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    Freedom Pharmacy And Medical Supply — Billing Profile & Reimbursement Data

    NPI 1861772501 · Houston, TX · Community/Retail Pharmacy

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    Freedom Pharmacy And Medical Supply is a community/retail pharmacy provider located in Houston, Texas. This profile covers 1 Medicare and 1 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationFreedom Pharmacy And Medical Supply
    Address6206 Dashwood Dr
    CityHouston
    StateTX
    ZIP77081
    TaxonomyCommunity/Retail Pharmacy
    NPI EnumeratedAugust 25, 2011

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$7.2M
    Medicaid$880

    Key Findings

    K1034 dominates this provider's clinical mix and indicates a retail testing operation: the top Medicare code is K1034 (Provision of covid-19 test, nonprescription self-administered and self-collected use), with 596.1K claims, $12 avg paid/claim, and $7.2M revenue. The code description and the pharmacy taxonomy imply the business activity is distribution of over-the-counter/self-administered COVID-19 tests rather than clinic-based specimen collection or diagnostic services.

    Revenue is extremely concentrated by code for both payers: the precomputed top 3 Medicare codes by revenue account for 100.0% of this provider's total Medicare revenue, and the top 3 Medicaid codes by revenue account for 100.0% of this provider's total Medicaid revenue. In practice that concentration is realized through a single code, K1034, which drives the entirety of reported revenue to date for each payer.

    The provider is effectively Medicare-dominated on scale: lifetime Medicare revenue is $7.2M versus lifetime Medicaid revenue of $881, so Medicare represents the overwhelming share of reported payer dollars. This profile reads as an organization whose commercial activity for government payers is almost entirely through Medicare-covered billing of K1034.

    National competitive standing on Medicare for K1034 is extreme: K1034 revenue of $7.2M ranks #69 of 30143 providers nationally, listed as 100th percentile and labeled an "extreme outlier." That ranking places the provider far above typical national volume for this code and signals a large, specialized presence in the Medicare market for OTC COVID-19 test provision.

    By contrast, the provider's Medicaid position on the same code is modest and typical: K1034 has 881 claims, $1 avg paid/claim, and $881 revenue in Medicaid, ranking #25 of 77 providers in-state at the 68th percentile. This indicates an unremarkable in-state Medicaid footprint for the code despite very high national Medicare activity.

    Claim-count and per-claim payment patterns point to high-throughput, low-unit-reimbursement operations: Medicare shows 596.1K claims at $12 avg paid/claim while Medicaid shows 881 claims at $1 avg paid/claim. Those figures are consistent with a retail pharmacy distributing large volumes of low-dollar, nonprescription COVID-19 tests rather than providing high-value clinical procedures.

    The provider has an established operating history in the NPI registry, with enumeration on 2011-08-25 (~15 years ago). The tenure supports that this billing pattern is not from a newly created NPI but from an entity with a multi-year presence in the market.

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count596,140$10$7.2M

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    1 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034122,490450$10$117.8K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count880$1$880

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Texas median

    1 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    K1034Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count2580340$1$1.5K

    Nearby Providers

    Other providers in the same ZIP code as Freedom Pharmacy And Medical Supply, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Epic Health Services, Inc.TXHome Health Agency$0$41.9M
    Easter Seals Of Greater Houston, Inc.TXDevelopmental Disabilities Clinic/Center$0$29.8M
    Kinghaven Counseling Group IncTXCase Management Agency$0$17M
    Moe ZawTXInternal Medicine Physician$157.4K$0
    William TadlockTXOptometrist$78.1K$0
    Leslie GarbTXFamily Medicine Physician$28.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Freedom Pharmacy And Medical Supply — 1 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas
    Medicaid Revenue by Year vs. Texas Providers
    0 of 1 year billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Texas Distribution
    Freedom Pharmacy And Medical Supply — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas