Medicaid Provider Spending

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

OPTIMA INFUSION PHARMACY INC

NPI: 1063525210 · DORADO, PR 00646 · Home Health Agency · NPI assigned 08/15/2006

$2.00M
Total Medicaid Paid
30,470
Total Claims
4,324
Beneficiaries
10
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDIAZ, MARIELY (PRESIDENT)
NPI Enumeration Date08/15/2006

Related Entities

Other providers sharing the same authorized official: DIAZ, MARIELY

ProviderCityStateTotal Paid
OPTIMA INFUSION PHARMACY INC DORADO PR $470K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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

CodeDescriptionClaimsBeneficiariesTotal Paid
S9097 Home visit for wound care 17,452 2,367 $1.19M
97602 6,700 714 $450K
T1030 Nursing care, in the home, by registered nurse, per diem 3,426 450 $244K
S9494 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) 2,319 314 $84K
T1001 Nursing assessment / evaluation 427 384 $25K
J3370 Injection, vancomycin hcl, 500 mg 45 13 $3K
M0223 Intravenous injection, bebtelovimab, includes injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency 20 14 $1K
90688 26 21 $295.72
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 21 $60.15
J2405 Injection, ondansetron hydrochloride, per 1 mg 29 26 $27.20