LIBERTY DIALYSIS - HAWAII LLC
NPI: 1427099332
· EWA BEACH, HI 96706
· 261QE0700X
$14.72M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
37,188 |
$549K |
| 2019 |
42,946 |
$642K |
| 2020 |
53,125 |
$945K |
| 2021 |
68,596 |
$1.24M |
| 2022 |
62,734 |
$982K |
| 2023 |
57,571 |
$946K |
| 2024 |
35,942 |
$9.41M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
6,306 |
3,223 |
$8.09M |
| 90999 |
|
56,898 |
4,493 |
$6.62M |
| A4657 |
Syringe w/wo needle |
113,301 |
4,045 |
$1K |
| J1756 |
Iron sucrose injection |
10,963 |
2,283 |
$994.68 |
| 0064A |
|
19 |
15 |
$218.40 |
| 0002A |
|
19 |
13 |
$174.72 |
| J1644 |
Inj heparin sodium per 1000u |
84,750 |
2,871 |
$17.20 |
| 84520 |
|
9,648 |
4,046 |
$14.54 |
| J1270 |
Injection, doxercalciferol |
6,687 |
633 |
$12.33 |
| 85018 |
|
13,572 |
4,044 |
$11.05 |
| 83970 |
|
2,000 |
1,579 |
$10.14 |
| 83550 |
|
4,379 |
3,443 |
$9.04 |
| 85025 |
|
4,940 |
3,921 |
$8.78 |
| 83540 |
|
5,038 |
4,005 |
$7.31 |
| 80051 |
|
3,358 |
2,673 |
$7.14 |
| 82310 |
|
4,156 |
2,853 |
$6.64 |
| 84100 |
|
4,526 |
2,941 |
$6.55 |
| 82565 |
|
3,467 |
2,696 |
$5.57 |
| 82040 |
|
3,395 |
2,700 |
$5.24 |
| 84155 |
|
4,981 |
3,968 |
$4.13 |
| 82728 |
|
2,805 |
2,204 |
$3.35 |
| 87340 |
|
1,550 |
1,228 |
$2.69 |
| A6216 |
Non-sterile gauze<=16 sq in |
2,392 |
208 |
$0.00 |
| 82108 |
|
771 |
618 |
$0.00 |
| 84466 |
|
536 |
457 |
$0.00 |
| 90740 |
|
14 |
12 |
$0.00 |
| 90661 |
|
14 |
14 |
$0.00 |
| 90662 |
|
75 |
61 |
$0.00 |
| 90682 |
|
49 |
35 |
$0.00 |
| 85046 |
|
23 |
12 |
$0.00 |
| 80069 |
|
1,436 |
1,123 |
$0.00 |
| 82746 |
|
335 |
262 |
$0.00 |
| 83036 |
|
320 |
274 |
$0.00 |
| 83735 |
|
1,591 |
1,267 |
$0.00 |
| 86706 |
|
326 |
251 |
$0.00 |
| 84075 |
|
1,572 |
1,265 |
$0.00 |
| J3490 |
Drugs unclassified injection |
566 |
165 |
$0.00 |
| G0008 |
Admin influenza virus vac |
310 |
253 |
$0.00 |
| J0604 |
Cinacalcet, esrd on dialysis |
273 |
36 |
$0.00 |
| 84132 |
|
181 |
64 |
$0.00 |
| 90686 |
|
98 |
75 |
$0.00 |
| 86580 |
|
266 |
223 |
$0.00 |
| 90673 |
|
14 |
14 |
$0.00 |
| 90688 |
|
51 |
45 |
$0.00 |
| G0010 |
Admin hepatitis b vaccine |
14 |
12 |
$0.00 |
| 86803 |
|
98 |
84 |
$0.00 |
| 0001A |
|
19 |
13 |
$0.00 |