Optum Pharmacy 704, INC.
Optum Pharmacy 704, INC. was paid $2.07M by Medicaid between Dec 2020 and Dec 2024, across 8 billing codes. Its largest line is J0585, Injection, onabotulinumtoxina, 1 unit — 100% of everything it billed.
SAN ANTONIO, TX 78249
Next to other Pharmacy providers in Texas
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2020 | 13 | $28K | |
| 2021 | 118 | $223K | |
| 2022 | 238 | $481K | |
| 2023 | 325 | $662K | |
| 2024incomplete | 1,356 | $676K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0585 | Injection, onabotulinumtoxina, 1 unit | 100% | 1,000 | 975 | $2.07M |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | <1% | 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 | <1% | 17 | 17 | $0.10 |
| A4259 | Lancets, per box of 100 | 0% | 325 | 318 | $0.00 |
| A9277 | Transmitter; external, for use with non-durable medical equipment interstitial continuous glucose monitoring system | 0% | 34 | 31 | $0.00 |
| A4253 | Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips | 0% | 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 | 0% | 81 | 79 | $0.00 |
| E0607 | Home blood glucose monitor | 0% | 44 | 44 | $0.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.