Agency
Option Care Enterprises, INC.
Option Care Enterprises, INC. was paid $13.82M by Medicaid between Oct 2018 and Dec 2024, across 41 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 — 49% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC.
HOUSTON, TX 77054
HOUSTON, TX 77054
33aNPI1912930736assigned 07/07/2006
33bProvider typeHome Health Agency
28Total paid$13.82M
24GClaims108,356
24DCodes billed41
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Home Health Agency providers in Texas
Rank by total paid#166 of 1,243
Median peer was paid$1.86M
This provider vs. median7.4×
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 | 132 | $1K | |
| 2019 | 287 | $44K | |
| 2020 | 4,609 | $732K | |
| 2021 | 35,000 | $3.47M | |
| 2022 | 28,317 | $3.26M | |
| 2023 | 19,759 | $3.04M | |
| 2024incomplete | 20,252 | $3.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 49% | 10,047 | 1,728 | $6.81M |
| B4185 | Parenteral nutrition solution, not otherwise specified, 10 grams lipids | 14% | 7,901 | 1,826 | $1.90M |
| B4224 | Parenteral nutrition administration kit, per day | 9.3% | 18,563 | 2,427 | $1.28M |
| 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 | 5.0% | 1,284 | 868 | $692K |
| J1726 | Injection, hydroxyprogesterone caproate, (makena), 10 mg | 4.9% | 814 | 256 | $671K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | 3.2% | 1,260 | 477 | $448K |
| B4105 | In-line cartridge containing digestive enzyme(s) for enteral feeding, each | 3.1% | 67 | 64 | $425K |
| B4220 | Parenteral nutrition supply kit; premix, per day | 3.0% | 18,460 | 2,423 | $412K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.7% | 18,753 | 2,072 | $380K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 2.1% | 5,097 | 1,425 | $292K |
| 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% | 503 | 369 | $112K |
| 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% | 977 | 602 | $105K |
29 more codes
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 7,817 | $79K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 584 | $51K |
| 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% | 259 | $30K |
| B9004 | Parenteral nutrition infusion pump, portable | <1% | 120 | $30K |
| A4216 | Sterile water, saline and/or dextrose, diluent/flush, 10 ml | <1% | 2,904 | $26K |
| A4245 | Alcohol wipes, per box | <1% | 3,715 | $12K |
| A6457 | Tubular dressing with or without elastic, any width, per linear yard | <1% | 1,536 | $10K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 1,945 | $9K |
| B9998 | Noc for enteral supplies | <1% | 951 | $8K |
| J3490 | Unclassified drugs | <1% | 298 | $7K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 694 | $4K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | <1% | 901 | $3K |
| 99601 | <1% | 130 | $3K | |
| E0776 | Iv pole | <1% | 89 | $3K |
| 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% | 41 | $3K |
| A5200 | Percutaneous catheter/tube anchoring device, adhesive skin attachment | <1% | 256 | $2K |
| J7030 | Infusion, normal saline solution , 1000 cc | <1% | 370 | $2K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 53 | $2K |
| A4215 | Needle, sterile, any size, each | <1% | 168 | $2K |
| J1644 | Injection, heparin sodium, per 1000 units | <1% | 744 | $1K |
| A4217 | Sterile water/saline, 500 ml | <1% | 453 | $1K |
| S1015 | Iv tubing extension set | <1% | 65 | $850.33 |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 171 | $692.56 |
| A4211 | Supplies for self-administered injections | <1% | 217 | $342.54 |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 17 | $301.62 |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | <1% | 22 | $117.36 |
| J7050 | Infusion, normal saline solution, 250 cc | <1% | 35 | $101.17 |
| A4208 | Syringe with needle, sterile 3 cc, each | <1% | 30 | $10.73 |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | 0% | 45 | $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 |
| 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.