OPTUM INFUSION SERVICES 103, LLC
NPI: 1487609269
· COLUMBIA, MD 21046
· 332B00000X
$4.74M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
147 |
$7K |
| 2019 |
395 |
$17K |
| 2020 |
5,780 |
$793K |
| 2021 |
5,312 |
$589K |
| 2022 |
7,322 |
$1.32M |
| 2023 |
8,053 |
$1.54M |
| 2024 |
5,374 |
$478K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| J1569 |
Gammagard liquid injection |
410 |
253 |
$2.28M |
| 99601 |
|
10,788 |
4,321 |
$933K |
| 99602 |
Nursing care in home rn |
4,813 |
2,546 |
$497K |
| S9500 |
Hit antibiotic q24h diem |
1,148 |
338 |
$333K |
| S9338 |
Hit immunotherapy diem |
2,792 |
1,318 |
$182K |
| A4222 |
Infusion supplies with pump |
3,217 |
1,197 |
$116K |
| J1557 |
Gammaplex injection |
18 |
12 |
$91K |
| A4223 |
Infusion supplies w/o pump |
4,193 |
950 |
$71K |
| S9379 |
Hit noc per diem |
877 |
492 |
$64K |
| A4221 |
Supp non-insulin inf cath/wk |
2,603 |
1,368 |
$48K |
| S9501 |
Hit antibiotic q12h diem |
302 |
43 |
$40K |
| J0696 |
Ceftriaxone sodium injection |
527 |
114 |
$37K |
| G0068 |
Adm iv infusion drug in home |
412 |
169 |
$31K |
| J1756 |
Iron sucrose injection |
156 |
74 |
$6K |
| A4305 |
Drug delivery system >=50 ml |
58 |
16 |
$6K |
| J9190 |
Fluorouracil injection |
69 |
13 |
$747.14 |