Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Supplier

Option Care Enterprises, INC.

Option Care Enterprises, INC. was paid $18.93M by Medicaid between Jan 2018 and Nov 2024, across 33 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 41% of everything it billed.

33Billing provider infoOPTION CARE ENTERPRISES, INC.
TUKWILA, WA 98168
33aNPI1811085103assigned 10/11/2006
28Total paid$18.93M
24GClaims93,687
24DCodes billed33
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Washington

Rank by total paid#3 of 15
Median peer was paid$3.26M
This provider vs. median5.8×

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

$0$200K$400K2018201920202021202220232024
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
YearClaimsPaid
201811,536$2.45M
201912,109$2.84M
202013,079$2.84M
202115,672$3.53M
202214,912$3.18M
202314,426$2.40M
2024incomplete11,953$1.67M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 41% 9,433 3,983 $7.70M
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 9.8% 10,930 8,608 $1.86M
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 6.0% 4,423 1,096 $1.13M
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 5.4% 5,697 2,285 $1.03M
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 4.3% 1,641 1,411 $813K
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 4.1% 6,698 5,782 $780K
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 3.7% 5,256 4,569 $695K
B4197 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix 3.6% 580 154 $676K
B4224 Parenteral nutrition administration kit, per day 3.4% 4,738 1,174 $637K
99601 3.3% 5,375 2,687 $624K
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 3.1% 1,723 1,486 $586K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.0% 6,563 5,235 $566K
21 more codes
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 2.0% 1,864 $383K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) 1.4% 12,650 $269K
B4220 Parenteral nutrition supply kit; premix, per day 1.1% 4,672 $204K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 1,908 $165K
J3380 Injection, vedolizumab, intravenous, 1 mg <1% 27 $146K
J1745 Injection, infliximab, excludes biosimilar, 10 mg <1% 52 $110K
B4199 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix <1% 55 $109K
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each <1% 1,298 $97K
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 <1% 640 $94K
B9002 Enteral nutrition infusion pump, any type <1% 1,140 $64K
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 <1% 2,700 $46K
J0696 Injection, ceftriaxone sodium, per 250 mg <1% 1,600 $32K
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% 1,093 $31K
E0781 Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient <1% 168 $30K
J3370 Injection, vancomycin hcl, 500 mg <1% 249 $20K
J0878 Injection, daptomycin, 1 mg <1% 33 $11K
J1335 Injection, ertapenem sodium, 500 mg <1% 38 $11K
99602 Nursing care in home rn <1% 82 $10K
E0776 Iv pole <1% 114 $9K
J7030 Infusion, normal saline solution , 1000 cc <1% 199 $4K
99072 0% 48 $0.00

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)
Same official

Other billing entities under SETHNA, MEENAL

Full network →
ProviderLocationPaid
Trinity Homecare LLCRidgewood, NY$46.79M
Option Care Enterprises, INC.Itasca, IL$45.47M
Option Care Enterprises INCLouisville, KY$39.07M
Option Care Enterprises INCMarlborough, MA$36.96M
Option Care Enterprises, INC.Tampa, FL$29.58M
Scott-Wilson, INC.Lexington, KY$24.50M
Homechoice Partners LLCHenrico, VA$23.48M
Infusion Partners LLCMemphis, TN$19.80M
Bioscrip Pharmacy Services, INCDublin, OH$19.25M
Option Care Enterprises, INC.Milford, OH$18.93M
Option Care at Legacy Health LLCPortland, OR$18.55M
Option Care Enterprises, INCBakersfield, CA$17.15M
Crescent Healthcare, INC.San Diego, CA$14.69M
Option Care Enterprises, INC.Houston, TX$13.82M
Infusion Partners LLCNew Orleans, LA$13.70M
Crescent Healthcare, INC.Riverside, CA$13.62M
Option Care Enterprises, INCShelton, CT$13.31M
Option Care Home Care INCWauwatosa, 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.