Agency
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $7.10M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 20% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
33aNPI1700827631assigned 06/10/2006
33bProvider typeHome Health Agency
28Total paid$7.10M
24GClaims98,925
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Michigan
Rank by total paid#47 of 328
Median peer was paid$697K
This provider vs. median10×
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 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 | 2,195 | $305K | |
| 2019 | 3,318 | $425K | |
| 2020 | 5,437 | $681K | |
| 2021 | 21,462 | $1.26M | |
| 2022 | 25,838 | $1.49M | |
| 2023 | 26,178 | $1.66M | |
| 2024incomplete | 14,497 | $1.28M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 20% | 10,500 | 7,729 | $1.44M |
| 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% | 3,576 | 3,095 | $1.37M |
| 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 | 7.6% | 29,253 | 1,471 | $539K |
| 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 | 5.6% | 2,969 | 2,501 | $401K |
| 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 | 4.9% | 2,720 | 2,155 | $349K |
| 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 | 4.8% | 1,256 | 990 | $344K |
| 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 | 4.1% | 4,436 | 730 | $293K |
| 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 | 4.1% | 630 | 532 | $291K |
| 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 | 3.9% | 2,264 | 1,709 | $279K |
| 99601 | 3.7% | 4,157 | 1,587 | $263K | |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 3.3% | 1,716 | 428 | $231K |
| 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 | 3.2% | 979 | 873 | $230K |
15 more codes
| 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) | 2.7% | 625 | $191K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.3% | 3,089 | $167K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 2.0% | 1,324 | $144K |
| 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 | 1.8% | 13,413 | $131K |
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 1.5% | 10,946 | $109K |
| 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 | 1.5% | 1,081 | $104K |
| 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 | 1.4% | 1,607 | $102K |
| 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% | 467 | $34K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 847 | $33K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 362 | $31K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 208 | $11K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 220 | $7K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 204 | $3K |
| J3370 | Injection, vancomycin hcl, 500 mg | <1% | 47 | $2K |
| 99602 | Nursing care in home rn | <1% | 29 | $1K |
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.