Medicaid Provider Spending

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

OPTION CARE ENTERPRISES INC

NPI: 1649556374 · ASHLAND, KY 41102 · Home Infusion Agency · NPI assigned 10/26/2011

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

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

$97K
Total Medicaid Paid
1,325
Total Claims
648
Beneficiaries
5
Codes Billed
2018-01
First Month
2020-08
Last Month

Provider Details

Authorized OfficialSHAPIRO, MICHAEL (PRESIDENT & CFO)
NPI Enumeration Date10/26/2011

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
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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 427 $44K
2019 582 $34K
2020 316 $19K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 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 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) 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 15 12 $1K
A4213 Syringe, sterile, 20 cc or greater, each 16 12 $269.10