Optum Infusion Services 553, LLC
Optum Infusion Services 553, LLC was paid $140K by Medicaid between Jan 2020 and Nov 2024, across 7 billing codes. Its largest line is 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 — 54% of everything it billed.
RALEIGH, NC 27616
Next to other Durable Medical Equipment & Medical Supplies providers in North Carolina
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 | |
|---|---|---|---|
| 2020 | 408 | $16K | |
| 2021 | 36 | $2K | |
| 2022 | 1,207 | $41K | |
| 2023 | 1,540 | $54K | |
| 2024incomplete | 1,620 | $26K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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 | 54% | 2,490 | 815 | $75K |
| 99602 | Nursing care in home rn | 20% | 761 | 483 | $28K |
| 99601 | 15% | 926 | 548 | $20K | |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 9.0% | 34 | 12 | $13K |
| T1030 | Nursing care, in the home, by registered nurse, per diem | 1.6% | 163 | 77 | $2K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1.3% | 397 | 179 | $2K |
| 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% | 40 | 27 | $119.47 |
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.