Optum Infusion Services 101, INC.
Optum Infusion Services 101, INC. was paid $3.66M by Medicaid between Jan 2018 and Dec 2024, across 14 billing codes. Its largest line is J1561, Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg — 29% of everything it billed.
FARMINGDALE, NY 11735
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in New York
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.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 1,770 | $187K | |
| 2019 | 3,876 | $478K | |
| 2020 | 2,841 | $237K | |
| 2021 | 2,172 | $169K | |
| 2022 | 4,623 | $1.08M | |
| 2023 | 4,969 | $1.26M | |
| 2024incomplete | 3,651 | $253K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 29% | 144 | 95 | $1.08M |
| 99601 | 24% | 10,935 | 4,628 | $873K | |
| 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 | 13% | 2,163 | 691 | $459K |
| J1555 | Injection, immune globulin (cuvitru), 100 mg | 11% | 224 | 101 | $415K |
| 99602 | Nursing care in home rn | 8.5% | 4,842 | 2,816 | $312K |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 6.6% | 111 | 48 | $243K |
| 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 | 3.3% | 2,839 | 1,389 | $123K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1.7% | 999 | 500 | $63K |
| 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 | 1.2% | 815 | 513 | $43K |
| 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 | <1% | 90 | 24 | $24K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | <1% | 281 | 126 | $11K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 422 | 277 | $8K |
2 more codes
| 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 | <1% | 24 | $8K |
| 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% | 13 | $280.00 |
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.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.