Promptcare Home Infusion, LLC
Promptcare Home Infusion, LLC was paid $14.08M by Medicaid between Jan 2018 and Nov 2024, across 18 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 — 40% of everything it billed.
NEW PROVIDENCE, NJ 07974
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in New Jersey
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 23,611 | $1.19M | |
| 2019 | 28,236 | $1.33M | |
| 2020 | 38,708 | $2.01M | |
| 2021 | 47,477 | $2.37M | |
| 2022 | 55,273 | $2.49M | |
| 2023 | 98,226 | $2.55M | |
| 2024incomplete | 81,933 | $2.14M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 40% | 322,821 | 13,540 | $5.66M |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 33% | 6,393 | 834 | $4.66M |
| 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 | 12% | 3,119 | 2,809 | $1.62M |
| 99601 | 4.0% | 8,826 | 4,039 | $566K | |
| 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 | 3.1% | 2,267 | 2,027 | $432K |
| 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 | 2.5% | 8,098 | 2,767 | $356K |
| 99602 | Nursing care in home rn | 2.0% | 3,888 | 2,093 | $278K |
| 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% | 292 | 289 | $124K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 895 | 895 | $115K |
| 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 | <1% | 14,078 | 599 | $112K |
| S9348 | Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 932 | 64 | $53K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 1,407 | 907 | $45K |
6 more codes
| 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% | 85 | $18K |
| 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% | 128 | $12K |
| 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% | 13 | $7K |
| 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% | 136 | $6K |
| 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% | 64 | $5K |
| 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% | 22 | $958.54 |
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.
Who's on the registration
| Provider | Location | Paid |
|---|---|---|
| Hometown Oxygen Charlotte LLC | Concord, NC | $83.82M |
| The Promptcare Companies, INC. | New Providence, NJ | $83.19M |
| The Promptcare Companies, INC. | King Of Prussia, PA | $78.47M |
| Promptcare Florida, INC. | Fort Lauderdale, FL | $23.83M |
| Promptcare Home Infusion LLC | Plainview, NY | $17.32M |
| Boston Home Infusion INC | Stoughton, MA | $6.49M |
| The Promptcare Companies, INC. | Nashville, TN | $3.30M |
| The Promptcare Companies, INC. | Westwood, MA | $2.73M |
| The Promptcare Companies, INC. | Wallingford, CT | $1.78M |
| Arj Infusion Services, LLC | Lenexa, KS | $1.04M |
| The Promptcare Companies, INC. | Columbia, MD | $549K |
| The Promptcare Companies, INC. | Mansfield, OH | $197K |
| The Promptcare Companies, INC. | Lexington, KY | $54K |
| Arj Infusion Services, LLC | Cedar Rapids, IA | $54K |
| The Promptcare Companies, INC. | Omaha, NE | $23K |
| Pharmacy Corporation of America | Vancouver, WA | $3K |
| The Promptcare Companies, INC. | Harrisburg, PA | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.