Agency
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $1.32M by Medicaid between Jan 2018 and Mar 2021, across 11 billing codes. Its largest line is 99601, — 41% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
EATONTOWN, NJ 07724
EATONTOWN, NJ 07724
33aNPI1487968301assigned 08/03/2010
33bProvider typeHome Infusion Agency
28Total paid$1.32M
24GClaims9,990
24DCodes billed11
24AFirst – last monthJan 2018 – Mar 2021
Compared with peers
Next to other Home Infusion Agency providers in New Jersey
Rank by total paid#7 of 11
Median peer was paid$1.42M
This provider vs. median0.9×
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.
Entity ProliferationAuthorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,160 | $448K | |
| 2019 | 3,344 | $497K | |
| 2020 | 3,255 | $348K | |
| 2021 | 231 | $26K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99601 | 41% | 5,455 | 1,832 | $544K | |
| 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 | 17% | 667 | 274 | $229K |
| S9342 | Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 17% | 1,129 | 832 | $227K |
| 99602 | Nursing care in home rn | 8.6% | 752 | 425 | $114K |
| 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 | 5.4% | 1,194 | 546 | $71K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 3.8% | 325 | 143 | $50K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.0% | 251 | 166 | $40K |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 2.6% | 44 | 12 | $34K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 63 | 60 | $6K |
| S9542 | Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 82 | 26 | $3K |
| 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% | 28 | 12 | $2K |
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.
From NPPES
Who's on the registration
Authorized officialSHAPIRO, MICHAEL (PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| Able Healthcare Service, INC. | Merrick, NY | $110.27M |
| New England Home Therapies, INC. | Southborough, MA | $23.29M |
| Clinical Specialties INC. | Hudson, OH | $12.59M |
| Bioscrip Infusion Services, LLC | Tampa, FL | $12.46M |
| Knoxville Home Therapies LLC | Knoxville, TN | $11.74M |
| Vanguard Dermatology | Brooklyn, NY | $10.72M |
| Homechoice Partners, LLC | Duncan, SC | $7.95M |
| Professional Home Care Services,inc | Cromwell, CT | $7.80M |
| Infusion Partners, LLC | Canfield, OH | $7.53M |
| Professional Home Care Services, INC. | Cromwell, CT | $4.44M |
| East Goshen Pharmacy, LLC | Somers Point, NJ | $1.23M |
| Option Care Enterprises, INC. | Lincoln, NE | $993K |
| Homechoice Partners LLC | Fayetteville, NC | $907K |
| New England Home Therapies, INC. | Smithfield, RI | $670K |
| Option Care Enterprises, INC. | Pensacola, FL | $524K |
| Option Care Enterprises, INC. | Chantilly, VA | $479K |
| Wilcox Medical, INC | Rutland, VT | $445K |
| Bioscrip Pharmacy(Ny), INC | Lake Success, NY | $247K |
| Able Health Care Service, INC. | Merrick, NY | $175K |
| Option Care Enterprises INC | Ashland, KY | $97K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.