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    OpenPayerNPI Medicare & MedicaidThe Promptcare Companies, Inc.
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    The Promptcare Companies, Inc. — Billing Profile & Reimbursement Data

    NPI 1891310215 · Wallingford, CT · Durable Medical Equipment & Medical Supplies

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    The Promptcare Companies, Inc. is a durable medical equipment & medical supplies provider located in Wallingford, Connecticut. This profile covers 0 Medicare and 22 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationThe Promptcare Companies, Inc.
    Address101 North Plains Industrial Rd
    CityWallingford
    StateCT
    ZIP06492
    TaxonomyDurable Medical Equipment & Medical Supplies
    NPI EnumeratedJune 11, 2020

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.8M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    22 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)1,570$450$701.8K
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)1,300$450$582.9K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate2,530$50$133.9K
    A4624Tracheal suction catheter, any type other than closed system, each880$140$121.4K
    A7526Tracheostomy tube collar/holder, each1,130$50$57.6K
    A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each800$50$36.9K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape140$190$26K
    E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing1,940$10$25.2K
    A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each340$70$23.5K
    A7000Canister, disposable, used with suction pump, each1,330$20$21.3K

    Showing 1–10 of 22

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Connecticut median

    22 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape810860$180$1.1M
    E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)4101,600$490$911K
    E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)6101,230$290$520.5K
    E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate172010,080$30$498.5K
    A4624Tracheal suction catheter, any type other than closed system, each310880$140$160.6K
    A4927Gloves, non-sterile, per 1003360970$10$72.6K
    A7526Tracheostomy tube collar/holder, each2101,030$50$71.9K
    A7520Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each310490$80$71.8K
    A4606Oxygen probe for use with oximeter device, replacement5101,760$30$68.6K
    A7507Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each210700$50$65.7K

    Showing 1–10 of 22

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with The Promptcare Companies, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    The Promptcare Companies, Inc.NJOxygen Equipment & Supplies (DME)$0$83.1M
    The Promptcare Companies, Inc.PAOxygen Equipment & Supplies (DME)$0$78.5M
    The Promptcare Companies, Inc.TNOxygen Equipment & Supplies (DME)$0$3.3M

    Nearby Providers

    Other providers in the same ZIP code as The Promptcare Companies, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gaylord Hospital, Inc.CTLong Term Care Hospital$0$14.6M
    Masonicare Home Health And Hospice, Inc.CTHome Health Agency$0$13M
    Robinson PA, LLCCTInterventional Pain Medicine Physician$0$6.9M
    Town Of WallingfordCTLocal Education Agency (LEA)$0$3.9M
    Park Avenue MedicalCTInternal Medicine Physician$0$3.4M
    Wallingford Endoscopy Center, LLC.CTEndoscopy Clinic/Center$322.7K$1.8M
    Town Of WallingfordCTAmbulance$493.3K$1.6M
    Promptcare New England Respiratory, LLCCTOxygen Equipment & Supplies (DME)$0$1.8M
    Meriden Imaging Center, Inc.CTDiagnostic Radiology Physician$0$1.7M
    Lincare Inc.CTDurable Medical Equipment & Medical Supplies$0$1.5M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Connecticut Providers
    0 of 4 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Connecticut Distribution
    The Promptcare Companies, Inc. — 0 of 22 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Connecticut