Medicaid Provider Spending

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

NEW ENGLAND HOME MEDICAL EQUIPMENT, LLC

NPI: 1720468812 · SANDWICH, MA 02563 · Durable Medical Equipment & Medical Supplies · NPI assigned 06/03/2015

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

Authorized official RUSSALESI, WENDY controls 20+ related entities in our dataset. Read more

$56.17M
Total Medicaid Paid
196,113
Total Claims
171,339
Beneficiaries
32
Codes Billed
2018-01
First Month
2023-10
Last Month

Provider Details

Authorized OfficialRUSSALESI, WENDY (CCO)
NPI Enumeration Date06/03/2015

Related Entities

Other providers sharing the same authorized official: RUSSALESI, WENDY

ProviderCityStateTotal Paid
MED STAR SURGICAL & BREATHING EQUIPMENT INC. BRONX NY $138.92M
ADAPTHEALTH PATIENT CARE SOLUTIONS LLC BEAVER PA $93.56M
LIFEHME, INC. COLUMBIA SC $45.59M
OCEAN HOME HEALTH SUPPLY, LLC LAKEWOOD NJ $28.09M
ROCKY MOUNTAIN MEDICAL EQUIPMENT, INC. LAKEWOOD CO $26.94M
PAL-MED, LLC COLUMBIA SC $26.18M
FLETCHER'S MEDICAL SUPPLIES, INC. JACKSONVILLE FL $17.46M
ROBERTS HOME MEDICAL LLC GERMANTOWN MD $17.42M
COMMUNITY SURGICAL SUPPLY OF TOMS RIVER LLC TOMS RIVER NJ $16.94M
FIRST CHOICE HOME MEDICAL EQUIPMENT, LLC NEW CASTLE DE $16.92M
CAPE MEDICAL SUPPLY LLC SANDWICH MA $15.74M
ROCKY MOUNTAIN MEDICAL EQUIPMENT LLC COLORADO SPRINGS CO $15.44M
ROBERTS HOME MEDICAL LLC NORTH CHESTERFIELD VA $13.12M
TRICOUNTY MEDICAL EQUIPMENT AND SUPPLY, LLC PHILADELPHIA PA $13.09M
HEALTH COMPLEX MEDICAL LLC WATERBURY CT $13.03M
KEENE MEDICAL PRODUCTS, LLC ENFIELD NH $10.37M
RESPIRATORY HOME CARE OF BRISTOL, LLC CHATTANOOGA TN $10.11M
WECARE MEDICAL, LLC ASHLAND KY $9.90M
AIRWAY OXYGEN INC WYOMING MI $8.28M
AMERICAN ANCILLARIES, INC. LAS VEGAS NV $8.00M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 19,689 $6.21M
2019 32,960 $11.01M
2020 37,831 $12.52M
2021 45,167 $13.00M
2022 40,985 $9.86M
2023 19,481 $3.56M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 62,848 60,734 $26.45M
A9274 External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories 17,996 17,111 $8.70M
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 13,692 13,168 $7.18M
E0784 External ambulatory infusion pump, insulin 3,204 2,987 $5.36M
E1399 Durable medical equipment, miscellaneous 34,058 16,328 $2.88M
A9278 Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 3,479 3,374 $1.61M
A4230 Infusion set for external insulin pump, non needle cannula type 10,820 10,364 $1.47M
K0553 Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 20,414 19,806 $1.22M
A4232 Syringe with needle for external insulin pump, sterile, 3 cc 9,434 9,084 $434K
A4239 Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service 6,562 6,414 $366K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 1,161 487 $185K
A4224 Supplies for maintenance of insulin infusion catheter, per week 3,181 2,899 $87K
A4225 Supplies for external insulin infusion pump, syringe type cartridge, sterile, each 4,442 4,250 $86K
K0554 Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system 1,463 1,245 $65K
E1161 Manual adult size wheelchair, includes tilt in space 298 292 $19K
T4541 Incontinence product, disposable underpad, large, each 452 441 $16K
E2103 Non-adjunctive, non-implanted continuous glucose monitor or receiver 183 181 $13K
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 76 76 $8K
E1028 Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other 610 439 $8K
A4927 Gloves, non-sterile, per 100 462 449 $7K
E0955 Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each 407 392 $4K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 38 38 $4K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 370 342 $3K
T4537 Incontinence product, protective underpad, reusable, bed size, each 170 160 $2K
A4259 Lancets, per box of 100 38 38 $723.65
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 14 12 $676.19
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 12 12 $445.44
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 45 42 $327.01
A4450 Tape, non-waterproof, per 18 square inches 91 85 $311.16
A5120 Skin barrier, wipes or swabs, each 66 64 $290.18
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard 14 12 $124.72
A4245 Alcohol wipes, per box 13 13 $105.08