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NPI 1245564012 · La Vista, NE · Home Infusion Therapy Pharmacy
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Optum Infusion Services 302, LLC is a home infusion therapy pharmacy provider located in La Vista, Nebraska. This profile covers 1 Medicare and 9 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
| Field | Value |
|---|---|
| Entity Type | Organization |
| Organization | Optum Infusion Services 302, LLC |
| Address | 8720 South 114th Street, Suite 106 |
| City | La Vista |
| State | NE |
| ZIP | 68128 |
| Taxonomy | Home Infusion Therapy Pharmacy |
| NPI Enumerated | September 28, 2009 |
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicaid | $1.9M |
| Medicare | $26.6K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
1 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| G0069 | Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's… | 850 | $30 | $27K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 1 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
1 rows
| CPT/HCPCS Code | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|
| G0069 | 1 | 10 | 850 | $30 | $26.6K |
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| J1559 | Injection, immune globulin (hizentra), 100 mg | 1,230 | $570 | $695.5K |
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 1,890 | $230 | $443K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 6,980 | $60 | $432.5K |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 850 | $190 | $161.1K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1,130 | $100 | $111.9K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2,170 | $20 | $39.1K |
| B9002 | Enteral nutrition infusion pump, any type | 100 | $40 | $4.1K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),… | 350 | $1 | $1.4K |
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 260 | $0 | $0 |
How this provider's Medicaid billing volume and revenue compare to other Nebraska providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. Nebraska median
9 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| S9123 | Nursing care, in the home; by registered nurse, per hour (use for general nursing care only, not to be used when cpt codes 99500-99602 can be used) | 2 | 10 | 370 | $370 | $2.7M |
| B4035 | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape | 5 | 10 | 850 | $300 | $1M |
| J1559 | Injection, immune globulin (hizentra), 100 mg | 1 | 10 | 1,230 | $560 | $694.9K |
| A4222 | Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) | 1 | 10 | 630 | $220 | $557.2K |
| A4223 | Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) | 1 | 10 | 970 | $260 | $223.7K |
| B9002 | Enteral nutrition infusion pump, any type | 2 | 10 | 70 | $130 | $213K |
| A4221 | Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) | 2 | 10 | 740 | $20 | $24.3K |
| 99601 | The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for up to the first two hours of a visit. | 2 | 10 | 280 | $60 | $15.9K |
| S9338 | Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),… | 1 | 10 | 350 | $1 | $1.3K |
Other providers in the same ZIP code as Optum Infusion Services 302, LLC, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Summit Dental Health - Brentwood LLC | NE | General Practice Dentistry | $0 | $1.8M |
| Gregory Weeder | NE | Pediatric Dentistry | $0 | $1.1M |
| Focus C3, PC | NE | Mental Health Counselor | $0 | $608.9K |
| Nicholas Snyder, D.c., P.C. | NE | Chiropractor | $0 | $302.9K |
| Brittany Schuller Harvey | NE | Mental Health Counselor | $0 | $301.2K |
| Meylor Chiropractic And Acupuncture PC | NE | Independent Medical Examiner Chiropractor | $0 | $269.2K |
| Lifecare Family Medicine Of Bellevue, P.C. | NE | Family Medicine Physician | $0 | $213.2K |
| Christine Inguanzo | NE | Family Medicine Physician | $131.5K | $0 |
| Your Hometown Pharmacy Inc | NE | Long Term Care Pharmacy | $85.6K | $160 |
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