Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Agency

Option Care Enterprises, INC.

Option Care Enterprises, INC. was paid $993K by Medicaid between Jan 2018 and Jan 2023, across 9 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 40% of everything it billed.

33Billing provider infoOPTION CARE ENTERPRISES, INC.
LINCOLN, NE 68516
33aNPI1104914308assigned 10/11/2006
33bProvider typeHome Infusion Agency
28Total paid$993K
24GClaims12,731
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2023

Auditor's notes

Automated statistical signals. Not evidence of fraud — how these are computed.

Entity ProliferationAuthorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2018205$30K
20191,135$201K
20201,454$264K
20216,163$260K
20223,751$232K
202323$6K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 40% 1,004 497 $397K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 26% 1,086 868 $261K
S9342 Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 13% 5,903 389 $126K
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 9.8% 1,274 710 $98K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.2% 315 277 $32K
S9343 Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem 2.4% 2,059 175 $23K
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 2.0% 303 157 $20K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 2.0% 711 361 $20K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 1.7% 76 27 $16K

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 officialSHAPIRO, MICHAEL (PRESIDENT & CFO)
Same official

Other billing entities under SHAPIRO, MICHAEL

Full network →
ProviderLocationPaid
Able Healthcare Service, INC.Merrick, NY$110.27M
New England Home Therapies, INC.Southborough, MA$23.29M
Clinical Specialties INC.Hudson, OH$12.59M
Bioscrip Infusion Services, LLCTampa, FL$12.46M
Knoxville Home Therapies LLCKnoxville, TN$11.74M
Vanguard DermatologyBrooklyn, NY$10.72M
Homechoice Partners, LLCDuncan, SC$7.95M
Professional Home Care Services,incCromwell, CT$7.80M
Infusion Partners, LLCCanfield, OH$7.53M
Professional Home Care Services, INC.Cromwell, CT$4.44M
Option Care Enterprises, INC.Eatontown, NJ$1.32M
East Goshen Pharmacy, LLCSomers Point, NJ$1.23M
Homechoice Partners LLCFayetteville, NC$907K
New England Home Therapies, INC.Smithfield, RI$670K
Option Care Enterprises, INC.Pensacola, FL$524K
Option Care Enterprises, INC.Chantilly, VA$479K
Wilcox Medical, INCRutland, VT$445K
Bioscrip Pharmacy(Ny), INCLake Success, NY$247K
Able Health Care Service, INC.Merrick, NY$175K
Option Care Enterprises INCAshland, KY$97K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.