Agency
Option Care Enterprises INC
Option Care Enterprises INC was paid $39.07M by Medicaid between Jan 2018 and Dec 2024, across 63 billing codes. Its largest line is 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 — 17% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES INC
LOUISVILLE, KY 40299
LOUISVILLE, KY 40299
33aNPI1902182637assigned 10/26/2011
33bProvider typeHome Health Agency
28Total paid$39.07M
24GClaims326,814
24DCodes billed63
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Kentucky
Rank by total paid#2 of 37
Median peer was paid$611K
This provider vs. median64×
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 | 21,358 | $2.58M | |
| 2019 | 26,416 | $4.80M | |
| 2020 | 36,039 | $6.35M | |
| 2021 | 78,562 | $7.82M | |
| 2022 | 72,867 | $7.67M | |
| 2023 | 55,002 | $6.23M | |
| 2024incomplete | 36,570 | $3.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 17% | 78,985 | 13,734 | $6.45M |
| 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 | 9.2% | 28,825 | 4,500 | $3.59M |
| J0878 | Injection, daptomycin, 1 mg | 8.1% | 7,403 | 779 | $3.16M |
| 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 | 8.0% | 11,950 | 4,900 | $3.12M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5.3% | 12,728 | 9,738 | $2.08M |
| 99601 | 5.2% | 25,075 | 7,323 | $2.05M | |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 4.3% | 8,244 | 3,399 | $1.66M |
| 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 | 4.1% | 6,315 | 3,225 | $1.59M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 3.7% | 9,383 | 1,965 | $1.44M |
| 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 | 3.3% | 7,814 | 1,445 | $1.29M |
| 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 | 3.0% | 7,678 | 1,437 | $1.18M |
| 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 | 2.7% | 9,233 | 5,346 | $1.04M |
51 more codes
| 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 | 2.4% | 2,837 | $954K |
| S9374 | Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | 2.3% | 6,952 | $911K |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 2.3% | 5,738 | $908K |
| J3370 | Injection, vancomycin hcl, 500 mg | 2.0% | 4,751 | $782K |
| 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 | 1.9% | 5,945 | $761K |
| 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 | 1.7% | 6,087 | $679K |
| 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 | 1.5% | 9,105 | $579K |
| S9343 | Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | 1.3% | 12,306 | $511K |
| B4105 | In-line cartridge containing digestive enzyme(s) for enteral feeding, each | 1.2% | 143 | $482K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.2% | 5,826 | $458K |
| 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 | 1.1% | 2,858 | $421K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 4,063 | $345K |
| 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% | 4,991 | $306K |
| S9494 | Home infusion therapy, antibiotic, antiviral, or antifungal therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) | <1% | 1,209 | $240K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 1,816 | $224K |
| S9341 | Home therapy; enteral nutrition via gravity; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | <1% | 3,090 | $221K |
| J3380 | Injection, vedolizumab, intravenous, 1 mg | <1% | 28 | $180K |
| 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% | 4,127 | $177K |
| B4224 | Parenteral nutrition administration kit, per day | <1% | 2,409 | $161K |
| J2260 | Injection, milrinone lactate, 5 mg | <1% | 2,028 | $156K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 8,229 | $144K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 3,933 | $143K |
| S9542 | Home injectable therapy, not otherwise classified, including administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 2,273 | $138K |
| S9351 | Home infusion therapy, continuous or intermittent anti-emetic infusion therapy; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and visits coded separately), per diem | <1% | 376 | $66K |
| B9998 | Noc for enteral supplies | <1% | 429 | $62K |
| 99602 | Nursing care in home rn | <1% | 822 | $61K |
| S9345 | Home infusion therapy, anti-hemophilic agent infusion therapy (e.g., factor viii); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 1,803 | $60K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 901 | $56K |
| S9348 | Home infusion therapy, sympathomimetic/inotropic agent infusion therapy (e.g., dobutamine); administrative services, professional pharmacy services, care coordination, all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 217 | $53K |
| B4220 | Parenteral nutrition supply kit; premix, per day | <1% | 2,461 | $49K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 337 | $45K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 844 | $17K |
| J0692 | Injection, cefepime hydrochloride, 500 mg | <1% | 91 | $17K |
| J0690 | Injection, cefazolin sodium, 500 mg | <1% | 241 | $9K |
| J2405 | Injection, ondansetron hydrochloride, per 1 mg | <1% | 958 | $9K |
| S9375 | Home infusion therapy, hydration therapy; 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 (drugs and nursing visits coded separately), per diem | <1% | 55 | $8K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 770 | $7K |
| J2543 | Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) | <1% | 29 | $4K |
| A4215 | Needle, sterile, any size, each | <1% | 316 | $4K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 619 | $3K |
| E0776 | Iv pole | <1% | 334 | $3K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 411 | $2K |
| 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% | 17 | $2K |
| E0781 | Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient | <1% | 15 | $1K |
| S9359 | Home infusion therapy, anti-tumor necrosis factor intravenous therapy; (e.g., infliximab); administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately), per diem | <1% | 14 | $825.15 |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 61 | $792.78 |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 125 | $690.55 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 53 | $455.78 |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 28 | $232.99 |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 82 | $154.27 |
| A4217 | Sterile water/saline, 500 ml | <1% | 28 | $36.10 |
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 | 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 |
| 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.