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 Maryland for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maryland 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. Maryland (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.

Optum Infusion Services 103, LLC (NPI 1487609269)

Field	Value
Entity Type	Organization
Organization	Optum Infusion Services 103, LLC
Address	9204 Berger Rd
City	Columbia
State	MD
ZIP	21046
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	May 23, 2006

Payer Source	Total Paid
Medicaid	$4.7M
Medicare	$0

Medicaid: Complete Services Breakdown

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

16 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	410	$5,570	$2.3M
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.	10,790	$90	$927.8K
99602	The 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.	4,810	$100	$495.7K
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…	1,150	$290	$332.9K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	2,790	$70	$181.5K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	3,220	$40	$115.8K
J1557	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg	20	$5,080	$91.4K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	4,190	$20	$71.3K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	880	$70	$64K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	2,600	$20	$46.9K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Maryland Distribution

Optum Infusion Services 103, LLC — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maryland

Full comparison — all codes billed, vs. Maryland median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	1	10	410	$5,570	$2.3M
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	2,310	$80	$371K
99602	The 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.	1	10	3,280	$100	$365.6K
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…	4	10	1,250	$200	$258.2K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	2	10	2,290	$60	$176.9K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1	10	2,170	$60	$127.4K
J1557	Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg	1	10	20	$5,080	$91.4K
S9379	Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…	3	10	1,240	$70	$91.1K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	3	10	5,250	$20	$81.8K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	6	10	2,690	$20	$55.1K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Optum Infusion Services 103, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Royal Garden Adult Medical Daycare Center Inc.	MD	Adult Companion	$0	$22.2M
Humanim Inc	MD	Mental Illness Community Based Residential Treatment Facility	$0	$18.7M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$12.5M
Adult Day Health, Inc.	MD	Adult Day Care Clinic/Center	$0	$12.3M
Berger And Burrow Enterprises Inc.	MD	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	$6.6M	$3.8M
Option Care Enterprises, Inc.	MD	Home Infusion Therapy Pharmacy	$0	$9.5M
The Kid's Dentist, P.A.	MD	Pediatric Dentistry	$0	$6M
Seton Medical Group, Inc	MD	Internal Medicine Physician	$0	$5.9M
Autism Center Of Excellence LLC	MD	Community/Behavioral Health Agency	$0	$5.2M
M. Slutsky & Associates, Inc	MD	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$4.7M

Optum Infusion Services 103, LLC — Billing Profile & Reimbursement Data

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Optum Infusion Services 103, 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

Nearby Providers

Frequently Asked Questions

References