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

Option Care Home Care, INC

Option Care Home Care, INC was paid $1.96M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is B4105, In-line cartridge containing digestive enzyme(s) for enteral feeding, each — 45% of everything it billed.

33Billing provider infoOPTION CARE HOME CARE, INC
SAN ANTONIO, TX 78232
33aNPI1124033196assigned 07/29/2006
33bProvider typeHome Health Agency
28Total paid$1.96M
24GClaims17,760
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Home Health Agency providers in Texas

Rank by total paid#612 of 1,243
Median peer was paid$1.86M
This provider vs. median1.1×

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.

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

$0$50K$100K$150K2018201920202021202220232024
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
2018674$19K
2019518$15K
20201,051$39K
20213,998$408K
20224,432$353K
20232,879$513K
2024incomplete4,208$617K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4105 In-line cartridge containing digestive enzyme(s) for enteral feeding, each 45% 225 186 $880K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 25% 1,916 464 $482K
S9500 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 17% 7,039 542 $327K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.9% 2,558 977 $78K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 2.7% 787 202 $54K
99601 1.8% 311 94 $36K
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 1.3% 507 454 $25K
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 1.1% 464 427 $21K
B4224 Parenteral nutrition administration kit, per day <1% 255 40 $19K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,274 652 $19K
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 <1% 143 37 $8K
B4220 Parenteral nutrition supply kit; premix, per day <1% 255 40 $6K
6 more codes
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) <1% 820 $5K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 662 $3K
A4245 Alcohol wipes, per box <1% 440 $545.92
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml <1% 65 $410.55
S1015 Iv tubing extension set <1% 21 $302.92
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 18 $78.80

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)
Same official

Other billing entities under SETHNA, MEENAL

Full network →
ProviderLocationPaid
Trinity Homecare LLCRidgewood, NY$46.79M
Option Care Enterprises, INC.Itasca, IL$45.47M
Option Care Enterprises INCLouisville, KY$39.07M
Option Care Enterprises INCMarlborough, MA$36.96M
Option Care Enterprises, INC.Tampa, FL$29.58M
Scott-Wilson, INC.Lexington, KY$24.50M
Homechoice Partners LLCHenrico, VA$23.48M
Infusion Partners LLCMemphis, TN$19.80M
Bioscrip Pharmacy Services, INCDublin, OH$19.25M
Option Care Enterprises, INC.Milford, OH$18.93M
Option Care Enterprises, INC.Tukwila, WA$18.93M
Option Care at Legacy Health LLCPortland, OR$18.55M
Option Care Enterprises, INCBakersfield, CA$17.15M
Crescent Healthcare, INC.San Diego, CA$14.69M
Option Care Enterprises, INC.Houston, TX$13.82M
Infusion Partners LLCNew Orleans, LA$13.70M
Crescent Healthcare, INC.Riverside, CA$13.62M
Option Care Enterprises, INCShelton, CT$13.31M
Option Care Home Care INCWauwatosa, 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.