Medicaid Provider Spending

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

CRITICAL CARE SYSTEMS, LLC

NPI: 1841203569 · MOBILE, AL 36609 · Community/Retail Pharmacy · NPI assigned 08/14/2006

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

Authorized official SETHNA, MEENAL controls 20+ related entities in our dataset. Read more

$335K
Total Medicaid Paid
4,423
Total Claims
1,158
Beneficiaries
6
Codes Billed
2018-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSETHNA, MEENAL (PRESIDENT & CFO)
Parent OrganizationCRITICAL CARE SYSTEMS, LLC
NPI Enumeration Date08/14/2006

Related Entities

Other providers sharing the same authorized official: SETHNA, MEENAL

ProviderCityStateTotal 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 ENTERPRISES, INC SHELTON CT $13.31M
OPTION CARE HOME CARE INC WAUWATOSA WI $12.53M
OPTION CARE ENTERPRISES, INC. FENTON MO $11.19M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 139 $13K
2019 38 $7K
2020 209 $37K
2021 191 $19K
2022 62 $6K
2023 1,394 $127K
2024 2,390 $127K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
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 2,666 507 $251K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 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 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 115 26 $14K
A4213 Syringe, sterile, 20 cc or greater, each 277 140 $3K
99601 20 12 $1K