Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Critical Care Systems, LLC

Critical Care Systems, LLC was paid $174K by Medicaid between Jan 2018 and Sep 2020, across 8 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 29% of everything it billed.

33Billing provider infoCRITICAL CARE SYSTEMS, LLC
URBANDALE, IA 50322
33aNPI1013916477assigned 07/19/2005
33bProvider typeSpecialty Pharmacy
28Total paid$174K
24GClaims1,965
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2020

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
YearClaimsPaid
2018596$60K
2019841$69K
2020528$45K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 29% 438 324 $50K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 24% 285 106 $42K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 19% 35 12 $33K
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 16% 619 264 $28K
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 5.6% 107 74 $10K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2.7% 118 53 $5K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 2.6% 350 142 $5K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 13 12 $2K

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialSETHNA, MEENAL (PRESIDENT & CFO)
Parent organizationCRITICAL CARE SYSTEMS, LLC
Same official

Other billing entities under SETHNA, MEENAL

Full network →
ProviderLocationPaid
Trinity Homecare LLCRidgewood, NY$46.79M
Option Care Enterprises, INC.Itasca, IL$45.47M
Option Care Enterprises INCLouisville, KY$39.07M
Option Care Enterprises INCMarlborough, MA$36.96M
Option Care Enterprises, INC.Tampa, FL$29.58M
Scott-Wilson, INC.Lexington, KY$24.50M
Homechoice Partners LLCHenrico, VA$23.48M
Infusion Partners LLCMemphis, TN$19.80M
Bioscrip Pharmacy Services, INCDublin, OH$19.25M
Option Care Enterprises, INC.Milford, OH$18.93M
Option Care Enterprises, INC.Tukwila, WA$18.93M
Option Care at Legacy Health LLCPortland, OR$18.55M
Option Care Enterprises, INCBakersfield, CA$17.15M
Crescent Healthcare, INC.San Diego, CA$14.69M
Option Care Enterprises, INC.Houston, TX$13.82M
Infusion Partners LLCNew Orleans, LA$13.70M
Crescent Healthcare, INC.Riverside, CA$13.62M
Option Care Enterprises, INCShelton, CT$13.31M
Option Care Home Care INCWauwatosa, WI$12.53M
Option Care Enterprises, INC.Fenton, MO$11.19M

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.