Agency
Option Care Home Care INC
Option Care Home Care INC was paid $12.53M by Medicaid between Jan 2018 and Dec 2024, across 34 billing codes. Its largest line is B4035, Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape — 27% of everything it billed.
33Billing provider infoOPTION CARE HOME CARE INC
WAUWATOSA, WI 53226
WAUWATOSA, WI 53226
33aNPI1972534154assigned 07/05/2006
33bProvider typeHome Infusion Agency
28Total paid$12.53M
24GClaims162,347
24DCodes billed34
24AFirst – last monthJan 2018 – Dec 2024
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 | 28,923 | $1.45M | |
| 2019 | 29,380 | $1.86M | |
| 2020 | 28,275 | $1.92M | |
| 2021 | 29,593 | $1.81M | |
| 2022 | 17,538 | $1.71M | |
| 2023 | 12,994 | $1.82M | |
| 2024incomplete | 15,644 | $1.96M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 27% | 26,013 | 19,346 | $3.37M |
| 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 | 19% | 9,077 | 5,609 | $2.33M |
| 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 | 10% | 3,975 | 3,145 | $1.30M |
| 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 | 8.5% | 8,731 | 6,007 | $1.07M |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | 6.7% | 13,714 | 8,893 | $834K |
| 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 | 5.7% | 5,445 | 3,694 | $716K |
| 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 | 4.7% | 7,005 | 3,587 | $588K |
| 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 | 3.8% | 1,253 | 908 | $478K |
| T1999 | Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks" | 2.6% | 24,994 | 3,576 | $322K |
| 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 | 2.4% | 1,480 | 918 | $302K |
| B4036 | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 2.3% | 4,728 | 2,628 | $292K |
| 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 | 1.8% | 772 | 293 | $227K |
22 more codes
| 99601 | 1.3% | 1,574 | $169K | |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.1% | 17,442 | $134K |
| 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% | 1,046 | $72K |
| 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% | 2,400 | $65K |
| A6402 | Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 6,865 | $63K |
| A4305 | Disposable drug delivery system, flow rate of 50 ml or greater per hour | <1% | 823 | $57K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 1,209 | $39K |
| E0776 | Iv pole | <1% | 535 | $31K |
| A4213 | Syringe, sterile, 20 cc or greater, each | <1% | 4,585 | $20K |
| S1015 | Iv tubing extension set | <1% | 2,020 | $11K |
| A6222 | Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 3,809 | $10K |
| A4452 | Tape, waterproof, per 18 square inches | <1% | 4,630 | $10K |
| A4322 | Irrigation syringe, bulb or piston, each | <1% | 1,906 | $10K |
| A4209 | Syringe with needle, sterile 5 cc or greater, each | <1% | 2,227 | $4K |
| A4450 | Tape, non-waterproof, per 18 square inches | <1% | 1,714 | $4K |
| A6258 | Transparent film, sterile, more than 16 sq. in. but less than or equal to 48 sq. in., each dressing | <1% | 376 | $2K |
| A6234 | Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing | <1% | 110 | $2K |
| 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% | 1,066 | $1K |
| A6257 | Transparent film, sterile, 16 sq. in. or less, each dressing | <1% | 636 | $1K |
| A4927 | Gloves, non-sterile, per 100 | <1% | 20 | $144.77 |
| A4402 | Lubricant, per ounce | <1% | 78 | $4.14 |
| A9270 | Non-covered item or service | 0% | 89 | $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 |
| 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 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.