LIBERTY DIALYSIS - HAWAII LLC
NPI: 1487810933
· KAILUA, HI 96734
· 261QE0700X
$3.12M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
17,300 |
$330K |
| 2019 |
13,004 |
$349K |
| 2020 |
10,074 |
$220K |
| 2021 |
12,905 |
$239K |
| 2022 |
16,082 |
$259K |
| 2023 |
10,343 |
$261K |
| 2024 |
8,071 |
$1.46M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
21,032 |
1,684 |
$2.89M |
| J0887 |
Epoetin beta esrd use |
398 |
218 |
$229K |
| 84155 |
|
1,898 |
1,522 |
$0.00 |
| 83970 |
|
825 |
650 |
$0.00 |
| 84520 |
|
3,184 |
1,565 |
$0.00 |
| 82108 |
|
309 |
241 |
$0.00 |
| 84466 |
|
731 |
619 |
$0.00 |
| 83540 |
|
1,923 |
1,533 |
$0.00 |
| J1756 |
Iron sucrose injection |
1,404 |
307 |
$0.00 |
| 82310 |
|
123 |
65 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
10,640 |
354 |
$0.00 |
| 84100 |
|
232 |
160 |
$0.00 |
| 82565 |
|
14 |
12 |
$0.00 |
| 85025 |
|
1,891 |
1,513 |
$0.00 |
| 84075 |
|
625 |
494 |
$0.00 |
| 82728 |
|
631 |
496 |
$0.00 |
| 80069 |
|
1,526 |
1,207 |
$0.00 |
| A4657 |
Syringe w/wo needle |
33,235 |
1,408 |
$0.00 |
| 83550 |
|
923 |
712 |
$0.00 |
| 85018 |
|
4,989 |
1,526 |
$0.00 |
| G0008 |
Admin influenza virus vac |
66 |
58 |
$0.00 |
| 90688 |
|
19 |
17 |
$0.00 |
| 86706 |
|
138 |
103 |
$0.00 |
| 83735 |
|
630 |
496 |
$0.00 |
| 87340 |
|
232 |
184 |
$0.00 |
| 82746 |
|
128 |
97 |
$0.00 |
| 83036 |
|
15 |
12 |
$0.00 |
| 82040 |
|
18 |
13 |
$0.00 |