Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

CRITICAL CARE SYSTEMS, LLC

NPI: 1013916477 · URBANDALE, IA 50322 · Specialty Pharmacy · NPI assigned 07/19/2005

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more

$174K
Total Medicaid Paid
1,965
Total Claims
987
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSETHNA, MEENAL (PRESIDENT & CFO)
Parent OrganizationCRITICAL CARE SYSTEMS, LLC
NPI Enumeration Date07/19/2005

Related Entities

Other providers sharing the same authorized official: SETHNA, MEENAL

ProviderCityStateTotal Paid
TRINITY HOMECARE LLC RIDGEWOOD NY $46.79M
OPTION CARE ENTERPRISES, INC. ITASCA IL $45.47M
OPTION CARE ENTERPRISES INC LOUISVILLE KY $39.07M
OPTION CARE ENTERPRISES INC MARLBOROUGH MA $36.96M
OPTION CARE ENTERPRISES, INC. TAMPA FL $29.58M
SCOTT-WILSON, INC. LEXINGTON KY $24.50M
HOMECHOICE PARTNERS LLC HENRICO VA $23.48M
INFUSION PARTNERS LLC MEMPHIS TN $19.80M
BIOSCRIP PHARMACY SERVICES, INC DUBLIN OH $19.25M
OPTION CARE ENTERPRISES, INC. MILFORD OH $18.93M
OPTION CARE ENTERPRISES, INC. TUKWILA WA $18.93M
OPTION CARE AT LEGACY HEALTH LLC PORTLAND OR $18.55M
OPTION CARE ENTERPRISES, INC BAKERSFIELD CA $17.15M
CRESCENT HEALTHCARE, INC. SAN DIEGO CA $14.69M
OPTION CARE ENTERPRISES, INC. HOUSTON TX $13.82M
INFUSION PARTNERS LLC NEW ORLEANS LA $13.70M
CRESCENT HEALTHCARE, INC. RIVERSIDE CA $13.62M
OPTION CARE ENTERPRISES, INC SHELTON CT $13.31M
OPTION CARE HOME CARE INC WAUWATOSA WI $12.53M
OPTION CARE ENTERPRISES, INC. FENTON MO $11.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 596 $60K
2019 841 $69K
2020 528 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 438 324 $50K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 285 106 $42K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 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 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 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 118 53 $5K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 350 142 $5K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 13 12 $2K