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

Why is the Medicaid comparison limited to Massachusetts 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. Massachusetts (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.

Regional Home Care Inc. (NPI 1396851184)

Field	Value
Entity Type	Organization
Organization	Regional Home Care Inc.
Address	125 Tolman Ave
City	Leominster
State	MA
ZIP	01453
Taxonomy	Oxygen Equipment & Supplies (DME)
NPI Enumerated	August 22, 2006

Payer Source	Total Paid
Medicaid	$32.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

26 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
E0601	Continuous positive airway pressure (CPAP) device	198,120	$30	$6.5M
A7030	Full face mask used with positive airway pressure device, each	89,040	$70	$5.9M
A4604	Tubing with integrated heating element for use with positive airway pressure device	116,620	$30	$3M
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	67,710	$40	$2.6M
A7031	Face mask interface, replacement for full face mask, each	107,620	$20	$2.4M
E0562	Humidifier, heated, used with positive airway pressure device	58,230	$30	$1.8M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	29,790	$50	$1.6M
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	21,470	$60	$1.4M
A7035	Headgear used with positive airway pressure device	93,860	$10	$1.3M
A7032	Cushion for use on nasal mask interface, replacement only, each	51,690	$20	$1.2M

Showing 1–10 of 26

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Massachusetts Distribution

Regional Home Care Inc. — 16 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Massachusetts

Full comparison — all codes billed, vs. Massachusetts median

26 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	6	20	1,890	$330	$830.4K
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	6	40	2,460	$50	$518.1K
E1399	Durable medical equipment, miscellaneous	19	30	900	$140	$504.7K
A7030	Full face mask used with positive airway pressure device, each	1	30	990	$70	$477.3K
E0601	Continuous positive airway pressure (CPAP) device	1	40	1,700	$30	$412K
K0739	Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes	14	20	1,690	$90	$375K
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive…	1	10	330	$170	$257.1K
A4604	Tubing with integrated heating element for use with positive airway pressure device	1	40	590	$30	$234.2K
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	1	30	590	$40	$206.7K
A7031	Face mask interface, replacement for full face mask, each	1	30	900	$30	$191.9K

Showing 1–10 of 26

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Home Care Inc	VT	Oxygen Equipment & Supplies (DME)	$0	$1.8M
Regional Home Care Inc	CT	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Regional Home Care Inc	NH	Oxygen Equipment & Supplies (DME)	$0	$547.8K

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Umass Memorial Healthalliance Clinton Hospital Inc	MA	General Acute Care Hospital	$0	$82.6M
Montachusett Home Care Corp	MA	Case Management Agency	$0	$29.4M
Beacon Hospice, LLC	MA	Community Based Hospice Care Agency	$0	$13.2M
Montachusett Hpme Care Corporation	MA	Case Management Agency	$0	$11.8M
Medstar Ambulance Inc	MA	Non-emergency Medical Transport (VAN)	$1.3M	$9.6M
Community Health Connections, Inc.	MA	Federally Qualified Health Center (FQHC)	$0	$8.9M
Dental Dreams, LLC	MA	General Practice Dentistry	$0	$8.8M
Fitchburg Emergency Medical Services Inc	MA	Land Ambulance	$501.9K	$4.2M
City Of Leominster	MA	Land Ambulance	$464.1K	$2.7M
Medstar Ems, Inc.	MA	Land Ambulance	$457.9K	$1.7M

Regional Home Care Inc. — Billing Profile & Reimbursement Data

Sign up for Regional Home Care Inc. — Billing Profile & Reimbursement Data policy alerts

Regional Home Care Inc. — Billing Profile & Reimbursement Data

Sign up for Regional Home Care Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References