LIBERTY DIALYSIS-SOUTH RENO LLC SOS Verified
601 SIERRA ROSE DR STE 101, RENO, NV 89511
NPI Number
1174791008
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LIBERTY DIALYSIS-SOUTH RENO LLC
Entity Number: E0731672008-5
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2008-12-02
Status Changed: 2009-04-17
Name Match: 95%
Registered Agent
Name: GARY R JOSLIN
Type: Non-Commercial Registered Agent
Address: 601 SIERRA ROSE DRIVE, SUITE 201, RENO, NV, 89511
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Member | Liberty Dialysis-Carson City LLC | 920 Winter St., Waltham, MA | Active |
| Manager | Raquel Sam | 601 SIERRA ROSE DR STE 101, RENO, NV | Active |
Total Medicaid Payments
$2,472,434
-30% vs specialty average
Patients Seen
17,141
Total Claims
84,000
$ Per Patient
$144
Specialty avg: $170
Specialty Rank
#24 of 52
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment providers in Nevada
Peer Average
$3,517,617
Average total for Clinic/Center, End-Stage Renal Disease (ESRD) Treatment
Claims per Patient
4.9
Average visits / services per person
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $236,159 | |
| 2019 | $225,985 | |
| 2020 | $253,668 | |
| 2021 | $338,321 | |
| 2022 | $393,817 | |
| 2023 | $548,056 | |
| 2024 | $476,428 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 90999 | Dialysis or kidney treatment — other related procedure | 32,952 | $2,471,510 | 100.0% | $75 |
| J0887 | Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis) | 545 | $388 | 0.0% | $1 |
| 84520 | Blood chemistry test (checking specific substances in your blood) | 5,371 | $161 | 0.0% | $0 |
| 0013A | Medical service or procedure | 21 | $81 | 0.0% | $4 |
| J1756 | Injection, iron sucrose, 1 mg | 2,499 | $62 | 0.0% | $0 |
| 0002A | Medical service or procedure | 20 | $40 | 0.0% | $2 |
| 0001A | Medical service or procedure | 22 | $40 | 0.0% | $2 |
| 83970 | Blood chemistry test (checking specific substances in your blood) | 879 | $28 | 0.0% | $0 |
| 80051 | Blood test panel (checking multiple things at once) | 1,779 | $24 | 0.0% | $0 |
| 82565 | Creatinine blood test (checks how well your kidneys are working) | 1,933 | $18 | 0.0% | $0 |
| 83540 | Iron blood test | 2,193 | $12 | 0.0% | $0 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 1,931 | $11 | 0.0% | $0 |
| 85018 | Blood cell or clotting test | 6,821 | $10 | 0.0% | $0 |
| 83550 | Iron binding capacity test | 1,571 | $10 | 0.0% | $0 |
| 82728 | Blood chemistry test (checking specific substances in your blood) | 763 | $9 | 0.0% | $0 |
| 86706 | Immune system or allergy test | 155 | $7 | 0.0% | $0 |
| 82310 | Blood chemistry test (checking specific substances in your blood) | 2,391 | $7 | 0.0% | $0 |
| 82040 | Albumin blood test (checks for liver or kidney problems) | 1,923 | $7 | 0.0% | $0 |
| 84100 | Phosphorus blood test | 2,105 | $6 | 0.0% | $0 |
| 84155 | Blood chemistry test (checking specific substances in your blood) | 1,659 | $2 | 0.0% | $0 |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | 664 | $0 | 0.0% | $0 |
| 84460 | ALT blood test (checks for liver damage) | 22 | $0 | 0.0% | $0 |
| 87340 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 246 | $0 | 0.0% | $0 |
| 90682 | Vaccine or immunization | 25 | $0 | 0.0% | $0 |
| 80069 | Kidney function blood test panel | 68 | $0 | 0.0% | $0 |
| A4657 | Syringe, with or without needle, each | 12,974 | $0 | 0.0% | $0 |
| 84450 | AST blood test (checks for liver damage) | 22 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 159 | $0 | 0.0% | $0 |
| 90688 | Vaccine or immunization | 23 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 52 | $0 | 0.0% | $0 |
| 82108 | Blood chemistry test (checking specific substances in your blood) | 233 | $0 | 0.0% | $0 |
| 85046 | Blood cell or clotting test | 166 | $0 | 0.0% | $0 |
| 86704 | Immune system or allergy test | 52 | $0 | 0.0% | $0 |
| 83735 | Blood chemistry test (checking specific substances in your blood) | 740 | $0 | 0.0% | $0 |
| 84075 | Blood chemistry test (checking specific substances in your blood) | 633 | $0 | 0.0% | $0 |
| 84466 | Blood chemistry test (checking specific substances in your blood) | 388 | $0 | 0.0% | $0 |
About This Data
This data comes from the HHS Medicaid Provider Spending dataset (opendata.hhs.gov). It shows payments made through Nevada Medicaid from 2018–2024. High payments do not mean a provider is doing anything wrong — some specialties naturally cost more, and busy providers see more patients. But unusually high numbers compared to peers can be worth a closer look.