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    OpenPayerNPI Medicare & MedicaidOptum Infusion Services 305, LLC
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    Optum Infusion Services 305, LLC — Billing Profile & Reimbursement Data

    NPI 1366603854 · Lenexa, KS · Home Infusion Therapy Pharmacy

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    Optum Infusion Services 305, LLC is a home infusion therapy pharmacy provider located in Lenexa, Kansas. This profile covers 1 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.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOptum Infusion Services 305, LLC
    Address15529 College Blvd
    CityLenexa
    StateKS
    ZIP66219
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedJune 18, 2008

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

    Payer SourceTotal Paid
    Medicaid$3.9M
    Medicare$37.5K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    1 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0069Professional 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…1,500$30$37.5K

    Medicare: Competitive Analysis & Benchmarks

    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 CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G00691101,500$30$37.5K

    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
    J1559Injection, immune globulin (hizentra), 100 mg2,350$700$1.6M
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg330$4,510$1.5M
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)8,030$40$305.2K
    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.4,460$30$133.9K
    A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)2,550$50$130K
    99602The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.3,070$20$70.5K
    S9338Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…2,730$20$60.1K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)3,460$20$51.9K
    B4224Parenteral nutrition administration kit, per day40$50$2K
    B4220Parenteral nutrition supply kit; premix, per day40$20$630

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Kansas median

    10 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg110330$4,510$1.5M
    J1559Injection, immune globulin (hizentra), 100 mg1101,340$660$886.6K
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)110260$50$79.4K
    99602The provider visits the patient at home to provide an infusion or administer a specialty drug. Use this code for each additional hour of the visit after the first two hours.1103,070$20$69.2K
    S9338Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…1102,730$20$61.3K
    A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)2102,040$20$54.6K
    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.110290$40$40.9K
    A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)2101,730$10$27K
    B4224Parenteral nutrition administration kit, per day11040$50$2K
    B4220Parenteral nutrition supply kit; premix, per day11040$10$630

    Nearby Providers

    Other providers in the same ZIP code as Optum Infusion Services 305, LLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Labone LLCKSClinical Medical Laboratory$46M$212.3M
    Johnson County Developmental SupportsKSHome Health Agency$0$56.1M
    Eurofins Transplant Genomics, LLCKSClinical Medical Laboratory$20.9M$482.9K
    Boston Heart Diagnostics CorporationKSClinical Medical Laboratory$9.1M$10.4M
    Crossroads Hospice Of Kansas LLCKSCommunity Based Hospice Care Agency$0$6.4M
    Catholic Community Hospice Of Northeast Kansas IncKSCommunity Based Hospice Care Agency$0$4.1M
    Johnson County Developmental SupportsKSCase Management Agency$0$3M
    Heartland Health Laboratories, LLCKSClinical Medical Laboratory$1.5M$1.1M
    Caremark L.L.C.KSPharmacy$0$2.5M
    Apria Healthcare LLCKSDurable Medical Equipment & Medical Supplies$0$1.3M

    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.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Kansas Distribution
    Optum Infusion Services 305, LLC — 0 of 1 code billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas
    Medicaid Revenue by Year vs. Kansas Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Kansas Distribution
    Optum Infusion Services 305, LLC — 3 of 10 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Kansas