Medicaid Provider Spending

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

OPTION CARE ENTERPRISES, INC.

NPI: 1730493636 · PENSACOLA, FL 32503 · Home Health Agency · NPI assigned 08/03/2010

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

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

$524K
Total Medicaid Paid
18,746
Total Claims
2,794
Beneficiaries
8
Codes Billed
2018-08
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHAPIRO, MICHAEL (PRESIDENT & CFO)
NPI Enumeration Date08/03/2010

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. 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
OPTION CARE ENTERPRISES INC ASHLAND KY $97K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 428 $11K
2019 456 $22K
2020 358 $17K
2021 1,053 $65K
2022 3,755 $113K
2023 6,650 $150K
2024 6,046 $145K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 6,624 371 $140K
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 1,855 1,076 $104K
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 2,060 246 $100K
99601 764 277 $90K
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 6,189 375 $77K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,000 363 $9K
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 76 50 $3K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 178 36 $1K