Agency
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $45.47M by Medicaid between Jan 2018 and Dec 2024, across 38 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 — 23% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
ITASCA, IL 60143
ITASCA, IL 60143
33aNPI1346270527assigned 07/04/2006
33bProvider typeHome Infusion Agency
28Total paid$45.47M
24GClaims664,442
24DCodes billed38
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Infusion Agency providers in Illinois
Rank by total paid#1 of 5
Median peer was paid$1.33M
This provider vs. median34×
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
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 | |
|---|---|---|---|
| 2018 | 42,471 | $4.59M | |
| 2019 | 61,317 | $6.05M | |
| 2020 | 55,254 | $6.77M | |
| 2021 | 104,104 | $7.44M | |
| 2022 | 140,626 | $7.32M | |
| 2023 | 134,697 | $6.76M | |
| 2024incomplete | 125,973 | $6.54M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 23% | 239,680 | 38,918 | $10.45M |
| 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 | 20% | 14,734 | 9,392 | $9.10M |
| 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 | 6.5% | 16,231 | 9,673 | $2.97M |
| B4224 | Parenteral nutrition administration kit, per day | 6.1% | 62,587 | 5,896 | $2.77M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 5.9% | 29,165 | 9,785 | $2.67M |
| 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 | 4.7% | 104,978 | 6,372 | $2.15M |
| B4105 | In-line cartridge containing digestive enzyme(s) for enteral feeding, each | 4.5% | 476 | 406 | $2.06M |
| 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 | 4.2% | 6,711 | 4,089 | $1.90M |
| 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 | 3.3% | 6,772 | 4,598 | $1.52M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 3.2% | 36,157 | 4,904 | $1.48M |
| 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 | 3.0% | 12,165 | 8,673 | $1.36M |
| 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 | 2.8% | 3,026 | 2,132 | $1.28M |
26 more codes
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 2.5% | 15,637 | $1.15M |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 2.1% | 8,279 | $969K |
| 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 | 1.7% | 7,202 | $775K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.4% | 21,866 | $644K |
| B9002 | Enteral nutrition infusion pump, any type | 1.0% | 5,857 | $475K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.0% | 14,076 | $471K |
| 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% | 8,520 | $353K |
| 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% | 2,533 | $210K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 10,583 | $206K |
| 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% | 4,212 | $156K |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 15,065 | $130K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 2,571 | $47K |
| 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% | 91 | $35K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 3,746 | $29K |
| B4082 | Nasogastric tubing without stylet | <1% | 2,158 | $28K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 378 | $28K |
| E0776 | Iv pole | <1% | 2,756 | $18K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 2,941 | $10K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | <1% | 286 | $6K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 305 | $5K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 298 | $4K |
| B9998 | Noc for enteral supplies | <1% | 16 | $3K |
| A4402 | Lubricant, per ounce | <1% | 1,360 | $3K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 940 | $1K |
| A4930 | Gloves, sterile, per pair | <1% | 68 | $386.63 |
| A4927 | Gloves, non-sterile, per 100 | <1% | 16 | $132.42 |
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)
| Provider | Location | Paid |
|---|---|---|
| Trinity Homecare LLC | Ridgewood, NY | $46.79M |
| 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 |
| Option Care Enterprises, INC, | Cranston, RI | $11.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.