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 Connecticut for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 Home Care Inc. (NPI 1255333597)

Field	Value
Entity Type	Organization
Organization	New England Home Care Inc.
Address	1111 Cromwell Ave Bldg 6
City	Rocky Hill
State	CT
ZIP	06067
Taxonomy	Home Health Agency
NPI Enumerated	June 1, 2005

Payer Source	Total Paid
Medicaid	$397.1M
Medicare	$0

Key Findings

NEW ENGLAND HOME CARE INC. reports no Medicare revenue on file and $397.1M in lifetime Medicaid revenue, making its billing profile effectively single-payer and heavily Medicaid-dependent. Analysts should treat Medicaid trends as representative of the provider’s entire public-payor footprint given the absence of Medicare claims.

Revenue is extremely concentrated in a narrow set of services: the top 3 Medicaid codes account for 94.8% of the provider’s total Medicaid revenue. T1502 alone generates $333.1M (83.9% of Medicaid revenue), followed by S9123 with $25.9M (6.5%) and S9124 with $17.6M (4.4%).

The code mix and descriptions indicate an operational focus on medication administration and in-home nursing: T1502 (administration of oral/intramuscular/subcutaneous medication) dominates revenue, while S9123 (RN in-home nursing) and S9124 (LPN in-home nursing) show that hands-on nursing care is central to service delivery. This pattern is consistent with a visit-driven home health agency model that prioritizes medication administration and nursing hours.

On competitive standing within Connecticut, the provider is a statewide leader for multiple high-revenue codes. T1502 ranks #1 of 37 providers in-state (100th percentile; extreme outlier) and S9123 ranks #1 of 79 providers in-state (100th percentile; extreme outlier), indicating dominance far above typical state volumes for those services.

Operational volume is very high for visit-based codes, supporting the interpretation of a labor- and visit-intensive business model: T1502 shows 5.7M claims at $58 avg paid/claim, S9123 shows 335.7K claims at $77 avg paid/claim, and S9124 shows 72.4K claims at $243 avg paid/claim. These counts suggest substantial repeated, per-visit operations and likely a large home-visiting workforce to support medication administration and nursing hours.

Several supplementary codes further characterize service mix and standing: T1004 accounts for $13.1M (3.3% of Medicaid revenue) and ranks #3 of 63 providers in-state (97th percentile; notably above typical state volume), G0162 accounts for $4.9M (1.2%) and ranks #1 of 63 (100th percentile; extreme outlier), and T1001 accounts for $1.9M (0.5%) and ranks #1 of 58 (100th percentile; extreme outlier). Together these codes point to additional skilled nursing management, assessments, and aide services layered onto the medication-administration core.

The heavy concentration of revenue in a few codes (94.8% in the top three) creates sensitivity to policy, rate, or coverage changes that affect medication administration and in-home nursing reimbursements; changes to reimbursement for T1502, S9123, or S9124 could materially affect total revenue. From a payer-analytics perspective, utilization management or contractual negotiation focused on those codes would have outsized impact on this provider’s financial profile.

NEW ENGLAND HOME CARE INC. has an NPI enumeration date of 2005-06-01 (~21 years), indicating an established presence in the market. Coupled with top rankings on multiple high-volume Medicaid codes, this tenure and code-level dominance point to an entrenched local operator in Connecticut’s home health space rather than a new entrant.

Medicaid: Complete Services Breakdown

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

12 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	5,743,810	$60	$333.1M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	335,740	$80	$25.9M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	72,410	$240	$17.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	396,040	$30	$13.1M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	162,910	$30	$4.9M
T1001	Nursing assessment / evaluation	23,700	$80	$1.9M
H0033	Oral medication administration, direct observation	29,160	$20	$524.8K
T1002	Rn services, up to 15 minutes	1,190	$40	$44.1K
1548P	N/A	330	$100	$32.7K
S5185	Medication reminder service, non-face-to-face; per month	210	$140	$28.9K

Showing 1–10 of 12

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

New England Home Care Inc. — 6 of 12 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

12 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
T1502	Administration of oral, intramuscular and/or subcutaneous medication by health care agency/professional, per visit	1	40	98,180	$50	$17.4M
S9124	Nursing care, in the home; by licensed practical nurse, per hour	5	70	5,660	$150	$3.6M
T1004	Services of a qualified nursing aide, up to 15 minutes	3	60	26,810	$40	$2.8M
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	1	80	14,190	$80	$2.7M
G0162	Skilled services by a registered nurse (rn) for management and evaluation of the plan of care; each 15 minutes (the patient's underlying condition or complication requires an rn to ensure that…	1	60	4,250	$50	$511.6K
H0033	Oral medication administration, direct observation	1	10	28,360	$20	$484.4K
T1002	Rn services, up to 15 minutes	12	30	760	$40	$152.9K
1548P	N/A	6	10	430	$90	$150.6K
T1001	Nursing assessment / evaluation	1	60	1,000	$60	$140.5K
1448P	N/A	4	10	360	$50	$47.7K

Showing 1–10 of 12

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Medical Resources Home Health Corp	MA	Home Health Agency	$0	$26.6M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Physicians For Women's Health LLC	CT	Obstetrics & Gynecology Physician	$0	$57.3M
Priority Care, Inc.	CT	Home Health Agency	$0	$53.5M
Starling Physicians, PLLC	CT	Internal Medicine Physician	$0	$38.1M
Connecticut Addiction Medicine, LLC	CT	Addiction Psychiatry Physician	$0	$21.1M
Atg Connecticut Inc	CT	Customized Equipment (DME)	$0	$19.9M
Centerwell Certified Healthcare Corp.	CT	Home Health Agency	$0	$17M
Masters In Home Care, LLC	CT	Home Health Agency	$0	$10M
Mc Diagnostic Of Connecticut, P.C.	CT	Family Nurse Practitioner	$0	$4.7M
Rocky Hill Surgery Center, LLC	CT	Ambulatory Surgical Clinic/Center	$1.3M	$254.9K
Rocky Hill Public Schools	CT	Local Education Agency (LEA)	$0	$1.4M

New England Home Care Inc. — Billing Profile & Reimbursement Data

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New England Home 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