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

Option Care Enterprises, INC.

Option Care Enterprises, INC. was paid $10.13M by Medicaid between Jul 2018 and Dec 2024, across 21 billing codes. Its largest line is B4189, Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix — 35% of everything it billed.

33Billing provider infoOPTION CARE ENTERPRISES, INC.
IRVING, TX 75063
33aNPI1891703575assigned 08/04/2006
28Total paid$10.13M
24GClaims92,972
24DCodes billed21
24AFirst – last monthJul 2018 – Dec 2024
Compared with peers

Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in Texas

Rank by total paid#12 of 81
Median peer was paid$653K
This provider vs. median16×

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$200K$400K2018201920202021202220232024
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
2018849$179K
20191,255$367K
20202,455$410K
202127,091$2.66M
202228,382$2.72M
202317,454$1.93M
2024incomplete15,486$1.86M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
B4189 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix 35% 7,999 1,049 $3.55M
B4185 Parenteral nutrition solution, not otherwise specified, 10 grams lipids 25% 6,430 1,280 $2.49M
B4105 In-line cartridge containing digestive enzyme(s) for enteral feeding, each 23% 564 510 $2.28M
B4224 Parenteral nutrition administration kit, per day 6.9% 20,306 1,338 $703K
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 3.4% 22,378 1,930 $344K
A4222 Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) 2.6% 5,806 1,357 $259K
B4220 Parenteral nutrition supply kit; premix, per day 2.3% 19,924 1,336 $228K
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% 671 560 $75K
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 <1% 388 251 $74K
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% 429 231 $44K
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape <1% 4,222 444 $33K
A4221 Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) <1% 2,580 1,064 $18K
9 more codes
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) <1% 736 $12K
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 <1% 212 $8K
A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour <1% 17 $5K
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% 18 $3K
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% 75 $3K
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% 17 $2K
B9998 Noc for enteral supplies <1% 15 $728.82
A4245 Alcohol wipes, per box <1% 162 $339.81
A5200 Percutaneous catheter/tube anchoring device, adhesive skin attachment <1% 23 $202.21

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)
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.