LIBERTY DIALYSIS-CARSON CITY LLC SOS Verified
4500 S CARSON ST, CARSON CITY, NV 89701
NPI Number
1336317098
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LIBERTY DIALYSIS-CARSON CITY LLC
Entity Number: E0287922008-7
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2008-04-30
Status Changed: 2008-11-24
Name Match: 95%
Registered Agent
Name: C T CORPORATION SYSTEM**
Type: Commercial Registered Agent
Address: 701 S CARSON ST STE 200, Carson City, NV, 89701
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Member | Liberty Dialysis LLC | 920 WINTER STREET, Waltham, MA | Active |
Total Medicaid Payments
$818,599
-77% vs specialty average
Patients Seen
3,468
Total Claims
31,481
$ Per Patient
$236
Specialty avg: $170
Specialty Rank
#43 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
9.1
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 | $98,864 | |
| 2019 | $98,159 | |
| 2020 | $172,646 | |
| 2021 | $97,922 | |
| 2022 | $148,272 | |
| 2023 | $118,524 | |
| 2024 | $84,212 |
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 | 25,135 | $818,599 | 100.0% | $33 |
| 83540 | Iron blood test | 331 | $0 | 0.0% | $0 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 95 | $0 | 0.0% | $0 |
| 86706 | Immune system or allergy test | 55 | $0 | 0.0% | $0 |
| 84100 | Phosphorus blood test | 110 | $0 | 0.0% | $0 |
| 80069 | Kidney function blood test panel | 279 | $0 | 0.0% | $0 |
| 84075 | Blood chemistry test (checking specific substances in your blood) | 198 | $0 | 0.0% | $0 |
| 83970 | Blood chemistry test (checking specific substances in your blood) | 441 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 21 | $0 | 0.0% | $0 |
| 84520 | Blood chemistry test (checking specific substances in your blood) | 922 | $0 | 0.0% | $0 |
| 82728 | Blood chemistry test (checking specific substances in your blood) | 271 | $0 | 0.0% | $0 |
| 80051 | Blood test panel (checking multiple things at once) | 53 | $0 | 0.0% | $0 |
| 87340 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 53 | $0 | 0.0% | $0 |
| 83735 | Blood chemistry test (checking specific substances in your blood) | 421 | $0 | 0.0% | $0 |
| A4657 | Syringe, with or without needle, each | 133 | $0 | 0.0% | $0 |
| 84466 | Blood chemistry test (checking specific substances in your blood) | 415 | $0 | 0.0% | $0 |
| 82040 | Albumin blood test (checks for liver or kidney problems) | 72 | $0 | 0.0% | $0 |
| 84460 | ALT blood test (checks for liver damage) | 299 | $0 | 0.0% | $0 |
| 84155 | Blood chemistry test (checking specific substances in your blood) | 47 | $0 | 0.0% | $0 |
| 85018 | Blood cell or clotting test | 1,641 | $0 | 0.0% | $0 |
| 82108 | Blood chemistry test (checking specific substances in your blood) | 28 | $0 | 0.0% | $0 |
| 83550 | Iron binding capacity test | 116 | $0 | 0.0% | $0 |
| 82565 | Creatinine blood test (checks how well your kidneys are working) | 55 | $0 | 0.0% | $0 |
| 82310 | Blood chemistry test (checking specific substances in your blood) | 83 | $0 | 0.0% | $0 |
| J0887 | Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis) | 207 | $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.