Supplier
Option Care Enterprises, INC
Option Care Enterprises, INC was paid $17.15M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is J0135, Injection, adalimumab, 20 mg — 24% of everything it billed.
33Billing provider infoOPTION CARE ENTERPRISES, INC
BAKERSFIELD, CA 93313
BAKERSFIELD, CA 93313
33aNPI1972894772assigned 04/27/2011
33bProvider typeParenteral & Enteral Nutrition Supplies (DME)
28Total paid$17.15M
24GClaims61,819
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Parenteral & Enteral Nutrition Supplies (DME) providers in California
Rank by total paid#4 of 64
Median peer was paid$842K
This provider vs. median20×
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 | 2,763 | $1.19M | |
| 2019 | 3,508 | $2.41M | |
| 2020 | 6,473 | $3.16M | |
| 2021 | 13,475 | $4.22M | |
| 2022 | 12,693 | $1.68M | |
| 2023 | 13,948 | $2.33M | |
| 2024incomplete | 8,959 | $2.16M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| J0135 | Injection, adalimumab, 20 mg | 24% | 831 | 762 | $4.04M |
| 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 | 13% | 5,213 | 4,642 | $2.24M |
| 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 | 12% | 10,532 | 2,529 | $2.08M |
| 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 | 8.8% | 5,563 | 1,566 | $1.52M |
| J3490 | Unclassified drugs | 8.8% | 2,085 | 1,931 | $1.51M |
| 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 | 5.7% | 3,885 | 1,059 | $985K |
| 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 | 5.2% | 5,447 | 1,749 | $890K |
| 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 | 4.8% | 8,551 | 1,719 | $824K |
| 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 | 4.2% | 922 | 234 | $713K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 3.0% | 5,974 | 1,878 | $522K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 1.8% | 2,034 | 1,886 | $308K |
| 99601 | 1.6% | 2,627 | 1,365 | $274K |
16 more codes
| J3590 | Unclassified biologics | 1.6% | 90 | $266K |
| 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 | 1.1% | 948 | $194K |
| J1438 | Injection, etanercept, 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 1.1% | 147 | $185K |
| 96365 | Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour | <1% | 1,440 | $163K |
| B9998 | Noc for enteral supplies | <1% | 2,293 | $123K |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 1,123 | $90K |
| 99602 | Nursing care in home rn | <1% | 371 | $48K |
| 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 | <1% | 250 | $43K |
| B4034 | Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | <1% | 445 | $38K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | <1% | 329 | $35K |
| S9340 | Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded separately), per diem | <1% | 88 | $23K |
| B4088 | Gastrostomy/jejunostomy tube, low-profile, any material, any type, each | <1% | 103 | $12K |
| J1642 | Injection, heparin sodium, (heparin lock flush), per 10 units | <1% | 144 | $8K |
| G0154 | Direct skilled nursing services of a licensed nurse (lpn or rn) in the home health or hospice setting, each 15 minutes | <1% | 50 | $5K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | <1% | 321 | $3K |
| B9002 | Enteral nutrition infusion pump, any type | <1% | 13 | $286.67 |
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 |
| 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.