Medicaid Provider Spending

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

OPTION CARE AT LEGACY HEALTH LLC

NPI: 1174875017 · BEND, OR 97701 · Durable Medical Equipment & Medical Supplies · NPI assigned 10/02/2012

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more

$607K
Total Medicaid Paid
5,238
Total Claims
3,704
Beneficiaries
7
Codes Billed
2018-11
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSETHNA, MEENAL (PRESIDENT & CFO)
NPI Enumeration Date10/02/2012

Related Entities

Other providers sharing the same authorized official: SETHNA, MEENAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 56 $4K
2019 657 $72K
2020 702 $78K
2021 906 $87K
2022 1,292 $137K
2023 1,093 $131K
2024 532 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 2,343 1,746 $398K
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 1,498 1,025 $102K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 692 495 $49K
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 491 304 $40K
99601 130 68 $12K
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 26 13 $3K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 58 53 $3K