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

Critical Care Systems, LLC

Critical Care Systems, LLC was paid $335K by Medicaid between Jun 2018 and Nov 2024, across 6 billing codes. Its largest line is 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 — 75% of everything it billed.

33Billing provider infoCRITICAL CARE SYSTEMS, LLC
MOBILE, AL 36609
33aNPI1841203569assigned 08/14/2006
28Total paid$335K
24GClaims4,423
24DCodes billed6
24AFirst – last monthJun 2018 – Nov 2024
Compared with peers

Next to other Community/Retail Pharmacy providers in Alabama

Rank by total paid#3 of 31
Median peer was paid$4K
This provider vs. median89×

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$10K$20K2018201920202021202220232024
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
2018139$13K
201938$7K
2020209$37K
2021191$19K
202262$6K
20231,394$127K
2024incomplete2,390$127K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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 75% 2,666 507 $251K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 13% 1,193 432 $42K
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 6.8% 152 41 $23K
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 4.1% 115 26 $14K
A4213 Syringe, sterile, 20 cc or greater, each 1.0% 277 140 $3K
99601 <1% 20 12 $1K

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)
Parent organizationCRITICAL CARE SYSTEMS, LLC
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 Enterprises, INC.Tukwila, WA$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

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.