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

Option 1 Northwest Enteral LLC

Option 1 Northwest Enteral LLC was paid $32.43M by Medicaid between Jan 2018 and Dec 2024, across 46 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 — 21% of everything it billed.

33Billing provider infoOPTION 1 NORTHWEST ENTERAL LLC
KENT, WA 98031
33aNPI1043398407assigned 11/02/2006
28Total paid$32.43M
24GClaims239,642
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Washington

Rank by total paid#1 of 15
Median peer was paid$3.26M
This provider vs. median9.9×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Auditor's notes

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

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

Paid by month

$0$200K$400K$600K2018201920202021202220232024
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
201841,039$5.07M
201938,821$4.84M
202034,150$4.68M
202132,455$4.58M
202231,205$4.28M
202333,520$4.66M
2024incomplete28,452$4.32M
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 21% 27,902 26,278 $6.68M
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 20% 12,885 11,839 $6.44M
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 16% 14,618 13,407 $5.04M
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 8.9% 23,337 22,189 $2.87M
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 7.0% 20,435 19,425 $2.26M
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 3.8% 2,773 2,400 $1.22M
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2.8% 7,524 6,958 $915K
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.8% 5,409 4,985 $892K
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 2.4% 5,898 5,280 $767K
B9002 Enteral nutrition infusion pump, any type 1.8% 6,892 6,482 $575K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 1.7% 9,025 8,735 $559K
S9999 Sales tax 1.4% 35,644 21,509 $446K
34 more codes
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit 1.3% 3,609 $418K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 1.3% 6,018 $406K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.0% 1,620 $339K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 5,706 $272K
B9998 Noc for enteral supplies <1% 1,340 $243K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each <1% 2,496 $233K
T4541 Incontinence product, disposable underpad, large, each <1% 5,590 $192K
T4537 Incontinence product, protective underpad, reusable, bed size, each <1% 5,442 $190K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,103 $167K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 2,109 $164K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 1,635 $158K
A4927 Gloves, non-sterile, per 100 <1% 12,441 $140K
B4100 Food thickener, administered orally, per ounce <1% 2,607 $113K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each <1% 908 $95K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 2,108 $88K
E0776 Iv pole <1% 4,352 $79K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 580 $78K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 2,239 $72K
B4081 Nasogastric tubing with stylet <1% 1,589 $59K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 597 $55K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 461 $43K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 548 $42K
A6218 Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing <1% 189 $33K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 475 $32K
B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 52 $21K
B4082 Nasogastric tubing without stylet <1% 377 $14K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 287 $6K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 68 $4K
A4335 Incontinence supply; miscellaneous <1% 407 $3K
A4628 Oral and/or oropharyngeal suction catheter, each <1% 180 $2K
A4332 Lubricant, individual sterile packet, each <1% 126 $1K
A7000 Canister, disposable, used with suction pump, each <1% 16 $339.68
A7002 Tubing, used with suction pump, each <1% 12 $183.64
A6260 Wound cleansers, any type, any size <1% 13 $23.12

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 officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

Full network →

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