Supplier
Regioncare INC.
Regioncare INC. was paid $9.43M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is 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 — 34% of everything it billed.
33Billing provider infoREGIONCARE INC.
GREAT NECK, NY 11021
GREAT NECK, NY 11021
33aNPI1992777510assigned 02/07/2006
33bProvider typeHome Infusion Therapy Pharmacy
28Total paid$9.43M
24GClaims70,866
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Infusion Therapy Pharmacy providers in New York
Rank by total paid#1 of 11
Median peer was paid$207K
This provider vs. median46×
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 CUSACK, MICHELE 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 | 3,669 | $522K | |
| 2019 | 6,384 | $1.09M | |
| 2020 | 8,023 | $1.51M | |
| 2021 | 5,657 | $819K | |
| 2022 | 11,690 | $1.15M | |
| 2023 | 16,569 | $1.90M | |
| 2024incomplete | 18,874 | $2.44M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 34% | 16,754 | 1,754 | $3.23M |
| 99601 | 28% | 18,366 | 6,201 | $2.68M | |
| 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 | 15% | 22,911 | 1,231 | $1.37M |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 11% | 5,197 | 449 | $1.07M |
| S9374 | Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 4.0% | 2,927 | 265 | $380K |
| J1335 | Injection, ertapenem sodium, 500 mg | 2.3% | 427 | 184 | $219K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.3% | 617 | 52 | $125K |
| 99602 | Nursing care in home rn | <1% | 458 | 390 | $70K |
| 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 | <1% | 199 | 161 | $63K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 297 | 95 | $49K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 1,329 | 662 | $43K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | <1% | 144 | 43 | $31K |
6 more codes
| 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% | 807 | $27K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 244 | $27K |
| 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 | <1% | 28 | $19K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 101 | $9K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 42 | $4K |
| 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% | 18 | $3K |
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 officialCUSACK, MICHELE (SENIOR VICE PRESIDENT AND CFO)
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.