Optum Women's and Children's Health, LLC

Optum Women's and Children's Health, LLC was paid $160.44M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is S9351, Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem — 46% of everything it billed.

Compared with peers

Next to other Home Health Agency providers in Georgia

Rank by total paid#2 of 19

Median peer was paid$6.46M

This provider vs. median25×

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.

Box 24A · Dates of service

Paid by month

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

Year	Claims	Paid
2018	88,663	$23.15M
2019	89,308	$24.63M
2020	79,452	$21.96M
2021	87,418	$29.71M
2022	101,477	$26.55M
2023	101,076	$19.45M
2024incomplete	89,409	$14.98M

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
S9351	Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem	46%	170,380	18,049	$74.09M
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	20%	31,233	12,731	$32.75M
S9560	Home injectable therapy; hormonal therapy (e.g.; leuprolide, goserelin), including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	10.0%	127,449	34,591	$15.97M
99601		4.7%	66,759	18,006	$7.57M
S9211	Home management of gestational hypertension, includes 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 any home infusion per diem code)	4.1%	111,860	8,568	$6.57M
S9214	Home management of gestational diabetes, includes 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 any home infusion per diem code)	2.5%	21,622	2,104	$3.94M
J1729	Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg	2.4%	8,656	3,050	$3.92M
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	2.2%	15,643	1,907	$3.52M
S9353	Home infusion therapy, continuous insulin infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	1.3%	7,130	627	$2.05M
S9213	Home management of preeclampsia, includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code)	1.2%	14,335	1,494	$1.96M
S9376	Home infusion therapy, hydration therapy; more than two liters but no more than three liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	1.2%	17,692	4,713	$1.87M
J2405	Injection, ondansetron hydrochloride, per 1 mg	1.0%	13,870	3,901	$1.65M

16 more codes

S9373	Home infusion therapy, hydration 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 with hydration therapy codes s9374-s9377 using daily volume scales)	<1%	4,232	$978K
96372	Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular	<1%	6,836	$954K
S9123	Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used)	<1%	7,030	$784K
99506		<1%	5,222	$597K
S9212	Home management of postpartum hypertension, includes 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 any home infusion per diem code)	<1%	1,348	$321K
S9542	Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem	<1%	1,858	$318K
S9140	Diabetic management program, follow-up visit to non-md provider	<1%	474	$216K
96369		<1%	480	$182K
H1000	Prenatal care, at-risk assessment	<1%	1,216	$87K
T1030	Nursing care, in the home, by registered nurse, per diem	<1%	786	$48K
H1005	Prenatal care, at-risk enhanced service package (includes h1001-h1004)	<1%	112	$46K
T1002	Rn services, up to 15 minutes	<1%	305	$34K
G0299	Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes	<1%	169	$14K
99600	Unlisted home visit service or procedure	<1%	36	$6K
J2765	Injection, metoclopramide hcl, up to 10 mg	<1%	57	$1K
S9460	Diabetic management program, nurse visit	<1%	13	$90.00

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 officialSHINGLETON, JEANNE (SECRETARY)

Parent organizationMY WELLNESS SOLUTIONS, LLC