Supplier
Professional Home Care Services,inc
Professional Home Care Services,inc was paid $7.80M by Medicaid between Jan 2018 and Dec 2022, across 53 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 20% of everything it billed.
33Billing provider infoPROFESSIONAL HOME CARE SERVICES,INC
CROMWELL, CT 06416
CROMWELL, CT 06416
33aNPI1285639914assigned 06/17/2005
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$7.80M
24GClaims147,498
24DCodes billed53
24AFirst – last monthJan 2018 – Dec 2022
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Connecticut
Rank by total paid#8 of 310
Median peer was paid$31K
This provider vs. median255×
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.
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
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 | 32,896 | $1.90M | |
| 2019 | 32,347 | $1.88M | |
| 2020 | 31,562 | $1.61M | |
| 2021 | 28,977 | $1.36M | |
| 2022 | 21,716 | $1.05M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 20% | 2,702 | 2,406 | $1.53M |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 11% | 1,431 | 1,239 | $855K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 8.2% | 10,135 | 9,755 | $641K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 5.8% | 3,116 | 2,277 | $449K |
| A7030 | Full face mask used with positive airway pressure device, each | 5.5% | 5,502 | 5,178 | $429K |
| E0601 | Continuous positive airway pressure (cpap) device | 4.7% | 6,780 | 6,403 | $367K |
| A4606 | Oxygen probe for use with oximeter device, replacement | 3.5% | 6,395 | 3,238 | $271K |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 3.4% | 7,634 | 7,218 | $266K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | 3.1% | 1,665 | 1,066 | $245K |
| A7031 | Face mask interface, replacement for full face mask, each | 3.1% | 7,854 | 7,285 | $243K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.0% | 1,290 | 1,075 | $230K |
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | 3.0% | 2,343 | 1,328 | $230K |
41 more codes
| A7526 | Tracheostomy tube collar/holder, each | 2.6% | 3,403 | $202K |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | 2.3% | 3,267 | $180K |
| E0562 | Humidifier, heated, used with positive airway pressure device | 2.1% | 7,032 | $166K |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | 2.0% | 3,116 | $159K |
| E1399 | Durable medical equipment, miscellaneous | 1.5% | 2,905 | $119K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | 1.5% | 1,075 | $116K |
| A7032 | Cushion for use on nasal mask interface, replacement only, each | 1.4% | 3,548 | $107K |
| A7000 | Canister, disposable, used with suction pump, each | 1.3% | 4,237 | $102K |
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | 1.2% | 629 | $93K |
| A7035 | Headgear used with positive airway pressure device | 1.1% | 5,207 | $89K |
| A4629 | Tracheostomy care kit for established tracheostomy | <1% | 1,123 | $72K |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 17,567 | $66K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 4,252 | $63K |
| A7033 | Pillow for use on nasal cannula type interface, replacement only, pair | <1% | 2,470 | $61K |
| B9998 | Noc for enteral supplies | <1% | 534 | $60K |
| E0570 | Nebulizer, with compressor | <1% | 1,120 | $49K |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | <1% | 4,105 | $45K |
| A4217 | Sterile water/saline, 500 ml | <1% | 1,547 | $42K |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 1,278 | $36K |
| A6251 | Specialty absorptive dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 793 | $31K |
| A4623 | Tracheostomy, inner cannula | <1% | 832 | $30K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 2,893 | $27K |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | <1% | 1,434 | $23K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 2,086 | $22K |
| K0001 | Standard wheelchair | <1% | 862 | $13K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 966 | $12K |
| A7002 | Tubing, used with suction pump, each | <1% | 2,927 | $11K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 3,049 | $11K |
| A7037 | Tubing used with positive airway pressure device | <1% | 1,031 | $9K |
| A7525 | Tracheostomy mask, each | <1% | 1,512 | $7K |
| K0195 | Elevating leg rests, pair (for use with capped rental wheelchair base) | <1% | 786 | $7K |
| A7007 | Large volume nebulizer, disposable, unfilled, used with aerosol compressor | <1% | 575 | $5K |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | <1% | 13 | $3K |
| A7015 | Aerosol mask, used with dme nebulizer | <1% | 1,860 | $3K |
| A7039 | Filter, non disposable, used with positive airway pressure device | <1% | 218 | $996.24 |
| A7020 | Interface for cough stimulating device, includes all components, replacement only | <1% | 96 | $851.92 |
| E0978 | Wheelchair accessory, positioning belt/safety belt/pelvic strap, each | <1% | 249 | $655.93 |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 12 | $294.00 |
| E0260 | Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress | <1% | 12 | $61.29 |
| B4224 | Parenteral nutrition administration kit, per day | 0% | 15 | $0.00 |
| B4220 | Parenteral nutrition supply kit; premix, per day | 0% | 15 | $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)
Parent organizationBIOSCRIP, INC.
| Provider | Location | Paid |
|---|---|---|
| Able Healthcare Service, INC. | Merrick, NY | $110.27M |
| New England Home Therapies, INC. | Southborough, MA | $23.29M |
| Clinical Specialties INC. | Hudson, OH | $12.59M |
| Bioscrip Infusion Services, LLC | Tampa, FL | $12.46M |
| Knoxville Home Therapies LLC | Knoxville, TN | $11.74M |
| Vanguard Dermatology | Brooklyn, NY | $10.72M |
| Homechoice Partners, LLC | Duncan, SC | $7.95M |
| Infusion Partners, LLC | Canfield, OH | $7.53M |
| Professional Home Care Services, INC. | Cromwell, CT | $4.44M |
| Option Care Enterprises, INC. | Eatontown, NJ | $1.32M |
| East Goshen Pharmacy, LLC | Somers Point, NJ | $1.23M |
| Option Care Enterprises, INC. | Lincoln, NE | $993K |
| Homechoice Partners LLC | Fayetteville, 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, INC | Rutland, VT | $445K |
| Bioscrip Pharmacy(Ny), INC | Lake Success, NY | $247K |
| Able Health Care Service, INC. | Merrick, NY | $175K |
| Option Care Enterprises INC | Ashland, KY | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.