Medicaid Provider Spending

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

OPTION 1 NUTRITION SOLUTIONS LLC

NPI: 1366747800 · GALVA, IL 61434 · Durable Medical Equipment & Medical Supplies · NPI assigned 01/13/2011

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$8.54M
Total Medicaid Paid
79,203
Total Claims
70,673
Beneficiaries
59
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date01/13/2011

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 11,353 $1.20M
2019 16,462 $1.56M
2020 25,506 $2.04M
2021 11,771 $1.64M
2022 7,029 $1.04M
2023 5,685 $818K
2024 1,397 $243K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 6,039 5,548 $1.53M
E0465 Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) 2,141 1,825 $1.37M
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 1,860 1,571 $1.10M
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 1,733 1,518 $532K
A4605 Tracheal suction catheter, closed system, each 1,390 1,335 $513K
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 2,109 1,853 $510K
E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate 3,611 3,059 $431K
A4624 Tracheal suction catheter, any type other than closed system, each 1,169 1,077 $419K
A7507 Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each 1,716 1,590 $274K
A9900 Miscellaneous dme supply, accessory, and/or service component of another hcpcs code 731 588 $225K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 1,937 1,772 $214K
E0443 Portable oxygen contents, gaseous, 1 month's supply = 1 unit 3,168 2,824 $197K
A7526 Tracheostomy tube collar/holder, each 2,714 2,560 $178K
A4629 Tracheostomy care kit for established tracheostomy 1,325 1,255 $129K
E0431 Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing 5,717 4,811 $117K
T4541 Incontinence product, disposable underpad, large, each 1,528 1,452 $92K
A4649 Surgical supply; miscellaneous 3,265 2,286 $69K
A7520 Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each 971 900 $65K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 588 557 $60K
B9002 Enteral nutrition infusion pump, any type 909 779 $54K
E0445 Oximeter device for measuring blood oxygen levels non-invasively 955 801 $46K
A4216 Sterile water, saline and/or dextrose, diluent/flush, 10 ml 1,629 1,532 $39K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 2,258 2,056 $38K
A7000 Canister, disposable, used with suction pump, each 2,815 2,649 $36K
E0601 Continuous positive airway pressure (cpap) device 598 515 $31K
A4927 Gloves, non-sterile, per 100 2,273 2,033 $30K
A7521 Tracheostomy/laryngectomy tube, cuffed, polyvinylchloride (pvc), silicone or equal, each 414 394 $28K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 142 139 $22K
A7002 Tubing, used with suction pump, each 3,483 3,260 $20K
A7038 Filter, disposable, used with positive airway pressure device 3,192 2,964 $18K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 251 204 $17K
E0600 Respiratory suction pump, home model, portable or stationary, electric 655 527 $15K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 119 94 $14K
A4217 Sterile water/saline, 500 ml 1,238 1,131 $12K
E0562 Humidifier, heated, used with positive airway pressure device 639 562 $12K
A7003 Administration set, with small volume nonfiltered pneumatic nebulizer, disposable 3,016 2,891 $11K
A7046 Water chamber for humidifier, used with positive airway pressure device, replacement, each 758 709 $10K
A4452 Tape, waterproof, per 18 square inches 508 471 $9K
A4332 Lubricant, individual sterile packet, each 515 466 $9K
A9999 Miscellaneous dme supply or accessory, not otherwise specified 297 228 $6K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 84 63 $6K
A4628 Oral and/or oropharyngeal suction catheter, each 2,778 2,556 $5K
A6453 Self-adherent bandage, elastic, non-knitted/non-woven, width less than three inches, per yard 1,078 934 $4K
A4657 Syringe, with or without needle, each 1,943 1,744 $4K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 30 27 $4K
E0776 Iv pole 485 387 $3K
A7012 Water collection device, used with large volume nebulizer 350 308 $2K
A7035 Headgear used with positive airway pressure device 91 86 $2K
A4450 Tape, non-waterproof, per 18 square inches 516 466 $2K
A7525 Tracheostomy mask, each 589 529 $1K
A4606 Oxygen probe for use with oximeter device, replacement 125 69 $1K
A4322 Irrigation syringe, bulb or piston, each 203 179 $1K
A7037 Tubing used with positive airway pressure device 37 37 $904.93
A7039 Filter, non disposable, used with positive airway pressure device 59 56 $587.86
A7015 Aerosol mask, used with dme nebulizer 310 308 $418.26
E0565 Compressor, air power source for equipment which is not self-contained or cylinder driven 21 12 $395.77
A6448 Light compression bandage, elastic, knitted/woven, width less than three inches, per yard 50 50 $366.43
A7010 Corrugated tubing, disposable, used with large volume nebulizer, 100 feet 13 13 $236.94
A6219 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 65 63 $96.44