LIBERTY DIALYSIS - HAWAII LLC
NPI: 1467507103
· KAUNAKAKAI, HI 96748
· 261QE0700X
$1.14M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,486 |
$166K |
| 2019 |
6,055 |
$117K |
| 2021 |
2,596 |
$76K |
| 2022 |
11,228 |
$296K |
| 2023 |
11,717 |
$302K |
| 2024 |
6,632 |
$182K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
11,449 |
983 |
$891K |
| J0887 |
Epoetin beta esrd use |
309 |
201 |
$248K |
| A4657 |
Syringe w/wo needle |
22,856 |
895 |
$0.00 |
| 86706 |
|
41 |
41 |
$0.00 |
| 82728 |
|
253 |
233 |
$0.00 |
| 85018 |
|
2,634 |
782 |
$0.00 |
| J1270 |
Injection, doxercalciferol |
1,790 |
183 |
$0.00 |
| 85025 |
|
758 |
688 |
$0.00 |
| 83735 |
|
147 |
138 |
$0.00 |
| 87340 |
|
29 |
29 |
$0.00 |
| 83550 |
|
455 |
407 |
$0.00 |
| 84075 |
|
83 |
80 |
$0.00 |
| G0008 |
Admin influenza virus vac |
28 |
28 |
$0.00 |
| 82746 |
|
59 |
56 |
$0.00 |
| 90688 |
|
14 |
14 |
$0.00 |
| 80069 |
|
13 |
12 |
$0.00 |
| 86580 |
|
17 |
16 |
$0.00 |
| 84450 |
|
171 |
161 |
$0.00 |
| 84520 |
|
1,379 |
794 |
$0.00 |
| 84155 |
|
304 |
287 |
$0.00 |
| 83970 |
|
340 |
286 |
$0.00 |
| 83540 |
|
675 |
613 |
$0.00 |
| 84460 |
|
172 |
162 |
$0.00 |
| 82310 |
|
40 |
25 |
$0.00 |
| 82108 |
|
28 |
28 |
$0.00 |
| 84466 |
|
273 |
260 |
$0.00 |
| J1756 |
Iron sucrose injection |
467 |
116 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
1,930 |
76 |
$0.00 |