Supplier
Option Care Enterprises, INC
Option Care Enterprises, INC was paid $13.31M by Medicaid between Jan 2018 and Dec 2024, across 24 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 — 60% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC
SHELTON, CT 06484
SHELTON, CT 06484
33aNPI1750686432assigned 01/11/2011
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$13.31M
24GClaims171,628
24DCodes billed24
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Connecticut
Rank by total paid#1 of 7
Median peer was paid$1.78M
This provider vs. median7.5×
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 | 16,912 | $962K | |
| 2019 | 16,523 | $1.10M | |
| 2020 | 19,778 | $1.26M | |
| 2021 | 30,237 | $2.03M | |
| 2022 | 32,530 | $2.57M | |
| 2023 | 29,420 | $2.72M | |
| 2024incomplete | 26,228 | $2.66M |
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 | 60% | 45,188 | 33,034 | $7.98M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 8.8% | 14,051 | 4,083 | $1.18M |
| B4224 | Parenteral nutrition administration kit, per day | 7.0% | 8,642 | 2,046 | $928K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 6.7% | 10,670 | 7,803 | $888K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 4.5% | 33,900 | 13,938 | $597K |
| 99601 | 2.4% | 10,576 | 4,081 | $317K | |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 2.3% | 11,991 | 10,531 | $302K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 2.2% | 8,389 | 2,020 | $289K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 1,135 | 922 | $166K |
| 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 | 1.2% | 7,935 | 4,500 | $158K |
| B9002 | Enteral nutrition infusion pump, any type | 1.2% | 4,522 | 3,101 | $154K |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 1,079 | 829 | $109K |
12 more codes
| 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% | 5,251 | $105K |
| J2260 | Injection, milrinone lactate, 5 mg | <1% | 5,690 | $56K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 369 | $23K |
| B9998 | Noc for enteral supplies | <1% | 162 | $22K |
| 99602 | Nursing care in home rn | <1% | 1,282 | $17K |
| 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 | <1% | 205 | $8K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | <1% | 65 | $7K |
| 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 | <1% | 65 | $4K |
| E0776 | Iv pole | <1% | 193 | $2K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 133 | $2K |
| 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% | 88 | $511.90 |
| G0068 | Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home, each 15 minutes | <1% | 47 | $359.45 |
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 Home Care INC | Wauwatosa, WI | $12.53M |
| Option Care Enterprises, INC. | Fenton, MO | $11.19M |
| Option Care Enterprises, INC, | Cranston, RI | $11.15M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.