Optum Infusion Services 103, LLC
Optum Infusion Services 103, LLC was paid $4.74M by Medicaid between Mar 2018 and Nov 2024, across 16 billing codes. Its largest line is J1569, Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg — 48% of everything it billed.
COLUMBIA, MD 21046
Next to other Durable Medical Equipment & Medical Supplies providers in Maryland
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 | |
|---|---|---|---|
| 2018 | 147 | $7K | |
| 2019 | 395 | $17K | |
| 2020 | 5,780 | $793K | |
| 2021 | 5,312 | $589K | |
| 2022 | 7,322 | $1.32M | |
| 2023 | 8,053 | $1.54M | |
| 2024incomplete | 5,374 | $478K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 48% | 410 | 253 | $2.28M |
| 99601 | 20% | 10,788 | 4,321 | $933K | |
| 99602 | Nursing care in home rn | 10% | 4,813 | 2,546 | $497K |
| 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 | 7.0% | 1,148 | 338 | $333K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 3.8% | 2,792 | 1,318 | $182K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 2.4% | 3,217 | 1,197 | $116K |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | 1.9% | 18 | 12 | $91K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1.5% | 4,193 | 950 | $71K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.3% | 877 | 492 | $64K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 1.0% | 2,603 | 1,368 | $48K |
| S9501 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 302 | 43 | $40K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 527 | 114 | $37K |
4 more codes
| G0068 | Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes | <1% | 412 | $31K |
| J1756 | Injection, iron sucrose, 1 mg | <1% | 156 | $6K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 58 | $6K |
| J9190 | Injection, fluorouracil, 500 mg | <1% | 69 | $747.14 |
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.