Medicaid Provider Spending

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

OPTUM PHARMACY 704, INC.

NPI: 1457408536 · SAN ANTONIO, TX 78249 · Pharmacy · NPI assigned 01/04/2007

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

Authorized official BURR, KEVIN controls 20+ related entities in our dataset. Read more

$2.07M
Total Medicaid Paid
2,050
Total Claims
2,005
Beneficiaries
8
Codes Billed
2020-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBURR, KEVIN (SECRETARY)
NPI Enumeration Date01/04/2007

Related Entities

Other providers sharing the same authorized official: BURR, KEVIN

ProviderCityStateTotal Paid
OPTUM PHARMACY 702, LLC JEFFERSONVILLE IN $55.06M
OPTUM INFUSION SERVICES 308, LLC CHANDLER AZ $29.09M
OPTUM PHARMACY 706, INC. LONG ISLAND CITY NY $25.32M
OPTUM FRONTIER THERAPIES II, LLC LAS VEGAS NV $9.34M
OPTUM INFUSION SERVICES 550, LLC CINCINNATI OH $6.86M
OPTUM INFUSION SERVICES 103, LLC COLUMBIA MD $4.74M
OPTUM INFUSION SERVICES 305, LLC LENEXA KS $3.88M
OPTUM INFUSION SERVICES 101, INC. FARMINGDALE NY $3.66M
OPTUM INFUSION SERVICES 501 INC WOODINVILLE WA $3.26M
OPTUM INFUSION SERVICES 305, LLC BATON ROUGE LA $3.24M
OPTUM PHARMACY 707, INC. IRWINDALE CA $2.49M
OPTUM INFUSION SERVICES 302, LLC LA VISTA NE $1.89M
OPTUM INFUSION SERVICES 500, INC. HOUSTON TX $1.65M
OPTUM PHARMACY 705, LLC FRANKLIN TN $1.62M
OPTUM INFUSION SERVICES 207 INC HUNTSVILLE AL $1.28M
OPTUM INFUSION SERVICES 308, LLC CENTENNIAL CO $1.09M
OPTUM INFUSION SERVICES 202, INC. JACKSONVILLE FL $1.02M
OPTUM INFUSION SERVICES 404, LLC BEND OR $874K
OPTUM INFUSION SERVICES 305, LLC PLYMOUTH MEETING PA $823K
OPTUM INFUSION SERVICES 550, LLC WOBURN MA $688K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 13 $28K
2021 118 $223K
2022 238 $481K
2023 325 $662K
2024 1,356 $676K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
J0585 Injection, onabotulinumtoxina, 1 unit 1,000 975 $2.07M
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg 15 15 $4.38
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme 17 17 $0.10
A4259 Lancets, per box of 100 325 318 $0.00
A9277 Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system 34 31 $0.00
A4253 Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips 534 526 $0.00
A9276 Sensor; invasive (e.g., subcutaneous), disposable, for use with non-durable medical equipment interstitial continuous glucose monitoring system, one unit = 1 day supply 81 79 $0.00
E0607 Home blood glucose monitor 44 44 $0.00