Medicaid Provider Spending

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

OPTION 1 NORTHWEST ENTERAL LLC

NPI: 1043398407 · KENT, WA 98031 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 11/02/2006

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$32.43M
Total Medicaid Paid
239,642
Total Claims
212,856
Beneficiaries
46
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M
FIRST CHOICE CHILDRENS HOMECARE LP AUSTIN TX $29.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 41,039 $5.07M
2019 38,821 $4.84M
2020 34,150 $4.68M
2021 32,455 $4.58M
2022 31,205 $4.28M
2023 33,520 $4.66M
2024 28,452 $4.32M

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 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 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 14,618 13,407 $5.04M
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 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 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 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 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 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 5,898 5,280 $767K
B9002 Enteral nutrition infusion pump, any type 6,892 6,482 $575K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 9,025 8,735 $559K
S9999 Sales tax 35,644 21,509 $446K
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 3,609 3,307 $418K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 6,018 5,645 $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 1,620 1,427 $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 5,706 5,324 $272K
B9998 Noc for enteral supplies 1,340 1,153 $243K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 2,496 2,436 $233K
T4541 Incontinence product, disposable underpad, large, each 5,590 5,355 $192K
T4537 Incontinence product, protective underpad, reusable, bed size, each 5,442 5,305 $190K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,103 1,028 $167K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 2,109 2,017 $164K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 1,635 1,552 $158K
A4927 Gloves, non-sterile, per 100 12,441 11,788 $140K
B4100 Food thickener, administered orally, per ounce 2,607 2,478 $113K
T4524 Adult sized disposable incontinence product, brief/diaper, extra large, each 908 850 $95K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 2,108 1,988 $88K
E0776 Iv pole 4,352 4,239 $79K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 580 543 $78K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 2,239 2,147 $72K
B4081 Nasogastric tubing with stylet 1,589 1,158 $59K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 597 583 $55K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 461 434 $43K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 548 533 $42K
A6218 Gauze, non-impregnated, non-sterile, pad size more than 48 sq. in., without adhesive border, each dressing 189 164 $33K
T4533 Youth sized disposable incontinence product, brief/diaper, each 475 458 $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 52 48 $21K
B4082 Nasogastric tubing without stylet 377 358 $14K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 287 260 $6K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each 68 66 $4K
A4335 Incontinence supply; miscellaneous 407 401 $3K
A4628 Oral and/or oropharyngeal suction catheter, each 180 166 $2K
A4332 Lubricant, individual sterile packet, each 126 121 $1K
A7000 Canister, disposable, used with suction pump, each 16 13 $339.68
A7002 Tubing, used with suction pump, each 12 12 $183.64
A6260 Wound cleansers, any type, any size 13 12 $23.12