Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › NE › Omaha › NPI 1275586810
Supplier

Option Care Enterprises, INC.

Option Care Enterprises, INC. was paid $1.53M by Medicaid between Jan 2018 and Apr 2023, across 18 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 31% of everything it billed.

33Billing provider infoOPTION CARE ENTERPRISES, INC.
OMAHA, NE 68137
33aNPI1275586810assigned 05/17/2006
28Total paid$1.53M
24GClaims17,670
24DCodes billed18
24AFirst – last monthJan 2018 – Apr 2023
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Nebraska

Rank by total paid#1 of 11
Median peer was paid$122K
This provider vs. median13×

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$25K$50K$75K2018201920202021202220232024
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
20181,140$89K
20192,244$301K
20203,105$479K
20214,186$227K
20224,196$238K
20232,799$200K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 31% 3,086 1,955 $469K
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 19% 930 438 $288K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 15% 1,064 368 $224K
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 8.7% 7,218 687 $134K
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 8.2% 379 247 $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 7.5% 1,151 811 $114K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 4.0% 2,361 985 $61K
99601 2.1% 306 114 $32K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 1.9% 147 37 $29K
B4224 Parenteral nutrition administration kit, per day 1.6% 179 43 $25K
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% 256 24 $8K
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% 182 84 $7K
6 more codes
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 30 $5K
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 <1% 32 $5K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 16 $3K
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 <1% 259 $2K
B9002 Enteral nutrition infusion pump, any type <1% 30 $2K
B4220 Parenteral nutrition supply kit; premix, per day <1% 44 $2K

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.