Medicaid Provider Spending

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

OPTION CARE ENTERPRISES INC

NPI: 1720241649 · NEWARK, DE 19711 · Pharmacy · NPI assigned 07/10/2008

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

Authorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more

$2.84M
Total Medicaid Paid
28,612
Total Claims
9,077
Beneficiaries
16
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSETHNA, MEENAL (PRESIDENT & CFO)
NPI Enumeration Date07/10/2008

Related Entities

Other providers sharing the same authorized official: SETHNA, MEENAL

ProviderCityStateTotal 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

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,599 $4K
2019 3,388 $120K
2020 3,217 $509K
2021 5,278 $889K
2022 8,025 $702K
2023 3,869 $393K
2024 2,236 $227K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99601 13,796 4,304 $763K
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 5,194 1,479 $679K
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 881 142 $433K
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 2,496 1,379 $407K
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 1,224 410 $207K
S9374 Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem 632 158 $96K
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 1,971 351 $86K
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 509 165 $59K
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 666 309 $52K
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 85 38 $30K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 316 77 $13K
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 173 99 $6K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 376 61 $5K
99602 Nursing care in home rn 111 53 $5K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 135 39 $509.73
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 47 13 $315.00