Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or New Hampshire for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to New Hampshire only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. New Hampshire (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

New England Life Care, Inc. (NPI 1083748867)

Field	Value
Entity Type	Organization
Organization	New England Life Care, Inc.
Address	41c Terrill Park Drive
City	Concord
State	NH
ZIP	03301
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	March 15, 2007

Payer Source	Total Paid
Medicaid	$11.4M
Medicare	$0

Key Findings

This provider effectively operates as a Medicaid-only biller: there is no Medicare billing on file and total Medicaid revenue is $11.4M, so its commercial/Medicare exposure is currently nil and the organization should be treated as a single-payer (Medicaid) participant in competitive analyses. Analysts should not rely on Medicare comparisons for this entity because none exist in the claims record.

Revenue is highly concentrated in a small set of service lines: the precomputed top-3 Medicaid codes account for 58.4% of total Medicaid revenue, driven by B4161, A4223, and B4035. Specifically, B4161 accounts for $2.8M (24.1%), A4223 for $2.1M (18.5%), and B4035 for $1.8M (15.8%) of Medicaid revenue, indicating a concentration of earnings in enteral nutrition and associated supplies.

The code mix points to a home infusion therapy pharmacy focused on enteral nutrition and pump-based feeding support: B4161 (enteral formula, pediatrics, hydrolyzed/amino acids) has 7.1K claims and $2.8M revenue, B4035 (enteral feeding supply kit; pump fed, per day) has 106.1K claims and $1.8M revenue, and S9342 (home therapy; enteral nutrition via pump; per diem) contributes $1.2M. This combination of high-value formula codes and per-diem care coordination suggests the provider supplies both products (formulas and kits) and bundled pharmacy/administrative services for home enteral patients.

The provider holds a dominant or leading position in several in-state supply and pump-related codes: B4035 ranks #1 of 7 providers in-state and is noted as "notably above typical state volume", while A4223 ranks #1 of 1 providers in-state (no state peer comparison available) and S9342 ranks #1 of 2 providers (100th percentile). By contrast, B4161 ranks #2 of 7 (83th percentile; typical, unremarkable volume), indicating leadership in supply distribution and per-diem home therapy but more typical volumes for some specialized formulas.

Operationally the business shows a mix of high-frequency, low-paid supply claims and fewer high-paid formula claims: B4035 generated 106.1K claims at $17 avg paid/claim for $1.8M revenue, whereas B4161 had 7.1K claims at a $388 avg paid/claim for $2.8M revenue. This pattern is consistent with recurring daily supply billing paired with less-frequent, higher-priced enteral formula units—a scale-oriented supply distribution model supporting ongoing home nutrition therapy.

The presence and scale of per-diem and care coordination billing indicate integrated service offerings beyond product dispensing: S9342 has 3.5K claims at $338 avg paid/claim for $1.2M revenue (10.3% of Medicaid revenue) and S9343 also appears in the mix. These per-diem administrative/professional pharmacy service codes show the provider bills for care coordination and therapy administration in addition to formula and supplies, implying a bundled home-care delivery capability.

The provider offers a broad portfolio of enteral formulas and infusion supplies across multiple codes, reinforcing product breadth in the pediatric and calorically-dense formula segments: examples include B4160 ($615.6K revenue), B4152 ($464.6K), B4153 ($203.2K), and A4222 ($552.8K). Many of these codes rank #1 among state peers (100th percentile) or otherwise top positions, indicating both diversity of billed products and recurring demand across formula types and infusion supplies.

This entity is an established operator with tenure in the market—the NPI was enumerated on 2007-03-15 (~19 years ago)—and that longevity combined with multiple #1 state rankings suggests a sustained, entrenched role in New Hampshire Medicaid home infusion and enteral nutrition services. For payers and competitors, the combination of long tenure, concentrated Medicaid revenue ($11.4M), and state-leading volumes on several supply and pump codes signals a stable in-state incumbent in this niche.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

23 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	7,100	$390	$2.8M
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	5,400	$390	$2.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	106,070	$20	$1.8M
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…	3,480	$340	$1.2M
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,…	4,310	$140	$615.6K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	3,020	$180	$552.8K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	29,060	$20	$552K
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…	6,280	$70	$464.6K
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…	3,700	$60	$222.1K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	10,780	$20	$215.6K

Showing 1–10 of 23

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other New Hampshire providers billing the same CPT/HCPCS codes.

Claims Volume vs. New Hampshire Distribution

New England Life Care, Inc. — 12 of 23 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — New Hampshire

Full comparison — all codes billed, vs. New Hampshire median

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	1	10	5,400	$390	$2.1M
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…	2	10	1,100	$480	$1.7M
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,…	3	10	1,140	$210	$704.5K
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…	1	10	3,030	$200	$596.1K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	800	$20	$552.2K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1	10	2,270	$140	$249.7K
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…	1	10	1,010	$180	$179.4K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	5,920	$20	$179.1K
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	1	10	1,170	$150	$170.1K
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…	1	10	2,080	$80	$154.9K

Showing 1–10 of 23

Related Providers

Other providers that share a Tax Identification Number (TIN) with New England Life Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
New England Life Care, Inc.	ME	Home Infusion Therapy Pharmacy	$0	$12.4M
New England Life Care, Inc.	MA	Home Infusion Therapy Pharmacy	$20.9K	$11.6M
New England Life Care, Inc.	MA	Home Infusion Therapy Pharmacy	$0	$10.2M

Nearby Providers

Other providers in the same ZIP code as New England Life Care, Inc., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Community Bridges	NH	Case Management Agency	$0	$265.5M
Riverbend Community Mental Health, Inc.	NH	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$118.4M
Granite State Independent Living	NH	In Home Supportive Care Agency	$0	$74.7M
Ascentria Community Services, Inc	NH	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$52.6M
Ascentria Community Care, Inc	NH	Voluntary or Charitable Agency	$0	$50.3M
Concord Hospital, Inc.	NH	General Acute Care Hospital	$0	$28.8M
Concord Pediatric Dentistry	NH	Pediatric Dentistry	$0	$13.6M
New Hampshire Home Care Providers LLC	NH	In Home Supportive Care Agency	$0	$11M
Brain Injury Association Of Nh	NH	Case Management Agency	$0	$11M
Metro Treatment Of New Hampshire, LP	NH	Methadone Clinic	$404K	$10.4M

New England Life Care, Inc. — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References