Agency
Option Care at Legacy Health LLC
Option Care at Legacy Health LLC was paid $18.55M by Medicaid between Jan 2018 and Dec 2024, across 33 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 — 24% of everything it billed.
33Billing provider infoOPTION CARE AT LEGACY HEALTH LLC
PORTLAND, OR 97224
PORTLAND, OR 97224
33aNPI1841350527assigned 12/11/2006
33bProvider typeHome Infusion Agency
28Total paid$18.55M
24GClaims119,965
24DCodes billed33
24AFirst – last monthJan 2018 – Dec 2024
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 | 10,024 | $1.48M | |
| 2019 | 12,031 | $1.86M | |
| 2020 | 15,052 | $2.51M | |
| 2021 | 18,889 | $2.97M | |
| 2022 | 21,915 | $3.12M | |
| 2023 | 21,434 | $3.19M | |
| 2024incomplete | 20,620 | $3.43M |
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 | 24% | 25,205 | 18,453 | $4.52M |
| B4161 | Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit | 10% | 4,120 | 3,378 | $1.86M |
| 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 | 6.3% | 4,526 | 1,169 | $1.17M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 6.2% | 7,952 | 1,624 | $1.16M |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 6.1% | 2,538 | 1,070 | $1.12M |
| 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 | 5.5% | 2,315 | 1,892 | $1.02M |
| 99601 | 5.1% | 8,802 | 3,774 | $937K | |
| 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 | 4.8% | 5,550 | 4,496 | $892K |
| 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 | 4.8% | 8,083 | 5,992 | $887K |
| 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 | 4.7% | 2,574 | 1,942 | $868K |
| S9366 | Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment including standard tpn formula (lipids, specialty amino acid formulas, drugs other than in standard formula and nursing visits coded separately), per diem | 3.7% | 993 | 231 | $683K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 3.5% | 8,135 | 5,820 | $649K |
21 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 | 3.1% | 6,864 | $575K |
| 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 | 2.1% | 10,113 | $391K |
| S9379 | Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.0% | 3,238 | $363K |
| 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 | 1.7% | 1,514 | $316K |
| 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 | 1.6% | 1,026 | $293K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 1.4% | 4,168 | $266K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.1% | 2,287 | $199K |
| B4158 | Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit | <1% | 988 | $109K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 3,010 | $73K |
| 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% | 2,659 | $59K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 1,104 | $51K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 361 | $20K |
| B9998 | Noc for enteral supplies | <1% | 487 | $20K |
| B4082 | Nasogastric tubing without stylet | <1% | 432 | $14K |
| 99602 | Nursing care in home rn | <1% | 151 | $13K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 141 | $10K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 329 | $6K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 102 | $3K |
| B4087 | Gastrostomy/jejunostomy tube, standard, any material, any type, each | <1% | 109 | $1K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | <1% | 76 | $1K |
| E0776 | Iv pole | <1% | 13 | $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)
| 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 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.