Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

NEW ENGLAND HOME THERAPIES, INC.

NPI: 1720427271 · SMITHFIELD, RI 02917 · Home Infusion Agency · NPI assigned 06/18/2013

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more

$670K
Total Medicaid Paid
3,179
Total Claims
1,709
Beneficiaries
13
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialSHAPIRO, MICHAEL (PRESIDENT & CFO)
NPI Enumeration Date06/18/2013

Related Entities

Other providers sharing the same authorized official: SHAPIRO, MICHAEL

ProviderCityStateTotal 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
PROFESSIONAL HOME CARE SERVICES,INC CROMWELL CT $7.80M
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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,990 $393K
2019 1,056 $264K
2020 133 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 740 568 $371K
99601 1,150 288 $132K
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 61 50 $60K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 289 267 $39K
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 385 26 $39K
A4606 Oxygen probe for use with oximeter device, replacement 90 87 $18K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 24 24 $3K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 101 92 $3K
A7000 Canister, disposable, used with suction pump, each 221 195 $2K
A7526 Tracheostomy tube collar/holder, each 36 36 $2K
A7002 Tubing, used with suction pump, each 55 49 $204.58
A4628 Oral and/or oropharyngeal suction catheter, each 13 13 $153.26
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 14 14 $47.60