Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MA › Southborough › NPI 1235329228
Agency

New England Home Therapies, INC.

New England Home Therapies, INC. was paid $23.29M by Medicaid between Jan 2018 and Dec 2022, across 82 billing codes. Its largest line is S9342, Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem — 22% of everything it billed.

33Billing provider infoNEW ENGLAND HOME THERAPIES, INC.
SOUTHBOROUGH, MA 01772
33aNPI1235329228assigned 07/26/2007
33bProvider typeHome Infusion Agency
28Total paid$23.29M
24GClaims230,958
24DCodes billed82
24AFirst – last monthJan 2018 – Dec 2022

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$250K$500K$750K2018201920202021202220232024
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
201849,984$6.40M
201951,997$6.18M
202051,735$5.29M
202144,244$3.45M
202232,998$1.96M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 22% 17,681 12,335 $5.12M
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 13% 5,323 4,820 $2.93M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 12% 7,078 6,031 $2.70M
E0466 Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) 5.3% 1,853 1,751 $1.23M
A4624 Tracheal suction catheter, any type other than closed system, each 5.3% 8,016 5,950 $1.23M
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 4.6% 7,245 6,627 $1.08M
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 3.7% 9,671 9,665 $852K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 3.3% 5,776 5,408 $767K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 3.1% 5,599 3,455 $722K
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 2.6% 2,184 1,947 $607K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 2.4% 6,892 3,470 $556K
S9343 Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 2.3% 2,782 1,669 $532K
70 more codes
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 2.2% 1,114 $513K
A7526 Tracheostomy tube collar/holder, each 1.3% 13,888 $298K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 1.3% 5,842 $293K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1.2% 1,112 $288K
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 1.2% 2,311 $277K
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 1.2% 2,148 $272K
E0482 Cough stimulating device, alternating positive and negative airway pressure 1.1% 1,163 $258K
A4605 Tracheal suction catheter, closed system, each 1.0% 3,564 $237K
A4927 Gloves, non-sterile, per 100 <1% 7,465 $211K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 2,880 $188K
E0445 Oximeter device for measuring blood oxygen levels non-invasively <1% 2,374 $167K
A4629 Tracheostomy care kit for established tracheostomy <1% 2,598 $155K
A4217 Sterile water/saline, 500 ml <1% 5,706 $126K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 6,865 $123K
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% 2,177 $105K
S9502 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 312 $101K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 395 $98K
E0600 Respiratory suction pump, home model, portable or stationary, electric <1% 4,804 $95K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 913 $94K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids <1% 438 $92K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 9,084 $91K
K0738 Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing <1% 2,958 $76K
A4483 Moisture exchanger, disposable, for use with invasive mechanical ventilation <1% 530 $58K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 5,382 $58K
E0570 Nebulizer, with compressor <1% 1,598 $50K
E0601 Continuous positive airway pressure (cpap) device <1% 1,058 $49K
A7000 Canister, disposable, used with suction pump, each <1% 11,491 $48K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 5,441 $46K
A4623 Tracheostomy, inner cannula <1% 726 $41K
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven <1% 1,534 $39K
99601 <1% 489 $35K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 421 $33K
B4100 Food thickener, administered orally, per ounce <1% 347 $31K
E0424 Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing <1% 259 $30K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,521 $29K
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 4,859 $28K
L8501 Tracheostomy speaking valve <1% 555 $28K
A4604 Tubing with integrated heating element for use with positive airway pressure device <1% 560 $22K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable <1% 6,512 $20K
A7002 Tubing, used with suction pump, each <1% 9,829 $19K
A7012 Water collection device, used with large volume nebulizer <1% 3,375 $15K
E0562 Humidifier, heated, used with positive airway pressure device <1% 778 $15K
S9501 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 33 $11K
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet <1% 624 $9K
S9341 Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem <1% 28 $8K
A7525 Tracheostomy mask, each <1% 5,548 $7K
A7034 Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap <1% 114 $7K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 44 $6K
A7035 Headgear used with positive airway pressure device <1% 313 $6K
E0434 Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing <1% 332 $6K
E0260 Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress <1% 156 $6K
S5502 Home infusion therapy, catheter care / maintenance, implanted access device, includes administrative services, professional pharmacy services, care coordination and all necessary supplies and equipment, (drugs and nursing visits coded separately), per diem (use this code for interim maintenance of vascular access not currently in use) <1% 85 $5K
K0001 Standard wheelchair <1% 257 $5K
A7038 Filter, disposable, used with positive airway pressure device <1% 950 $4K
S5501 Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 23 $4K
A4332 Lubricant, individual sterile packet, each <1% 343 $3K
A7031 Face mask interface, replacement for full face mask, each <1% 88 $3K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit <1% 15 $3K
A7015 Aerosol mask, used with dme nebulizer <1% 2,170 $3K
A4606 Oxygen probe for use with oximeter device, replacement <1% 1,220 $2K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 74 $2K
E0439 Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing <1% 26 $2K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each <1% 184 $2K
A7020 Interface for cough stimulating device, includes all components, replacement only <1% 231 $1K
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each <1% 12 $751.32
K0195 Elevating leg rests, pair (for use with capped rental wheelchair base) <1% 91 $683.92
A7007 Large volume nebulizer, disposable, unfilled, used with aerosol compressor <1% 340 $83.00
A4481 Tracheostoma filter, any type, any size, each <1% 57 $64.78
A4244 Alcohol or peroxide, per pint <1% 12 $30.48
A4649 Surgical supply; miscellaneous 0% 112 $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 officialSHAPIRO, MICHAEL (PRESIDENT & CFO)
Same official

Other billing entities under SHAPIRO, MICHAEL

Full network →
ProviderLocationPaid
Able Healthcare Service, INC.Merrick, NY$110.27M
Clinical Specialties INC.Hudson, OH$12.59M
Bioscrip Infusion Services, LLCTampa, FL$12.46M
Knoxville Home Therapies LLCKnoxville, TN$11.74M
Vanguard DermatologyBrooklyn, NY$10.72M
Homechoice Partners, LLCDuncan, SC$7.95M
Professional Home Care Services,incCromwell, CT$7.80M
Infusion Partners, LLCCanfield, OH$7.53M
Professional Home Care Services, INC.Cromwell, CT$4.44M
Option Care Enterprises, INC.Eatontown, NJ$1.32M
East Goshen Pharmacy, LLCSomers Point, NJ$1.23M
Option Care Enterprises, INC.Lincoln, NE$993K
Homechoice Partners LLCFayetteville, NC$907K
New England Home Therapies, INC.Smithfield, RI$670K
Option Care Enterprises, INC.Pensacola, FL$524K
Option Care Enterprises, INC.Chantilly, VA$479K
Wilcox Medical, INCRutland, VT$445K
Bioscrip Pharmacy(Ny), INCLake Success, NY$247K
Able Health Care Service, INC.Merrick, NY$175K
Option Care Enterprises INCAshland, KY$97K

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