Supplier
Promptcare New England Respiratory, LLC
Promptcare New England Respiratory, LLC was paid $1.85M by Medicaid between Jan 2018 and Dec 2021, across 23 billing codes. Its largest line is E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) — 49% of everything it billed.
33Billing provider infoPROMPTCARE NEW ENGLAND RESPIRATORY, LLC
WALLINGFORD, CT 06492
WALLINGFORD, CT 06492
33aNPI1326057837assigned 08/05/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$1.85M
24GClaims15,380
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Connecticut
Rank by total paid#26 of 310
Median peer was paid$31K
This provider vs. median60×
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 | 3,860 | $357K | |
| 2019 | 3,447 | $406K | |
| 2020 | 3,894 | $527K | |
| 2021 | 4,179 | $555K |
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) | 49% | 1,623 | 906 | $907K |
| E0466 | Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) | 22% | 985 | 820 | $398K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 7.9% | 2,735 | 2,240 | $145K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.5% | 430 | 359 | $102K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | 5.2% | 666 | 533 | $96K |
| A7526 | Tracheostomy tube collar/holder, each | 3.0% | 1,027 | 844 | $56K |
| A7507 | Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each | 1.4% | 592 | 474 | $27K |
| A4606 | Oxygen probe for use with oximeter device, replacement | 1.2% | 536 | 368 | $22K |
| A7000 | Canister, disposable, used with suction pump, each | 1.2% | 1,350 | 1,105 | $22K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | 1.1% | 1,522 | 1,258 | $20K |
| 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% | 443 | 351 | $11K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 209 | 115 | $9K |
11 more codes
| A7520 | Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 71 | $8K |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 530 | $7K |
| A7002 | Tubing, used with suction pump, each | <1% | 1,359 | $6K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 476 | $4K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 73 | $3K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 489 | $2K |
| A7521 | Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each | <1% | 21 | $1K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 94 | $663.84 |
| E0600 | Respiratory suction pump, home model, portable or stationary, electric | <1% | 13 | $294.66 |
| A7525 | Tracheostomy mask, each | <1% | 98 | $285.12 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 38 | $182.40 |
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 officialMAY, DENISE (VP OF REIMBURSEMENT)