Medicaid Provider Spending

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

OPTUM WOMEN'S AND CHILDREN'S HEALTH, LLC

NPI: 1073561825 · MARIETTA, GA 30067 · Home Health Agency · NPI assigned 05/04/2006

$160.44M
Total Medicaid Paid
636,803
Total Claims
122,585
Beneficiaries
28
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSHINGLETON, JEANNE (SECRETARY)
Parent OrganizationMY WELLNESS SOLUTIONS, LLC
NPI Enumeration Date05/04/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 89,409 $14.98M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal 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 170,380 18,049 $74.09M
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 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 127,449 34,591 $15.97M
99601 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) 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) 21,622 2,104 $3.94M
J1729 Injection, hydroxyprogesterone caproate, not otherwise specified, 10 mg 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 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 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) 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 17,692 4,713 $1.87M
J2405 Injection, ondansetron hydrochloride, per 1 mg 13,870 3,901 $1.65M
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) 4,232 2,202 $978K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 6,836 1,931 $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) 7,030 4,182 $784K
99506 5,222 1,576 $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) 1,348 288 $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 1,858 530 $318K
S9140 Diabetic management program, follow-up visit to non-md provider 474 468 $216K
96369 480 80 $182K
H1000 Prenatal care, at-risk assessment 1,216 1,215 $87K
T1030 Nursing care, in the home, by registered nurse, per diem 786 101 $48K
H1005 Prenatal care, at-risk enhanced service package (includes h1001-h1004) 112 112 $46K
T1002 Rn services, up to 15 minutes 305 95 $34K
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 169 12 $14K
99600 Unlisted home visit service or procedure 36 12 $6K
J2765 Injection, metoclopramide hcl, up to 10 mg 57 27 $1K
S9460 Diabetic management program, nurse visit 13 13 $90.00