Medicaid Provider Spending

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

OPTION 1 NORTHWEST ENTERAL, LLC

NPI: 1912101783 · BEAVERTON, OR 97008 · Parenteral & Enteral Nutrition Supplies (DME) · NPI assigned 06/13/2007

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

Authorized official BUCKHALTER, MATTHEW controls 20+ related entities in our dataset. Read more

$30.16M
Total Medicaid Paid
210,007
Total Claims
169,960
Beneficiaries
35
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBUCKHALTER, MATTHEW (CFO)
NPI Enumeration Date06/13/2007

Related Entities

Other providers sharing the same authorized official: BUCKHALTER, MATTHEW

ProviderCityStateTotal Paid
MEDCO RESPIRATORY INSTRUMENTS, INC. HOUSTON TX $171.57M
OPTION 1 NUTRITION SOLUTIONS LLC DENVER CO $168.53M
D & D SERVICES INC TULSA OK $119.26M
EPIC HEALTH SERVICES (PA), LLC BALA CYNWYD PA $104.43M
PEDIATRIC SERVICES OF AMERICA, LLC SHELTON CT $92.74M
OPTION 1 NUTRITION SOLUTIONS, LLC CHANDLER AZ $79.18M
PYRA MED HEALTH SERVICES, LLC SAN ANTONIO TX $67.65M
EPIC HEALTH SERVICES INC WORCESTER MA $50.06M
DEPENDABLE NURSES OF PHOENIX, LLC SCOTTSDALE AZ $49.43M
PEDIATRIC SERVICES OF AMERICA, LLC BROCKTON MA $47.84M
EPIC HEALTH SERVICES, INC. HOUSTON TX $41.90M
FIRST CHOICE CHILDRENS HOMECARE LP STAFFORD TX $37.61M
PEDIATRIC SERVICES OF AMERICA, LLC PITTSBURGH PA $34.86M
PEDIATRIC SERVICES OF AMERICA, LLC WINTER PARK FL $33.52M
PEDIATRIC SERVICES OF AMERICA, LLC RALEIGH NC $32.46M
OPTION 1 NORTHWEST ENTERAL LLC KENT WA $32.43M
CARE UNLIMITED INC. WEXFORD PA $32.43M
PEDIATRIC SERVICES OF AMERICA, LLC HARRISBURG PA $31.46M
PEDIATRIC SERVICES OF AMERICA, LLC MCALLEN TX $31.33M
PEDIATRIC SERVICES OF AMERICA, LLC READING PA $30.29M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 22,738 $3.57M
2019 27,459 $4.03M
2020 30,176 $4.18M
2021 29,740 $3.97M
2022 32,275 $4.22M
2023 35,403 $5.06M
2024 32,216 $5.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
B4035 Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 34,343 27,418 $8.18M
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 9,652 8,115 $4.56M
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 8,141 6,345 $3.37M
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 20,883 17,877 $2.97M
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 11,084 7,639 $1.48M
B4088 Gastrostomy/jejunostomy tube, low-profile, any material, any type, each 11,533 10,016 $1.40M
B9998 Noc for enteral supplies 34,428 27,811 $1.30M
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 2,636 1,921 $1.12M
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 7,338 6,038 $1.08M
B4034 Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 8,661 6,771 $959K
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 7,546 6,082 $922K
B9002 Enteral nutrition infusion pump, any type 10,424 8,805 $785K
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 3,526 2,939 $332K
E0776 Iv pole 5,397 4,606 $266K
T4530 Pediatric sized disposable incontinence product, brief/diaper, large size, each 4,251 3,313 $253K
T4534 Youth sized disposable incontinence product, protective underwear/pull-on, each 4,321 3,383 $226K
B4036 Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape 1,676 1,242 $197K
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 6,278 4,941 $182K
T4522 Adult sized disposable incontinence product, brief/diaper, medium, each 2,058 1,762 $166K
T4541 Incontinence product, disposable underpad, large, each 3,700 3,243 $72K
B4081 Nasogastric tubing with stylet 1,583 1,217 $71K
A4927 Gloves, non-sterile, per 100 5,691 4,536 $70K
B4082 Nasogastric tubing without stylet 1,641 1,270 $51K
T4526 Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each 692 553 $46K
B4103 Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit 291 248 $18K
T4537 Incontinence product, protective underpad, reusable, bed size, each 525 391 $15K
T4532 Pediatric sized disposable incontinence product, protective underwear/pull-on, large size, each 225 195 $14K
A4351 Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each 72 61 $14K
T4535 Disposable liner/shield/guard/pad/undergarment, for incontinence, each 295 261 $12K
A4322 Irrigation syringe, bulb or piston, each 357 318 $6K
B4100 Food thickener, administered orally, per ounce 76 64 $4K
T4523 Adult sized disposable incontinence product, brief/diaper, large, each 23 12 $1K
A4332 Lubricant, individual sterile packet, each 121 101 $1K
A4335 Incontinence supply; miscellaneous 418 380 $1K
A4213 Syringe, sterile, 20 cc or greater, each 121 86 $292.10