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.

Promptcare New England Respiratory, LLC (NPI 1326057837)

Field	Value
Entity Type	Organization
Organization	Promptcare New England Respiratory, LLC
Address	101 N Plains Industrial Rd, Bldg 2
City	Wallingford
State	CT
ZIP	06492
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	August 5, 2006

Payer Source	Total Paid
Medicaid	$1.8M
Medicare	$0

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
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1,620	$560	$907.3K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	990	$400	$397.9K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	2,740	$50	$145K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	430	$240	$101.9K
A4624	Tracheal suction catheter, any type other than closed system, each	670	$140	$95.9K
A7526	Tracheostomy tube collar/holder, each	1,030	$50	$55.5K
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	590	$50	$26.6K
A7000	Canister, disposable, used with suction pump, each	1,350	$20	$21.6K
A4606	Oxygen probe for use with oximeter device, replacement	540	$40	$21.4K
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	1,520	$10	$19.8K

Showing 1–10 of 23

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

Promptcare New England Respiratory, LLC — 0 of 23 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

23 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	6	10	860	$180	$1.1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	1,600	$490	$911K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	9	10	1,230	$290	$520.5K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	16	20	10,080	$30	$498.5K
A4624	Tracheal suction catheter, any type other than closed system, each	4	10	880	$140	$160.6K
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	12	10	3,020	$10	$88.1K
A7521	Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each	3	10	320	$130	$87.8K
A4927	Gloves, non-sterile, per 100	41	60	970	$10	$72.6K
A7526	Tracheostomy tube collar/holder, each	3	10	1,030	$50	$71.9K
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	4	10	490	$80	$71.8K

Showing 1–10 of 23

Nearby Providers

Other providers in the same ZIP code as Promptcare New England Respiratory, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Gaylord Hospital, Inc.	CT	Long Term Care Hospital	$0	$14.6M
Masonicare Home Health And Hospice, Inc.	CT	Home Health Agency	$0	$13M
Robinson PA, LLC	CT	Interventional Pain Medicine Physician	$0	$6.9M
Town Of Wallingford	CT	Local Education Agency (LEA)	$0	$3.9M
Park Avenue Medical	CT	Internal Medicine Physician	$0	$3.4M
Wallingford Endoscopy Center, LLC.	CT	Endoscopy Clinic/Center	$322.7K	$1.8M
Town Of Wallingford	CT	Ambulance	$493.3K	$1.6M
The Promptcare Companies, Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$1.8M
Meriden Imaging Center, Inc.	CT	Diagnostic Radiology Physician	$0	$1.7M
Lincare Inc.	CT	Durable Medical Equipment & Medical Supplies	$0	$1.5M

Promptcare New England Respiratory, LLC — Billing Profile & Reimbursement Data

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Promptcare New England Respiratory, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References