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.

New England Home Medical Equipment, LLC (NPI 1720468812)

Field	Value
Entity Type	Organization
Organization	New England Home Medical Equipment, LLC
Address	28 Jan Sebastian Dr Ste 3
City	Sandwich
State	MA
ZIP	02563
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	June 3, 2015

Payer Source	Total Paid
Medicaid	$56.2M
Medicare	$0

Medicaid: Complete Services Breakdown

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

32 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	62,850	$420	$26.5M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	18,000	$480	$8.7M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	13,690	$520	$7.2M
E0784	External ambulatory infusion pump, insulin	3,200	$1,670	$5.4M
E1399	Durable medical equipment, miscellaneous	34,060	$90	$2.9M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	3,480	$460	$1.6M
A4230	Infusion set for external insulin pump, non needle cannula type	10,820	$140	$1.5M
K0553	Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	20,410	$60	$1.2M
A4232	Syringe with needle for external insulin pump, sterile, 3 cc	9,430	$50	$434K
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	6,560	$60	$367.5K

Showing 1–10 of 32

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

New England Home Medical Equipment, LLC — 13 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

32 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A9276	Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply	1	10	4,020	$380	$5.5M
A9274	External ambulatory insulin delivery system, disposable, each, includes all supplies and accessories	1	10	440	$700	$4.6M
A9277	Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	2,820	$460	$2.2M
E0784	External ambulatory infusion pump, insulin	1	10	2,110	$1,050	$2M
A9278	Receiver (monitor); external, for use with non-durable medical equipment interstitial continuous glucose monitoring system	1	10	1,540	$420	$710.6K
E1161	Manual adult size wheelchair, includes tilt in space	7	10	3,340	$200	$700.6K
A4230	Infusion set for external insulin pump, non needle cannula type	1	10	1,980	$140	$581.2K
E1399	Durable medical equipment, miscellaneous	1	30	900	$140	$504.7K
T4535	Disposable liner/shield/guard/pad/undergarment, for incontinence, each	28	30	3,840	$50	$490.5K
E1028	Wheelchair accessory, manual swingaway, retractable or removable mounting hardware, other	7	10	6,330	$60	$413.3K

Showing 1–10 of 32

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Diabetes Supply Center Of The Midlands LLC	NE	Durable Medical Equipment & Medical Supplies	$0	$40.7M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Cape Medical Supply LLC	MA	Durable Medical Equipment & Medical Supplies	$0	$15.7M
Urgi Center Medical Group	MA	Urgent Care Clinic/Center	$0	$5.8M
Cape Cod Eye Surgery & Laser Center, LLC	MA	Ambulatory Surgical Clinic/Center	$3.5M	$238.2K
Cape Cod Pet/ct Services LLC	MA	Mobile Radiology Clinic/Center	$2.1M	$445.1K
Cape Cod Asc LLC	MA	Ambulatory Surgical Clinic/Center	$1.4M	$25.6K
Town Of Sandwich	MA	Ambulance	$623.9K	$636.6K
Michael Oats	MA	Ophthalmology Physician	$933.3K	$0
Ramon Espinosa	MA	Internal Medicine Physician	$368.2K	$0
Jessica Provo	MA	Family Medicine Physician	$333.8K	$0
Susan Shanley	MA	Physical Therapist	$143.8K	$0

New England Home Medical Equipment, LLC — Billing Profile & Reimbursement Data

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New England Home Medical Equipment, 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

Related Providers

Nearby Providers

Frequently Asked Questions

References