Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Tennessee (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Option Care Infusion Services, LLC (NPI 1326279746)

Option Care Infusion Services, LLC is a home infusion therapy pharmacy provider located in Nashville, Tennessee. This profile covers 0 Medicare and 40 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

Medicaid: Complete Services Breakdown

Field	Value
Entity Type	Organization
Organization	Option Care Infusion Services, LLC
Address	624 Grassmere Park
City	Nashville
State	TN
ZIP	37211
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	August 3, 2009

Payer Source	Total Paid
Medicaid	$8.9M
Medicare	$0

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

40 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	32,450	$40	$1.3M
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…	14,670	$80	$1.2M
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…	5,540	$190	$1.1M
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	6,620	$130	$846.7K
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…	13,750	$60	$824.8K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	7,800	$60	$444.5K
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	170	$2,470	$410K
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,…	5,450	$70	$359.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3,360	$80	$265.8K
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	900	$270	$240.9K

Showing 1–10 of 40

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

Option Care Infusion Services, LLC — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

40 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	5	20	2,380	$330	$2.3M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8	30	3,000	$90	$961.2K
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…	3	10	14,670	$30	$808.8K
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,…	6	20	2,850	$110	$728.4K
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	3	10	1,170	$160	$514.8K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1	10	3,420	$130	$435.7K
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	1	10	170	$2,470	$410K
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…	6	10	1,140	$170	$344.4K
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…	3	20	4,040	$40	$270K
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	1	10	900	$270	$241.3K

Showing 1–10 of 40

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Omni Visions, Inc.	TN	Foster Care Agency	$0	$133.3M
D&s Residential Services, LP	TN	In Home Supportive Care Agency	$0	$77.7M
Cg Of Tennessee, LLC	TN	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$63.5M
Hca Health Services Of Tennessee, Inc.	TN	General Acute Care Hospital	$0	$27.5M
Nashville Pediatric Providers, LLC	TN	Pediatric Nurse Practitioner	$0	$20M
Omni Community Health	TN	Social Worker	$0	$18.2M
Smile Center For Children	TN	Pediatric Dentistry	$0	$9.6M
Pediatric Partners Of Nashville, PLLC	TN	Pediatrics Physician	$0	$5.7M
Lifecare Heritage	TN	Adult Day Care Clinic/Center	$0	$4.8M
Oxygen And Sleep Associates, Inc.	TN	Oxygen Equipment & Supplies (DME)	$0	$4.3M

Option Care Infusion Services, LLC — Billing Profile & Reimbursement Data

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Option Care Infusion Services, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

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