Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Option Care Infusion Services, LLC

Option Care Infusion Services, LLC was paid $8.93M by Medicaid between Jan 2018 and Nov 2024, across 40 billing codes. Its largest line is 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 — 15% of everything it billed.

33Billing provider infoOPTION CARE INFUSION SERVICES, LLC
NASHVILLE, TN 37211
33aNPI1326279746assigned 08/03/2009
28Total paid$8.93M
24GClaims142,953
24DCodes billed40
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Durable Medical Equipment & Medical Supplies providers in Tennessee

Rank by total paid#9 of 296
Median peer was paid$15K
This provider vs. median578×

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$200K$400K2018201920202021202220232024
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
201812,954$506K
201912,372$610K
202019,444$1.03M
202121,754$1.24M
202224,783$1.44M
202327,994$1.95M
2024incomplete23,652$2.15M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 15% 32,445 2,882 $1.30M
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 13% 14,669 4,903 $1.18M
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% 5,535 2,526 $1.07M
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 9.5% 6,615 1,291 $848K
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 9.2% 13,747 2,068 $821K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 5.0% 7,798 5,065 $443K
B4105 In-line cartridge containing digestive enzyme(s) for enteral feeding, each 4.6% 166 91 $410K
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 4.0% 5,445 2,215 $360K
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 3.0% 3,364 1,047 $266K
B4189 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix 2.7% 899 52 $241K
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 2.4% 13,978 4,352 $215K
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 2.2% 3,295 1,205 $194K
28 more codes
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 2.1% 4,860 $186K
S9501 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 1.8% 2,535 $159K
99601 1.5% 1,991 $132K
B4197 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix 1.4% 433 $128K
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit 1.3% 1,097 $114K
J3370 Injection, vancomycin hcl, 500 mg 1.1% 1,558 $101K
S9338 Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 1,183 $86K
S9502 Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 1,179 $79K
S9340 Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem <1% 373 $68K
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,022 $66K
B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 243 $65K
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 671 $57K
B4224 Parenteral nutrition administration kit, per day <1% 1,108 $57K
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% 4,477 $54K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 3,213 $52K
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,073 $35K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 4,961 $35K
99602 Nursing care in home rn <1% 261 $19K
B4220 Parenteral nutrition supply kit; premix, per day <1% 869 $17K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 710 $16K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 246 $12K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) <1% 198 $11K
B9002 Enteral nutrition infusion pump, any type <1% 411 $8K
J0895 Injection, deferoxamine mesylate, 500 mg <1% 128 $8K
J0690 Injection, cefazolin sodium, 500 mg <1% 36 $1K
S5501 Home infusion therapy, catheter care / maintenance, complex (more than one lumen), includes administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem <1% 69 $1K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 53 $1K
E0776 Iv pole <1% 39 $546.30

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.