Clinic
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $9.52M by Medicaid between Jan 2018 and Dec 2024, across 33 billing codes. Its largest line is Q5121, Injection, infliximab-axxq, biosimilar, (avsola), 10 mg — 14% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
COLUMBIA, MD 21046
COLUMBIA, MD 21046
33aNPI1568400687assigned 06/02/2006
33bProvider typeInfusion Therapy Clinic/Center
28Total paid$9.52M
24GClaims58,273
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official SETHNA, MEENAL 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 | 1,889 | $143K | |
| 2019 | 1,746 | $132K | |
| 2020 | 7,692 | $1.77M | |
| 2021 | 10,452 | $1.85M | |
| 2022 | 10,738 | $1.59M | |
| 2023 | 12,492 | $1.94M | |
| 2024incomplete | 13,264 | $2.10M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| Q5121 | Injection, infliximab-axxq, biosimilar, (avsola), 10 mg | 14% | 593 | 569 | $1.37M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 14% | 414 | 394 | $1.35M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 9.9% | 5,759 | 3,886 | $945K |
| 99601 | 9.3% | 9,348 | 4,735 | $886K | |
| 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 | 9.0% | 1,741 | 1,397 | $852K |
| 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 | 8.7% | 2,804 | 967 | $825K |
| 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 | 8.3% | 2,946 | 2,278 | $786K |
| 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 | 2.8% | 1,585 | 1,187 | $266K |
| B4105 | In-line cartridge containing digestive enzyme(s) for enteral feeding, each | 2.4% | 62 | 50 | $229K |
| 99602 | Nursing care in home rn | 2.4% | 2,584 | 1,914 | $227K |
| S9502 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 1.9% | 568 | 194 | $180K |
| 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 | 1.6% | 2,760 | 1,607 | $151K |
21 more codes
| B4220 | Parenteral nutrition supply kit; premix, per day | 1.5% | 1,411 | $140K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1.4% | 6,312 | $137K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 1.4% | 6,671 | $134K |
| 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 | 1.4% | 1,602 | $133K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 1.4% | 907 | $133K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 1.3% | 1,165 | $120K |
| S9494 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) | 1.1% | 324 | $102K |
| S9359 | Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 1,409 | $90K |
| 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 | <1% | 2,008 | $84K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 1,732 | $70K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,188 | $60K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 727 | $56K |
| 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% | 469 | $42K |
| S9366 | Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | <1% | 42 | $40K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 229 | $23K |
| 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% | 65 | $22K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 343 | $20K |
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | <1% | 87 | $18K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 172 | $14K |
| 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 | <1% | 34 | $10K |
| 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 | <1% | 212 | $6K |
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 officialSETHNA, MEENAL (PRESIDENT & CFO)
| Provider | Location | Paid |
|---|---|---|
| Trinity Homecare LLC | Ridgewood, NY | $46.79M |
| Option Care Enterprises, INC. | Itasca, IL | $45.47M |
| Option Care Enterprises INC | Louisville, KY | $39.07M |
| Option Care Enterprises INC | Marlborough, MA | $36.96M |
| Option Care Enterprises, INC. | Tampa, FL | $29.58M |
| Scott-Wilson, INC. | Lexington, KY | $24.50M |
| Homechoice Partners LLC | Henrico, VA | $23.48M |
| Infusion Partners LLC | Memphis, TN | $19.80M |
| Bioscrip Pharmacy Services, INC | Dublin, OH | $19.25M |
| Option Care Enterprises, INC. | Milford, OH | $18.93M |
| Option Care Enterprises, INC. | Tukwila, WA | $18.93M |
| Option Care at Legacy Health LLC | Portland, OR | $18.55M |
| Option Care Enterprises, INC | Bakersfield, CA | $17.15M |
| Crescent Healthcare, INC. | San Diego, CA | $14.69M |
| Option Care Enterprises, INC. | Houston, TX | $13.82M |
| Infusion Partners LLC | New Orleans, LA | $13.70M |
| Crescent Healthcare, INC. | Riverside, CA | $13.62M |
| Option Care Enterprises, INC | Shelton, CT | $13.31M |
| Option Care Home Care INC | Wauwatosa, WI | $12.53M |
| Option Care Enterprises, INC. | Fenton, MO | $11.19M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.