LIBERTY DIALYSIS - HAWAII LLC
NPI: 1487180097
· MILILANI, HI 96789
· 261QE0700X
$10.33M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
9,083 |
$180K |
| 2020 |
10,240 |
$158K |
| 2021 |
23,500 |
$696K |
| 2022 |
28,409 |
$806K |
| 2023 |
32,727 |
$898K |
| 2024 |
25,135 |
$7.59M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J0887 |
Epoetin beta esrd use |
2,212 |
1,079 |
$6.35M |
| 90999 |
|
27,049 |
1,829 |
$3.95M |
| J1756 |
Iron sucrose injection |
3,166 |
636 |
$20K |
| 84520 |
|
3,839 |
1,650 |
$0.00 |
| 83540 |
|
2,081 |
1,698 |
$0.00 |
| 82108 |
|
310 |
258 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
28,454 |
926 |
$0.00 |
| 84100 |
|
622 |
437 |
$0.00 |
| 82310 |
|
676 |
469 |
$0.00 |
| 84155 |
|
2,074 |
1,693 |
$0.00 |
| 83970 |
|
979 |
742 |
$0.00 |
| A6216 |
Non-sterile gauze<=16 sq in |
354 |
37 |
$0.00 |
| 82565 |
|
342 |
285 |
$0.00 |
| 90661 |
|
15 |
14 |
$0.00 |
| 90682 |
|
27 |
19 |
$0.00 |
| 80069 |
|
1,029 |
806 |
$0.00 |
| 85018 |
|
5,457 |
1,590 |
$0.00 |
| 80051 |
|
254 |
223 |
$0.00 |
| 83036 |
|
185 |
159 |
$0.00 |
| 82728 |
|
825 |
668 |
$0.00 |
| 83550 |
|
2,067 |
1,686 |
$0.00 |
| 85025 |
|
2,058 |
1,690 |
$0.00 |
| 83735 |
|
676 |
545 |
$0.00 |
| A4657 |
Syringe w/wo needle |
42,488 |
1,523 |
$0.00 |
| 84075 |
|
679 |
546 |
$0.00 |
| 86803 |
|
66 |
58 |
$0.00 |
| 82040 |
|
356 |
299 |
$0.00 |
| 87340 |
|
230 |
178 |
$0.00 |
| G0008 |
Admin influenza virus vac |
109 |
92 |
$0.00 |
| 82746 |
|
164 |
129 |
$0.00 |
| 90686 |
|
14 |
13 |
$0.00 |
| 86580 |
|
96 |
76 |
$0.00 |
| 86706 |
|
128 |
96 |
$0.00 |
| 90673 |
|
13 |
13 |
$0.00 |