LIBERTY DIALYSIS-NORTHWEST RENO LLC SOS Verified
6144 MAE ANNE AVE, RENO, NV 89523
NPI Number
1609044569
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LIBERTY DIALYSIS-NORTHWEST RENO LLC
Entity Number: E0287932008-8
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-Carson City LLC | 920 Winter St., Waltham, MA | Active |
Total Medicaid Payments
$1,916,151
-46% vs specialty average
Patients Seen
20,717
Total Claims
123,527
$ Per Patient
$92
Specialty avg: $170
Specialty Rank
#33 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
6.0
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 | $223,262 | |
| 2019 | $398,477 | |
| 2020 | $402,418 | |
| 2021 | $339,908 | |
| 2022 | $226,169 | |
| 2023 | $231,231 | |
| 2024 | $94,686 |
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 | 47,322 | $1,891,425 | 98.7% | $40 |
| J0887 | Injection, epoetin beta, 1 microgram, (for end-stage kidney disease on dialysis) | 2,976 | $13,309 | 0.7% | $4 |
| A4657 | Syringe, with or without needle, each | 22,388 | $10,887 | 0.6% | $0 |
| J1756 | Injection, iron sucrose, 1 mg | 6,424 | $222 | 0.0% | $0 |
| 83970 | Blood chemistry test (checking specific substances in your blood) | 1,625 | $58 | 0.0% | $0 |
| 84460 | ALT blood test (checks for liver damage) | 1,043 | $43 | 0.0% | $0 |
| 85025 | Complete blood count (CBC) — checks red cells, white cells, and platelets | 3,293 | $27 | 0.0% | $0 |
| 84520 | Blood chemistry test (checking specific substances in your blood) | 6,912 | $25 | 0.0% | $0 |
| 83550 | Iron binding capacity test | 3,019 | $24 | 0.0% | $0 |
| 82040 | Albumin blood test (checks for liver or kidney problems) | 1,841 | $21 | 0.0% | $0 |
| 84100 | Phosphorus blood test | 2,421 | $20 | 0.0% | $0 |
| 83540 | Iron blood test | 3,403 | $20 | 0.0% | $0 |
| 87340 | Microbiology test — checking for infections (bacteria, viruses, fungi) | 910 | $14 | 0.0% | $0 |
| 82310 | Blood chemistry test (checking specific substances in your blood) | 2,385 | $11 | 0.0% | $0 |
| 82565 | Creatinine blood test (checks how well your kidneys are working) | 1,121 | $11 | 0.0% | $0 |
| 85018 | Blood cell or clotting test | 8,067 | $10 | 0.0% | $0 |
| 82728 | Blood chemistry test (checking specific substances in your blood) | 1,305 | $10 | 0.0% | $0 |
| 84155 | Blood chemistry test (checking specific substances in your blood) | 2,035 | $8 | 0.0% | $0 |
| 80051 | Blood test panel (checking multiple things at once) | 848 | $5 | 0.0% | $0 |
| 83735 | Blood chemistry test (checking specific substances in your blood) | 1,242 | $5 | 0.0% | $0 |
| 90732 | Pneumonia vaccine (PPSV23) | 30 | $0 | 0.0% | $0 |
| 82108 | Blood chemistry test (checking specific substances in your blood) | 281 | $0 | 0.0% | $0 |
| 86704 | Immune system or allergy test | 24 | $0 | 0.0% | $0 |
| 0012A | Medical service or procedure | 30 | $0 | 0.0% | $0 |
| 90688 | Vaccine or immunization | 49 | $0 | 0.0% | $0 |
| 90682 | Vaccine or immunization | 35 | $0 | 0.0% | $0 |
| 0011A | Medical service or procedure | 81 | $0 | 0.0% | $0 |
| 80069 | Kidney function blood test panel | 375 | $0 | 0.0% | $0 |
| 84075 | Blood chemistry test (checking specific substances in your blood) | 1,040 | $0 | 0.0% | $0 |
| 84466 | Blood chemistry test (checking specific substances in your blood) | 137 | $0 | 0.0% | $0 |
| 82746 | Blood chemistry test (checking specific substances in your blood) | 97 | $0 | 0.0% | $0 |
| 86706 | Immune system or allergy test | 331 | $0 | 0.0% | $0 |
| G0009 | Administration of pneumococcal vaccine | 30 | $0 | 0.0% | $0 |
| G0008 | Administration of influenza virus vaccine | 263 | $0 | 0.0% | $0 |
| 90686 | Vaccine or immunization | 123 | $0 | 0.0% | $0 |
| 0064A | Medical service or procedure | 21 | $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.