Medicaid Provider Spending

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

OPTION 1 NUTRITION SOLUTIONS LLC

NPI: 1548347156 · DENVER, CO 80239 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 11/01/2006

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$168.53M
Total Medicaid Paid
922,782
Total Claims
795,948
Beneficiaries
65
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date11/01/2006

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M
FIRST CHOICE CHILDRENS HOMECARE LP AUSTIN TX $29.62M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 111,840 $18.30M
2019 110,353 $20.57M
2020 142,837 $27.00M
2021 136,041 $25.95M
2022 136,925 $25.22M
2023 140,471 $25.94M
2024 144,315 $25.54M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 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 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 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 35,331 30,706 $12.25M
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 74,281 65,232 $9.97M
B9998 Noc for enteral supplies 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 8,258 6,948 $4.56M
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 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 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 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 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 35,122 29,121 $3.55M
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 12,384 9,849 $3.11M
B4100 Food thickener, administered orally, per ounce 25,849 21,064 $2.27M
B9002 Enteral nutrition infusion pump, any type 29,232 26,383 $1.84M
A4554 Disposable underpads, all sizes 32,950 30,987 $1.69M
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 16,952 15,914 $1.59M
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 20,212 16,687 $1.33M
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 9,429 8,356 $1.16M
B4104 Additive for enteral formula (e.g., fiber) 14,766 12,576 $1.09M
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 6,978 6,493 $961K
A4927 Gloves, non-sterile, per 100 36,555 33,972 $778K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3,498 3,086 $580K
A6212 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing 1,577 1,216 $469K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 3,382 3,137 $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 1,138 870 $461K
T4521 Adult sized disposable incontinence product, brief/diaper, small, each 3,959 3,668 $449K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 2,603 2,391 $415K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 3,055 2,857 $351K
A6250 Skin sealants, protectants, moisturizers, ointments, any type, any size 27,924 25,361 $276K
T4525 Adult sized disposable incontinence product, protective underwear/pull-on, small size, each 2,658 2,474 $253K
T4527 Adult sized disposable incontinence product, protective underwear/pull-on, large size, each 1,241 1,160 $221K
B4081 Nasogastric tubing with stylet 4,245 2,903 $216K
E0776 Iv pole 5,283 4,327 $213K
A9901 Dme delivery, set up, and/or dispensing service component of another hcpcs code 12,970 6,518 $184K
T4533 Youth sized disposable incontinence product, brief/diaper, each 1,524 1,422 $150K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 3,798 3,543 $143K
A4385 Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each 758 635 $134K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 1,232 1,035 $128K
A9286 Hygienic item or device, disposable or non-disposable, any type, each 8,578 7,678 $68K
B4102 Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 2,620 2,166 $51K
A4344 Indwelling catheter, foley type, two-way, all silicone or polyurethane, each 1,220 1,019 $39K
A4425 Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each 567 404 $34K
T4531 Pediatric sized disposable incontinence product, protective underwear/pull-on, small/medium size, each 272 262 $29K
A6209 Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 138 116 $27K
T4528 Adult sized disposable incontinence product, protective underwear/pull-on, extra large size, each 169 148 $27K
A9999 Miscellaneous dme supply or accessory, not otherwise specified 1,913 1,713 $20K
A6260 Wound cleansers, any type, any size 2,322 2,111 $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 65 49 $12K
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 739 657 $10K
A4402 Lubricant, per ounce 1,648 1,423 $9K
A5120 Skin barrier, wipes or swabs, each 1,018 811 $8K
B4082 Nasogastric tubing without stylet 277 203 $6K
A4357 Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each 342 297 $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 14 13 $4K
A4322 Irrigation syringe, bulb or piston, each 722 663 $4K
A4371 Ostomy skin barrier, powder, per oz 432 388 $2K
A4335 Incontinence supply; miscellaneous 93 75 $2K
A4409 Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each 12 12 $2K
A4452 Tape, waterproof, per 18 square inches 271 251 $2K
A4421 Ostomy supply; miscellaneous 15 13 $653.72
A4455 Adhesive remover or solvent (for tape, cement or other adhesive), per ounce 157 113 $537.60
B4087 Gastrostomy/jejunostomy tube, standard, any material, any type, each 24 15 $308.23
A4213 Syringe, sterile, 20 cc or greater, each 72 71 $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 110 106 $0.00