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

Option Care Enterprises, INC

Option Care Enterprises, INC was paid $1.30M by Medicaid between Feb 2018 and Dec 2024, across 1 billing code. Its largest line is G0299, Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes — 100% of everything it billed.

33Billing provider infoOPTION CARE ENTERPRISES, INC
ITASCA, IL 60143
33aNPI1205929569assigned 10/01/2006
33bProvider typeHome Infusion Agency
28Total paid$1.30M
24GClaims15,365
24DCodes billed1
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers

Next to other Home Infusion Agency providers in Illinois

Rank by total paid#4 of 5
Median peer was paid$1.33M
This provider vs. median1.0×

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.

Single-Code Concentration100% of spending on code G0299 with only 1 total codes billed. Highly concentrated billing profile.
Entity ProliferationAuthorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$10K$20K$30K2018201920202021202220232024
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
2018953$60K
20193,379$217K
20202,244$179K
20211,725$172K
20222,393$233K
20232,778$265K
2024incomplete1,893$178K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
G0299 Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes 100% 15,365 4,481 $1.30M

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.