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    OpenPayerNPI Medicare & MedicaidOption Care Enterprises Inc
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    Option Care Enterprises Inc — Billing Profile & Reimbursement Data

    NPI 1306169198 · Bozeman, MT · Home Infusion Therapy Pharmacy

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    Option Care Enterprises Inc is a home infusion therapy pharmacy provider located in Bozeman, Montana. This profile covers 0 Medicare and 10 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOption Care Enterprises Inc
    Address2304 N 7th Ave
    CityBozeman
    StateMT
    ZIP59715
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedMarch 8, 2010

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$2.7M
    Medicare$0

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    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

    Medicaid: Complete Services Breakdown

    Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

    10 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape8,660$110$927K
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…890$440$388.5K
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…1,460$250$366K
    99601The 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.3,530$70$243.8K
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…790$250$198.8K
    B4160Enteral 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,…1,210$160$196.4K
    B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each1,180$150$178K
    B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape1,240$80$99K
    B4152Enteral 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…770$110$85.8K
    B9002Enteral nutrition infusion pump, any type420$70$27.4K

    Medicaid: Competitive Analysis & Benchmarks

    How this provider's Medicaid billing volume and revenue compare to other Montana providers billing the same CPT/HCPCS codes.

    Full comparison — all codes billed, vs. Montana median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…110540$810$521.4K
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…110460$450$206.2K
    B4160Enteral 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,…210100$260$194.3K
    99601The 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.1103,340$70$174.9K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape110270$130$172.1K
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…110600$290$171.6K
    B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each110530$230$128.1K
    B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape110800$80$67.3K
    B4152Enteral 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…110370$120$45.3K
    B9002Enteral nutrition infusion pump, any type210290$70$30.6K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Option Care Enterprises Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Trinity Homecare LLCNYHome Infusion Therapy Pharmacy$0$46.8M
    Option Care Enterprises, Inc.ILHome Infusion Therapy Pharmacy$0$45.6M
    Option Care Enterprises IncKYPharmacy$0$39.1M
    Option Care Enterprises IncMAHome Infusion Therapy Pharmacy$0$37M
    Option Care Enterprises, Inc.FLHome Infusion Therapy Pharmacy$0$29.3M
    Option Care Enterprises, Inc.OHHome Infusion Therapy Pharmacy$0$18.9M
    Option Care Enterprises, Inc.WAHome Infusion Therapy Pharmacy$0$18.9M
    Option Care Enterprises, Inc.TXHome Infusion Therapy Pharmacy$0$13.8M
    Option Care Enterprises, IncCTHome Infusion Therapy Pharmacy$0$13.3M
    Option Care Home Care IncWIPharmacy$0$12.5M

    Nearby Providers

    Other providers in the same ZIP code as Option Care Enterprises Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Reach, Inc.MTDevelopmentally Disabled Services Day Training Agency$0$15.3M
    Bozeman Health Deaconess HospitalMTFamily Medicine Physician$0$7.7M
    Bozeman School District #7MTLocal Education Agency (LEA)$0$5.5M
    Emeritus CorporationMTAssisted Living Facility$0$4.6M
    Bozeman Health Deaconess HospitalMTGeneral Acute Care Hospital$0$4.5M
    Nasim AleaghaMTPediatric Dentistry$0$3.3M
    Bozeman Health Deaconess HospitalMTEmergency Medicine Physician$0$2.8M
    Providence Mental Health PLLCMTClinical Social Worker$0$1.9M
    The Cozy NestMTOccupational Therapist$0$1.9M
    Hatch Pediatrics LLCMTPediatrics Physician$0$1.7M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. Montana Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Montana Distribution
    Option Care Enterprises Inc — 8 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Montana