Medicaid Provider Spending

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

OPTION CARE ENTERPRISES, INC.

NPI: 1487968301 · EATONTOWN, NJ 07724 · Home Infusion Agency · NPI assigned 08/03/2010

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

Authorized official SHAPIRO, MICHAEL controls 20+ related entities in our dataset. Read more

$1.32M
Total Medicaid Paid
9,990
Total Claims
4,328
Beneficiaries
11
Codes Billed
2018-01
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSHAPIRO, MICHAEL (PRESIDENT & CFO)
NPI Enumeration Date08/03/2010

Related Entities

Other providers sharing the same authorized official: SHAPIRO, MICHAEL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 3,160 $448K
2019 3,344 $497K
2020 3,255 $348K
2021 231 $26K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99601 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 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 1,129 832 $227K
99602 Nursing care in home rn 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 1,194 546 $71K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 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 251 166 $40K
J1726 Injection, hydroxyprogesterone caproate, (makena), 10 mg 44 12 $34K
B9002 Enteral nutrition infusion pump, any type 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 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 28 12 $2K