Medicaid Provider Spending

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

OPTION CARE ENTERPRISES INC

NPI: 1285910919 · HOOVER, AL 35244 · Community/Retail Pharmacy · NPI assigned 10/26/2011

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

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

$509K
Total Medicaid Paid
8,390
Total Claims
4,573
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSETHNA, MEENAL (PRESIDENT & CFO)
NPI Enumeration Date10/26/2011

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 977 $50K
2019 554 $11K
2020 1,157 $72K
2021 1,426 $102K
2022 1,608 $118K
2023 1,116 $59K
2024 1,552 $98K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 2,063 819 $276K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3,879 2,244 $189K
A4213 Syringe, sterile, 20 cc or greater, each 1,585 944 $26K
S9347 Home infusion therapy, uninterrupted, long-term, controlled rate intravenous or subcutaneous infusion therapy (e.g., epoprostenol); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 99 26 $9K
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 325 210 $5K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 134 87 $2K
B9002 Enteral nutrition infusion pump, any type 284 231 $1K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 21 12 $765.48