Supplier
Liberty DME, LLC
Liberty DME, LLC was paid $15.26M by Medicaid between Jan 2018 and Dec 2024, across 71 billing codes. Its largest line is B4161, Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 14% of everything it billed.
33Billing provider infoLIBERTY DME, LLC
PHARR, TX 78577
PHARR, TX 78577
33aNPI1245467240assigned 06/17/2009
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$15.26M
24GClaims183,431
24DCodes billed71
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Texas
Rank by total paid#10 of 566
Median peer was paid$142K
This provider vs. median108×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
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 | |
|---|---|---|---|
| 2018 | 2,447 | $134K | |
| 2019 | 2,869 | $129K | |
| 2020 | 11,327 | $852K | |
| 2021 | 48,684 | $4.16M | |
| 2022 | 41,686 | $3.42M | |
| 2023 | 39,982 | $3.34M | |
| 2024incomplete | 36,436 | $3.22M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 14% | 2,755 | 2,698 | $2.14M |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 13% | 2,932 | 2,877 | $1.93M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 11% | 6,136 | 5,957 | $1.67M |
| B4160 | Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 9.5% | 6,305 | 6,147 | $1.45M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 6.3% | 2,528 | 2,494 | $955K |
| B9998 | Noc for enteral supplies | 4.7% | 8,596 | 7,156 | $718K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 4.5% | 7,597 | 7,502 | $682K |
| A4353 | Intermittent urinary catheter, with insertion supplies | 4.3% | 1,007 | 919 | $653K |
| B4149 | Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.8% | 1,100 | 1,084 | $424K |
| A4554 | Disposable underpads, all sizes | 2.5% | 12,633 | 12,155 | $383K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 2.2% | 2,298 | 2,169 | $341K |
| B4150 | Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 2.1% | 1,230 | 1,155 | $324K |
59 more codes
| A4629 | Tracheostomy care kit for established tracheostomy | 2.0% | 3,573 | $303K |
| B4152 | Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.9% | 768 | $295K |
| A4606 | Oxygen probe for use with oximeter device, replacement | 1.9% | 3,134 | $290K |
| T4534 | Youth sized disposable incontinence product, protective underwear/pull-on, each | 1.4% | 2,112 | $212K |
| B4153 | Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 1.4% | 151 | $207K |
| T4522 | Adult sized disposable incontinence product, brief/diaper, medium, each | 1.2% | 1,762 | $185K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.1% | 1,200 | $170K |
| T4530 | Pediatric sized disposable incontinence product, brief/diaper, large size, each | 1.0% | 1,926 | $155K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 1,439 | $148K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 7,045 | $139K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 2,038 | $125K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 7,184 | $116K |
| T4523 | Adult sized disposable incontinence product, brief/diaper, large, each | <1% | 902 | $97K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 641 | $89K |
| A7002 | Tubing, used with suction pump, each | <1% | 7,108 | $87K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 3,943 | $86K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 467 | $71K |
| A4335 | Incontinence supply; miscellaneous | <1% | 13,696 | $70K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 14,192 | $64K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 884 | $51K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 5,822 | $51K |
| E0482 | Cough stimulating device, alternating positive and negative airway pressure | <1% | 206 | $47K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 500 | $46K |
| A6216 | Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 7,291 | $44K |
| T4532 | Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each | <1% | 329 | $41K |
| A4217 | Sterile water/saline, 500 ml | <1% | 1,094 | $38K |
| A4623 | Tracheostomy, inner cannula | <1% | 758 | $36K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 6,813 | $34K |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | <1% | 1,142 | $33K |
| T4526 | Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each | <1% | 339 | $30K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 2,162 | $30K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 1,618 | $26K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 3,793 | $24K |
| B4155 | Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 152 | $22K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 31 | $20K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 5,629 | $18K |
| A4481 | Tracheostoma filter, any type, any size, each | <1% | 1,126 | $14K |
| T4521 | Adult sized disposable incontinence product, brief/diaper, small, each | <1% | 102 | $10K |
| A4402 | Lubricant, per ounce | <1% | 1,862 | $9K |
| E0601 | Continuous positive airway pressure (cpap) device | <1% | 222 | $9K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 5,676 | $8K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 59 | $7K |
| A7525 | Tracheostomy mask, each | <1% | 1,780 | $5K |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 36 | $4K |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 891 | $4K |
| A7012 | Water collection device, used with large volume nebulizer | <1% | 1,014 | $4K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 50 | $4K |
| A7010 | Corrugated tubing, disposable, used with large volume nebulizer, 100 feet | <1% | 310 | $3K |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 279 | $3K |
| E0570 | Nebulizer, with compressor | <1% | 134 | $3K |
| A7037 | Tubing used with positive airway pressure device | <1% | 147 | $2K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 1,058 | $1K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 130 | $978.12 |
| A4244 | Alcohol or peroxide, per pint | <1% | 1,257 | $870.51 |
| K0001 | Standard wheelchair | <1% | 26 | $683.49 |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 49 | $681.68 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 206 | $630.16 |
| A7035 | Headgear used with positive airway pressure device | <1% | 28 | $272.71 |
| A7013 | Filter, disposable, used with aerosol compressor or ultrasonic generator | <1% | 28 | $13.30 |
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 officialTREVINO, JAVIER (OWNER/ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| All Star Family Dentistry, PLLC | La Feria, TX | $134K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.