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.
TUKWILA, WA 98168
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Washington
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 11,536 | $2.45M | |
| 2019 | 12,109 | $2.84M | |
| 2020 | 13,079 | $2.84M | |
| 2021 | 15,672 | $3.53M | |
| 2022 | 14,912 | $3.18M | |
| 2023 | 14,426 | $2.40M | |
| 2024incomplete | 11,953 | $1.67M |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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.
Who's on the registration
| 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 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 |
| 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.