
140 |
106 |
$0.00 |
| 83735 |
|
662 |
496 |
$0.00 |
| 86580 |
|
38 |
27 |
$0.00 |
| 87340 |
|
153 |
113 |
$0.00 |
| J3490 |
Drugs unclassified injection |
156 |
25 |
$0.00 |
| 83036 |
|
56 |
52 |
$0.00 |
| 82310 |
|
626 |
464 |
$0.00 |
| 84100 |
|
654 |
499 |
$0.00 |
| 83540 |
|
2,069 |
1,537 |
$0.00 |
| 83970 |
|
783 |
562 |
$0.00 |
| 84520 |
|
2,871 |
1,221 |
$0.00 |
| 82565 |
|
536 |
412 |
$0.00 |
| 84466 |
|
218 |
178 |
$0.00 |
| 84155 |
|
1,938 |
1,433 |
$0.00 |
| 82108 |
|
295 |
224 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,975 |
74 |
$0.00 |
| 90661 |
|
15 |
15 |
$0.00 |
| 90682 |
|
18 |
14 |
$0.00 |