Supplier
Option Care Enterprises, INC,
Option Care Enterprises, INC, was paid $11.15M by Medicaid between Jan 2018 and Dec 2024, across 30 billing codes. Its largest line is Q5103, Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg — 32% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC,
CRANSTON, RI 02920
CRANSTON, RI 02920
33aNPI1184785891assigned 12/13/2006
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$11.15M
24GClaims158,511
24DCodes billed30
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Rhode Island
Rank by total paid#2 of 28
Median peer was paid$44K
This provider vs. median252×
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
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 | 12,096 | $396K | |
| 2019 | 9,713 | $369K | |
| 2020 | 20,227 | $880K | |
| 2021 | 23,159 | $1.08M | |
| 2022 | 27,180 | $2.14M | |
| 2023 | 31,395 | $3.33M | |
| 2024incomplete | 34,741 | $2.95M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5103 | Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg | 32% | 995 | 948 | $3.58M |
| 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 | 25% | 134,357 | 5,781 | $2.75M |
| 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 | 12% | 1,989 | 1,618 | $1.30M |
| 99601 | 8.4% | 7,831 | 3,346 | $937K | |
| 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 | 8.1% | 2,625 | 2,062 | $907K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 4.9% | 2,726 | 487 | $551K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.4% | 1,416 | 1,102 | $269K |
| 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 | 2.1% | 873 | 547 | $229K |
| E0465 | Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) | 2.0% | 223 | 179 | $219K |
| 99602 | Nursing care in home rn | <1% | 1,129 | 988 | $82K |
| A4606 | Oxygen probe for use with oximeter device, replacement | <1% | 294 | 223 | $68K |
| 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 | <1% | 606 | 39 | $61K |
18 more codes
| S9359 | Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 1,128 | $56K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | <1% | 196 | $23K |
| 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% | 237 | $22K |
| A4605 | Tracheal suction catheter, closed system, each | <1% | 79 | $15K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 275 | $14K |
| E0445 | Oximeter device for measuring blood oxygen levels non-invasively | <1% | 109 | $13K |
| A7526 | Tracheostomy tube collar/holder, each | <1% | 224 | $12K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 65 | $11K |
| 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% | 52 | $7K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 299 | $7K |
| A4624 | Tracheal suction catheter, any type other than closed system, each | <1% | 15 | $3K |
| A7000 | Canister, disposable, used with suction pump, each | <1% | 288 | $2K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 158 | $2K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 55 | $1K |
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | <1% | 148 | $470.67 |
| A4217 | Sterile water/saline, 500 ml | <1% | 14 | $463.88 |
| A7002 | Tubing, used with suction pump, each | <1% | 92 | $320.14 |
| A4628 | Oral and/or oropharyngeal suction catheter, each | <1% | 13 | $117.68 |
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.