OPTIMA INFUSION PHARMACY INC
NPI: 1063525210
· DORADO, PR 00646
· 251E00000X
$2.00M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,377 |
$140K |
| 2019 |
5,409 |
$311K |
| 2020 |
5,518 |
$332K |
| 2021 |
6,649 |
$463K |
| 2022 |
2,888 |
$204K |
| 2023 |
3,512 |
$242K |
| 2024 |
4,117 |
$308K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S9097 |
Home visit wound care |
17,452 |
2,367 |
$1.19M |
| 97602 |
|
6,700 |
714 |
$450K |
| T1030 |
Rn home care per diem |
3,426 |
450 |
$244K |
| S9494 |
Hit antibiotic total diem |
2,319 |
314 |
$84K |
| T1001 |
Nursing assessment/evaluatn |
427 |
384 |
$25K |
| J3370 |
Vancomycin hcl injection |
45 |
13 |
$3K |
| M0223 |
Bebtelovimab injection home |
20 |
14 |
$1K |
| 90688 |
|
26 |
21 |
$295.72 |
| 90471 |
|
26 |
21 |
$60.15 |
| J2405 |
Ondansetron hcl injection |
29 |
26 |
$27.20 |