Supplier
Optumrx, INC.
Optumrx, INC. was paid $18.60M by Medicaid between Jan 2019 and Dec 2024, across 44 billing codes. Its largest line is A9999, Miscellaneous dme supply or accessory, not otherwise specified — 33% of everything it billed.
33Billing provider infoOPTUMRX, INC.
EDEN PRAIRIE, MN 55344
EDEN PRAIRIE, MN 55344
33aNPI1336736115assigned 12/28/2020
33bProvider typeDurable Medical Equipment & Medical Supplies
28Total paid$18.60M
24GClaims606,764
24DCodes billed44
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other Durable Medical Equipment & Medical Supplies providers in Minnesota
Rank by total paid#11 of 319
Median peer was paid$23K
This provider vs. median802×
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.
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 | |
|---|---|---|---|
| 2019 | 398,280 | $7.29M | |
| 2020 | 43,829 | $2.39M | |
| 2021 | 38,741 | $2.22M | |
| 2022 | 42,312 | $2.41M | |
| 2023 | 39,771 | $2.06M | |
| 2024incomplete | 43,831 | $2.24M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 33% | 334,757 | 72,998 | $6.13M |
| 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 | 16% | 32,727 | 8,375 | $3.03M |
| 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 | 16% | 42,733 | 11,095 | $3.02M |
| 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 | 7.6% | 15,915 | 3,904 | $1.42M |
| T4535 | Disposable liner/shield/guard/pad/undergarment, for incontinence, each | 6.2% | 21,362 | 19,294 | $1.14M |
| A4554 | Disposable underpads, all sizes | 4.5% | 13,663 | 12,932 | $832K |
| A4335 | Incontinence supply; miscellaneous | 3.0% | 40,500 | 38,324 | $550K |
| A4927 | Gloves, non-sterile, per 100 | 2.3% | 25,446 | 22,511 | $426K |
| T4527 | Adult sized disposable incontinence product, protective underwear/pull-on, large size, each | 1.9% | 6,200 | 5,973 | $355K |
| A6250 | Skin sealants, protectants, moisturizers, ointments, any type, any size | 1.2% | 20,799 | 16,430 | $225K |
| E0143 | Walker, folding, wheeled, adjustable or fixed height | 1.2% | 2,617 | 2,571 | $219K |
| T4528 | Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each | <1% | 2,780 | 2,652 | $166K |
32 more codes
| E0240 | Bath/shower chair, with or without wheels, any size | <1% | 2,760 | $108K |
| T4540 | Incontinence product, protective underpad, reusable, chair size, each | <1% | 2,791 | $99K |
| T4525 | Adult sized disposable incontinence product, protective underwear/pull-on, small size, each | <1% | 1,706 | $90K |
| E0244 | Raised toilet seat | <1% | 1,531 | $73K |
| A9270 | Non-covered item or service | <1% | 8,851 | $73K |
| B4102 | Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit | <1% | 572 | $65K |
| A4466 | Garment, belt, sleeve or other covering, elastic or similar stretchable material, any type, each | <1% | 2,631 | $57K |
| A9900 | Miscellaneous dme supply, accessory, and/or service component of another hcpcs code | <1% | 2,077 | $56K |
| E0245 | Tub stool or bench | <1% | 1,487 | $56K |
| E0241 | Bath tub wall rail, each | <1% | 2,410 | $51K |
| A6549 | Gradient compression garment, not otherwise specified, for daytime use, each | <1% | 2,277 | $49K |
| L0625 | Lumbar orthosis, flexible, provides lumbar support, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include pendulous abdomen design, shoulder straps, stays, prefabricated, off-the-shelf | <1% | 1,879 | $49K |
| A6530 | Gradient compression stocking, below knee, 18-30 mmhg, each | <1% | 1,218 | $41K |
| E0247 | Transfer bench for tub or toilet with or without commode opening | <1% | 321 | $24K |
| A4245 | Alcohol wipes, per box | <1% | 3,434 | $22K |
| K0002 | Standard hemi (low seat) wheelchair | <1% | 148 | $21K |
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | <1% | 1,846 | $20K |
| T4524 | Adult sized disposable incontinence product, brief/diaper, extra large, each | <1% | 224 | $20K |
| E0163 | Commode chair, mobile or stationary, with fixed arms | <1% | 451 | $18K |
| A6413 | Adhesive bandage, first-aid type, any size, each | <1% | 1,708 | $14K |
| A6443 | Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 1,318 | $13K |
| E0149 | Walker, heavy duty, wheeled, rigid or folding, any type | <1% | 137 | $12K |
| A4467 | Belt, strap, sleeve, garment, or covering, any type | <1% | 733 | $11K |
| E0243 | Toilet rail, each | <1% | 202 | $8K |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | <1% | 374 | $8K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 833 | $4K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 536 | $4K |
| L3923 | Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | <1% | 312 | $3K |
| A6452 | High compression bandage, elastic, knitted/woven, load resistance greater than or equal to 1.35 foot pounds at 50% maximum stretch, width greater than or equal to three inches and less than five inches, per yard | <1% | 998 | $3K |
| A4649 | Surgical supply; miscellaneous | <1% | 876 | $3K |
| A6446 | Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard | <1% | 477 | $2K |
| E0325 | Urinal; male, jug-type, any material | <1% | 147 | $620.00 |
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 officialOBERG, DAVID (VICE PRESIDENT, COMPLIANCE)
| Provider | Location | Paid |
|---|---|---|
| Optum Infusion Services 100, INC. | Farmingdale, NY | $290K |
| Elim Park Baptist Home, INC. | Cheshire, CT | $391.02 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.