Supplier
Liberty Drug
Liberty Drug was paid $42K by Medicaid between Aug 2020 and Dec 2022, across 2 billing codes. Its largest line is S5520, Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion — 100% of everything it billed.
33Billing provider infoLIBERTY DRUG
MURRAY, UT 84123
MURRAY, UT 84123
33aNPI1093346546assigned 02/03/2020
33bProvider typeLong Term Care Pharmacy
28Total paid$42K
24GClaims463
24DCodes billed2
24AFirst – last monthAug 2020 – Dec 2022
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 106 | $5K | |
| 2021 | 92 | $3K | |
| 2022 | 265 | $34K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S5520 | Home infusion therapy, all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion | 100% | 233 | 197 | $42K |
| E0791 | Parenteral infusion pump, stationary, single or multi-channel | 0% | 230 | 193 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialMERCHANT, JENNIFER (OWNER)