Agency
Option Care Enterprises INC
Option Care Enterprises INC was paid $97K by Medicaid between Jan 2018 and Aug 2020, across 5 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 41% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES INC
ASHLAND, KY 41102
ASHLAND, KY 41102
33aNPI1649556374assigned 10/26/2011
33bProvider typeHome Infusion Agency
28Total paid$97K
24GClaims1,325
24DCodes billed5
24AFirst – last monthJan 2018 – Aug 2020
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 | 427 | $44K | |
| 2019 | 582 | $34K | |
| 2020 | 316 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 41% | 791 | 320 | $40K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 41% | 436 | 275 | $40K |
| 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) | 16% | 67 | 29 | $16K |
| 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 | 1.5% | 15 | 12 | $1K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 16 | 12 | $269.10 |
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 |
| Option Care Enterprises, INC. | Eatontown, NJ | $1.32M |
| 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.