Clinic
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $4.57M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 24% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
ENGLEWOOD, CO 80112
ENGLEWOOD, CO 80112
33aNPI1083775621assigned 12/13/2006
33bProvider typeInfusion Therapy Clinic/Center
28Total paid$4.57M
24GClaims53,292
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more
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 | 13,158 | $555K | |
| 2019 | 8,417 | $533K | |
| 2020 | 6,825 | $644K | |
| 2021 | 6,389 | $614K | |
| 2022 | 5,780 | $700K | |
| 2023 | 6,051 | $738K | |
| 2024incomplete | 6,672 | $785K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 24% | 6,814 | 5,171 | $1.11M |
| 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 | 21% | 1,740 | 1,267 | $958K |
| B4224 | Parenteral nutrition administration kit, per day | 19% | 8,684 | 2,016 | $877K |
| 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 | 10% | 1,497 | 1,173 | $462K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 5.8% | 8,402 | 2,009 | $266K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 4.5% | 2,265 | 876 | $206K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 3.4% | 7,034 | 2,987 | $157K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 3.2% | 1,712 | 1,276 | $147K |
| 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 | 2.9% | 1,879 | 1,047 | $131K |
| A4211 | Supplies for self-administered injections | 2.4% | 11,214 | 2,751 | $107K |
| 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 | 1.3% | 248 | 198 | $59K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 431 | 305 | $24K |
7 more codes
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 111 | $21K |
| 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 | <1% | 311 | $16K |
| B9998 | Noc for enteral supplies | <1% | 746 | $12K |
| 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 | <1% | 21 | $6K |
| 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 | <1% | 20 | $4K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 31 | $1K |
| A9901 | Dme delivery, set up, and/or dispensing service component of another hcpcs code | <1% | 132 | $574.27 |
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 officialSETHNA, MEENAL (PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| Trinity Homecare LLC | Ridgewood, NY | $46.79M |
| Option Care Enterprises, INC. | Itasca, IL | $45.47M |
| Option Care Enterprises INC | Louisville, KY | $39.07M |
| Option Care Enterprises INC | Marlborough, MA | $36.96M |
| Option Care Enterprises, INC. | Tampa, FL | $29.58M |
| Scott-Wilson, INC. | Lexington, KY | $24.50M |
| Homechoice Partners LLC | Henrico, VA | $23.48M |
| Infusion Partners LLC | Memphis, TN | $19.80M |
| Bioscrip Pharmacy Services, INC | Dublin, OH | $19.25M |
| Option Care Enterprises, INC. | Milford, OH | $18.93M |
| Option Care Enterprises, INC. | Tukwila, WA | $18.93M |
| Option Care at Legacy Health LLC | Portland, OR | $18.55M |
| Option Care Enterprises, INC | Bakersfield, CA | $17.15M |
| Crescent Healthcare, INC. | San Diego, CA | $14.69M |
| Option Care Enterprises, INC. | Houston, TX | $13.82M |
| Infusion Partners LLC | New Orleans, LA | $13.70M |
| Crescent Healthcare, INC. | Riverside, CA | $13.62M |
| Option Care Enterprises, INC | Shelton, CT | $13.31M |
| Option Care Home Care INC | Wauwatosa, WI | $12.53M |
| Option Care Enterprises, INC. | Fenton, MO | $11.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.