LIBERTY DIALYSIS - HAWAII LLC
NPI: 1801832951
· WAIMEA, HI 96796
· 261QE0700X
$1.73M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,015 |
$77K |
| 2019 |
1,142 |
$54K |
| 2020 |
975 |
$40K |
| 2021 |
5,698 |
$183K |
| 2022 |
12,555 |
$317K |
| 2023 |
14,035 |
$264K |
| 2024 |
10,945 |
$791K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90999 |
|
11,754 |
883 |
$1.65M |
| J0887 |
Epoetin beta esrd use |
180 |
88 |
$72K |
| 83550 |
|
875 |
656 |
$0.00 |
| 80051 |
|
213 |
178 |
$0.00 |
| A4657 |
Syringe w/wo needle |
14,000 |
520 |
$0.00 |
| 84075 |
|
302 |
228 |
$0.00 |
| 83735 |
|
304 |
230 |
$0.00 |
| 85025 |
|
899 |
683 |
$0.00 |
| 85018 |
|
3,274 |
734 |
$0.00 |
| 82040 |
|
220 |
179 |
$0.00 |
| 82728 |
|
305 |
228 |
$0.00 |
| J3490 |
Drugs unclassified injection |
569 |
64 |
$0.00 |
| 82746 |
|
63 |
47 |
$0.00 |
| 87340 |
|
77 |
60 |
$0.00 |
| 86706 |
|
74 |
57 |
$0.00 |
| 80069 |
|
14 |
12 |
$0.00 |
| 84155 |
|
919 |
695 |
$0.00 |
| 83540 |
|
952 |
721 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
8,517 |
300 |
$0.00 |
| 84520 |
|
1,567 |
721 |
$0.00 |
| 82310 |
|
231 |
179 |
$0.00 |
| 84100 |
|
272 |
193 |
$0.00 |
| 83970 |
|
340 |
242 |
$0.00 |
| 82565 |
|
232 |
180 |
$0.00 |
| 82108 |
|
122 |
92 |
$0.00 |
| 84466 |
|
14 |
12 |
$0.00 |
| J1756 |
Iron sucrose injection |
76 |
12 |
$0.00 |