Agency
New England Life Care, INC.
New England Life Care, INC. was paid $12.37M by Medicaid between Jan 2018 and Dec 2024, across 20 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 — 29% of everything it billed.
33Billing provider infoNEW ENGLAND LIFE CARE, INC.
SCARBOROUGH, ME 04074
SCARBOROUGH, ME 04074
33aNPI1164556213assigned 03/14/2007
33bProvider typeHome Health Agency
28Total paid$12.37M
24GClaims92,246
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Maine
Rank by total paid#6 of 58
Median peer was paid$1.54M
This provider vs. median8.0×
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 | 12,150 | $1.51M | |
| 2019 | 11,816 | $1.64M | |
| 2020 | 14,992 | $1.79M | |
| 2021 | 14,623 | $1.71M | |
| 2022 | 10,982 | $1.53M | |
| 2023 | 15,707 | $2.41M | |
| 2024incomplete | 11,976 | $1.79M |
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 | 29% | 3,832 | 2,335 | $3.57M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 18% | 20,680 | 10,026 | $2.25M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 12% | 7,330 | 2,321 | $1.51M |
| 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 | 10% | 6,033 | 2,417 | $1.24M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 8.4% | 2,612 | 1,314 | $1.04M |
| 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 | 4.1% | 7,404 | 3,912 | $504K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2.7% | 16,949 | 7,241 | $334K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 2.7% | 2,751 | 591 | $330K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 2.5% | 2,390 | 1,232 | $315K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.3% | 5,542 | 3,216 | $288K |
| 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 | 2.0% | 3,675 | 2,018 | $243K |
| B4224 | Parenteral nutrition administration kit, per day | 1.7% | 2,939 | 584 | $206K |
8 more codes
| B9002 | Enteral nutrition infusion pump, any type | 1.1% | 1,835 | $141K |
| 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 | <1% | 1,462 | $122K |
| 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% | 283 | $106K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 2,660 | $78K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 2,941 | $61K |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 83 | $13K |
| 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% | 270 | $10K |
| E0776 | Iv pole | <1% | 575 | $2K |
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 officialGALLAGHER, MICHAEL (CFO)
| Provider | Location | Paid |
|---|---|---|
| New England Life Care, INC. | Woburn, MA | $11.62M |
| New England Life Care, INC. | Concord, NH | $11.36M |
| New England Life Care, INC. | Canton, MA | $10.24M |
| Gallagher Family Chiropractic, LTD | Indianapolis, IN | $62K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.