Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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South Texas Monitoring Systems LLC

South Texas Monitoring Systems LLC was paid $3.71M by Medicaid between Jan 2018 and Dec 2024, across 69 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 19% of everything it billed.

33Billing provider infoSOUTH TEXAS MONITORING SYSTEMS LLC
MCALLEN, TX 78504
33aNPI1639161250assigned 08/19/2005
28Total paid$3.71M
24GClaims52,806
24DCodes billed69
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Texas

Rank by total paid#53 of 566
Median peer was paid$142K
This provider vs. median26×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201827$463.41
20203,982$314K
202114,779$1.31M
202215,985$941K
202312,805$774K
2024incomplete5,228$373K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 19% 827 756 $720K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 13% 1,791 1,640 $465K
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 8.7% 1,412 950 $323K
E0482 Cough stimulating device, alternating positive and negative airway pressure 8.5% 1,168 1,160 $317K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 7.4% 2,642 2,620 $274K
B9998 Noc for enteral supplies 5.0% 2,530 2,090 $186K
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 4.8% 339 208 $178K
A4624 Tracheal suction catheter, any type other than closed system, each 3.1% 780 686 $114K
A4606 Oxygen probe for use with oximeter device, replacement 2.6% 1,974 1,176 $98K
A4629 Tracheostomy care kit for established tracheostomy 2.6% 1,055 946 $96K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 2.3% 680 670 $85K
A7000 Canister, disposable, used with suction pump, each 2.1% 1,966 1,790 $77K
57 more codes
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 1.9% 127 $72K
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% 354 $72K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 1.6% 567 $59K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1.3% 368 $48K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 1.3% 2,386 $47K
A4554 Disposable underpads, all sizes 1.1% 1,354 $41K
A4322 Irrigation syringe, bulb or piston, each <1% 1,737 $35K
A4320 Irrigation tray with bulb or piston syringe, any purpose <1% 711 $33K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 1,504 $31K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each <1% 593 $30K
A7526 Tracheostomy tube collar/holder, each <1% 989 $29K
A7002 Tubing, used with suction pump, each <1% 2,186 $27K
A4452 Tape, waterproof, per 18 square inches <1% 1,127 $26K
A4623 Tracheostomy, inner cannula <1% 325 $24K
T1999 Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" <1% 2,461 $21K
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 904 $17K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 84 $17K
A6403 Gauze, non-impregnated, sterile, pad size more than 16 sq. in. less than or equal to 48 sq. in., without adhesive border, each dressing <1% 454 $16K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 550 $10K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 1,747 $10K
A7037 Tubing used with positive airway pressure device <1% 484 $10K
A7038 Filter, disposable, used with positive airway pressure device <1% 1,410 $8K
A4927 Gloves, non-sterile, per 100 <1% 1,144 $8K
A7012 Water collection device, used with large volume nebulizer <1% 1,563 $7K
E0601 Continuous positive airway pressure (cpap) device <1% 88 $7K
A4335 Incontinence supply; miscellaneous <1% 1,299 $7K
A5131 Appliance cleaner, incontinence and ostomy appliances, per 16 oz. <1% 460 $6K
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 1,035 $5K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 25 $5K
A4247 Betadine or iodine swabs/wipes, per box <1% 498 $5K
A4465 Non-elastic binder for extremity <1% 185 $5K
A4364 Adhesive, liquid or equal, any type, per oz <1% 267 $4K
E0562 Humidifier, heated, used with positive airway pressure device <1% 231 $4K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 1,238 $4K
S8301 Infection control supplies, not otherwise specified <1% 172 $4K
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 241 $4K
A4456 Adhesive remover, wipes, any type, each <1% 322 $4K
A4618 Breathing circuits <1% 203 $2K
K0001 Standard wheelchair <1% 87 $2K
A4450 Tape, non-waterproof, per 18 square inches <1% 504 $2K
A7525 Tracheostomy mask, each <1% 801 $1K
A4928 Surgical mask, per 20 <1% 100 $1K
A7006 Administration set, with small volume filtered pneumatic nebulizer <1% 205 $1K
A4244 Alcohol or peroxide, per pint <1% 683 $1K
A4245 Alcohol wipes, per box <1% 212 $1K
A7015 Aerosol mask, used with dme nebulizer <1% 721 $866.68
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 87 $848.62
B9002 Enteral nutrition infusion pump, any type <1% 12 $802.95
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 125 $646.31
A4332 Lubricant, individual sterile packet, each <1% 153 $627.24
A7013 Filter, disposable, used with aerosol compressor or ultrasonic generator <1% 469 $486.72
A4217 Sterile water/saline, 500 ml <1% 13 $340.90
A7005 Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable <1% 13 $237.58
A4402 Lubricant, per ounce <1% 24 $110.36
E0776 Iv pole <1% 12 $65.05
A4617 Mouth piece <1% 12 $61.80
A4620 Variable concentration mask <1% 16 $12.81

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 officialRAMOS, HECTOR (PRESIDENT)
Same official

Other billing entities under RAMOS, HECTOR

Full network →
ProviderLocationPaid
Emergence Medicine PASouth Padre Island, TX$0.00

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.