Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Option 1 Nutrition Solutions LLC

Option 1 Nutrition Solutions LLC was paid $168.53M by Medicaid between Jan 2018 and Dec 2024, across 65 billing codes. Its largest line is B4160, Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit — 21% of everything it billed.

33Billing provider infoOPTION 1 NUTRITION SOLUTIONS LLC
DENVER, CO 80239
33aNPI1548347156assigned 11/01/2006
28Total paid$168.53M
24GClaims922,782
24DCodes billed65
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Colorado

Rank by total paid#1 of 14
Median peer was paid$4.25M
This provider vs. median40×

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 BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service

Paid by month

$0$1.0M$2.0M$3.0M2018201920202021202220232024
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
YearClaimsPaid
2018111,840$18.30M
2019110,353$20.57M
2020142,837$27.00M
2021136,041$25.95M
2022136,925$25.22M
2023140,471$25.94M
2024incomplete144,315$25.54M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4160 Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 21% 116,889 103,364 $36.05M
B4161 Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 19% 43,575 37,620 $31.78M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 15% 98,248 89,099 $24.60M
B4149 Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 7.3% 35,331 30,706 $12.25M
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 5.9% 74,281 65,232 $9.97M
B9998 Noc for enteral supplies 4.9% 108,183 83,335 $8.25M
B4153 Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.7% 8,258 6,948 $4.56M
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 2.5% 24,116 22,461 $4.26M
B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit 2.5% 23,921 20,761 $4.18M
B4158 Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit 2.3% 16,775 14,581 $3.88M
B4152 Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.3% 28,121 23,059 $3.88M
B4150 Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 2.1% 35,122 29,121 $3.55M
53 more codes
B4154 Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit 1.8% 12,384 $3.11M
B4100 Food thickener, administered orally, per ounce 1.3% 25,849 $2.27M
B9002 Enteral nutrition infusion pump, any type 1.1% 29,232 $1.84M
A4554 Disposable underpads, all sizes 1.0% 32,950 $1.69M
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each <1% 16,952 $1.59M
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 20,212 $1.33M
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 9,429 $1.16M
B4104 Additive for enteral formula (e.g., fiber) <1% 14,766 $1.09M
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each <1% 6,978 $961K
A4927 Gloves, non-sterile, per 100 <1% 36,555 $778K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 3,498 $580K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing <1% 1,577 $469K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each <1% 3,382 $465K
B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit <1% 1,138 $461K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each <1% 3,959 $449K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each <1% 2,603 $415K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 3,055 $351K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size <1% 27,924 $276K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each <1% 2,658 $253K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each <1% 1,241 $221K
B4081 Nasogastric tubing with stylet <1% 4,245 $216K
E0776 Iv pole <1% 5,283 $213K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code <1% 12,970 $184K
T4533 Youth sized disposable incontinence product, brief/diaper, each <1% 1,524 $150K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each <1% 3,798 $143K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each <1% 758 $134K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each <1% 1,232 $128K
A9286 Hygienic item or device, disposable or non-disposable, any type, each <1% 8,578 $68K
B4102 Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit <1% 2,620 $51K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each <1% 1,220 $39K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each <1% 567 $34K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each <1% 272 $29K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 138 $27K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each <1% 169 $27K
A9999 Miscellaneous dme supply or accessory, not otherwise specified <1% 1,913 $20K
A6260 Wound cleansers, any type, any size <1% 2,322 $12K
B4159 Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit <1% 65 $12K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing <1% 739 $10K
A4402 Lubricant, per ounce <1% 1,648 $9K
A5120 Skin barrier, wipes or swabs, each <1% 1,018 $8K
B4082 Nasogastric tubing without stylet <1% 277 $6K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each <1% 342 $5K
A6213 Foam dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing <1% 14 $4K
A4322 Irrigation syringe, bulb or piston, each <1% 722 $4K
A4371 Ostomy skin barrier, powder, per oz <1% 432 $2K
A4335 Incontinence supply; miscellaneous <1% 93 $2K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each <1% 12 $2K
A4452 Tape, waterproof, per 18 square inches <1% 271 $2K
A4421 Ostomy supply; miscellaneous <1% 15 $653.72
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce <1% 157 $537.60
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each <1% 24 $308.23
A4213 Syringe, sterile, 20 cc or greater, each <1% 72 $301.89
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 0% 110 $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.

From NPPES

Who's on the registration

Authorized officialBUCKHALTER, MATTHEW (CFO)
Same official

Other billing entities under BUCKHALTER, MATTHEW

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Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.