Supplier
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $10.09M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is A4223, Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) — 50% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
SPOKANE VALLEY, WA 99206
SPOKANE VALLEY, WA 99206
33aNPI1871889212assigned 06/23/2011
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$10.09M
24GClaims37,616
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Washington
Rank by total paid#6 of 15
Median peer was paid$3.26M
This provider vs. median3.1×
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
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 | 4,307 | $1.42M | |
| 2019 | 4,418 | $1.26M | |
| 2020 | 5,592 | $1.97M | |
| 2021 | 6,784 | $1.90M | |
| 2022 | 6,614 | $1.27M | |
| 2023 | 5,614 | $1.17M | |
| 2024incomplete | 4,287 | $1.10M |
Box 24 · Service lines
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) | 50% | 7,265 | 3,376 | $5.01M |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 16% | 591 | 567 | $1.66M |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | 10% | 162 | 148 | $1.04M |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 5.8% | 4,962 | 2,715 | $582K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.2% | 3,201 | 2,682 | $521K |
| 99601 | 5.1% | 4,426 | 2,277 | $511K | |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2.4% | 11,588 | 6,432 | $243K |
| 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 | 1.4% | 1,382 | 1,147 | $136K |
| 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 | 1.2% | 1,278 | 1,119 | $126K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,282 | 933 | $94K |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | <1% | 352 | 92 | $75K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 341 | 89 | $40K |
8 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 | <1% | 74 | $22K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 394 | $15K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 123 | $8K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 83 | $7K |
| 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 | <1% | 13 | $4K |
| E0776 | Iv pole | <1% | 29 | $3K |
| J1200 | Injection, diphenhydramine hcl, up to 50 mg | <1% | 16 | $189.64 |
| 99072 | 0% | 54 | $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)
| 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 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 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.