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

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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 1 Nutrition Solutions LLC (NPI 1497831507)

Field	Value
Entity Type	Organization
Organization	Option 1 Nutrition Solutions LLC
Address	12101 E 51st St Ste 106
City	Tulsa
State	OK
ZIP	74146
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	October 31, 2006

Payer Source	Total Paid
Medicaid	$18.8M
Medicare	$0

Key Findings

This provider reports no Medicare billing on file (Medicare revenue: none) and $18.8M in lifetime Medicaid revenue, indicating an effectively single-payer footprint concentrated in Medicaid. The NPI was enumerated on 2006-10-31 (~20 years ago), so the operation has been active and billing to Medicaid for approximately two decades.

Revenue is highly concentrated: the precomputed top 3 Medicaid codes by revenue account for 50.7% of this provider's total Medicaid revenue. Those top three codes are B4035 ($3.3M, 18.2%), B4149 ($3M, 16.3%), and B4161 ($3M, 16.2%), showing that just a few products drive the majority of cash flow.

The code mix strongly indicates a business focused on enteral nutrition and related supplies: high-volume billing for B4035 (enteral feeding supply kit; pump fed), B4149 (manufactured blenderized enteral formula), B4161 (pediatric hydrolyzed/amino acid enteral formula), plus related kit codes such as B4034 and B4036 and gastrostomy tube B4088. This concentration of enteral formula and feeding-supply codes suggests core operations in chronic enteral nutrition provision and ongoing supply distribution to tube-fed patients.

In addition to enteral nutrition, the provider has meaningful respiratory durable medical equipment volumes: E0465 (home ventilator) generated $1.9M (10.4% of Medicaid revenue) with 2.1K claims and ranks #2 of 8 providers in-state (86th percentile), and E1390 (oxygen concentrator) produced $1M (5.5%) with 8.9K claims and ranks #12 of 83 providers in-state (87th percentile). These figures point to a dual service line in both enteral feeding and home respiratory support rather than a pure nutrition-only vendor.

Competitive standing within Oklahoma is mixed by code: the provider is a clear statewide leader for several enteral codes — B4149 ranks #1 of 7 providers in-state (100th percentile) and B4161 ranks #1 of 6 providers in-state (100th percentile) — while B4035 ranks #3 of 13 providers (83th percentile), indicating solid but not exclusive dominance for feeding supplies. Several other DME codes show typical, unremarkable volume by their labels, so the provider is a major player for select formulas and a competent participant across broader DME categories.

Unit-level economics and volume patterns reinforce the strategic focus: B4149 posted 7.2K claims at $415 avg paid/claim totaling $3M, B4161 posted 4.8K claims at $624 avg paid/claim totaling $3M, and B4035 posted 13.1K claims at $255 avg paid/claim totaling $3.3M. High claim counts combined with relatively high per-claim payments for specialty enteral formulas indicate durable recurring revenue streams tied to ongoing patient nutrition needs.

The provider's business also shows concentration risk tied to Medicaid policy and utilization changes: top three codes make up 50.7% of Medicaid revenue and the enterprise has effectively no Medicare revenue to diversify payer risk. Given the $18.8M Medicaid exposure and dominant positions in specific formula codes, rate adjustments or utilization shifts in enteral nutrition or home ventilator coverage could meaningfully affect overall revenue.

Medicaid: Complete Services Breakdown

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

58 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	13,110	$260	$3.3M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	7,180	$420	$3M
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…	4,760	$620	$3M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,070	$920	$1.9M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	7,180	$140	$1M
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,…	4,210	$240	$1M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	8,870	$110	$1M
A4624	Tracheal suction catheter, any type other than closed system, each	2,820	$220	$624.1K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	3,370	$170	$569.7K
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2,510	$170	$432.2K

Showing 1–10 of 58

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Option 1 Nutrition Solutions LLC — 5 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

58 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…	1	10	3,130	$670	$2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	3,110	$410	$1.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	10	1,700	$210	$1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2	10	750	$980	$901.9K
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,…	1	10	1,800	$240	$491.5K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	1	10	2,000	$150	$440.6K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	22	20	640	$330	$379K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	2	10	520	$170	$353.4K
A4624	Tracheal suction catheter, any type other than closed system, each	2	10	1,670	$200	$338.5K
A4606	Oxygen probe for use with oximeter device, replacement	2	10	4,330	$70	$312.1K

Showing 1–10 of 58

Related Providers

Other providers that share a Tax Identification Number (TIN) with Option 1 Nutrition Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	CO	Parenteral & Enteral Nutrition Supplies (DME)	$0	$168.4M
D & D Services Inc	OK	Nursing Care Agency	$0	$119.1M
Option 1 Nutrition Solutions LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$21.3M
Option 1 Nutrition Solutions LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$8.6M
Option 1 Nutrition Solutions LLC	MT	Durable Medical Equipment & Medical Supplies	$0	$3.7M

Nearby Providers

Other providers in the same ZIP code as Option 1 Nutrition Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Regional Medical Laboratory, Inc	OK	Clinical Medical Laboratory	$0	$17.6M
Labcorp Oklahoma, Inc.	OK	Clinical Medical Laboratory	$6.8M	$7.8M
Access Pain Solutions	OK	Pain Medicine Physician	$0	$13.1M
Osu Center For Health Sciences	OK	Medical Specialty Clinic/Center	$0	$10.5M
Advanced Pediatric Care	OK	Durable Medical Equipment & Medical Supplies	$0	$4.9M
Asm LLC	OK	Customized Equipment (DME)	$0	$4.7M
Pathology Laboratory Associates, Inc.	OK	Anatomic Pathology & Clinical Pathology Physician	$22.2K	$3.9M
Sleep Management, L.L.C.	OK	Oxygen Equipment & Supplies (DME)	$0	$3.6M
Tulsa Bone & Joint Associates PC	OK	Orthopaedic Surgery Physician	$0	$3M
Ocean Dental, P.C.	OK	General Practice Dentistry	$0	$3M

Option 1 Nutrition Solutions LLC — Billing Profile & Reimbursement Data

Sign up for Option 1 Nutrition Solutions LLC — Billing Profile & Reimbursement Data policy alerts

Option 1 Nutrition Solutions LLC — Billing Profile & Reimbursement Data

Sign up for Option 1 Nutrition Solutions LLC — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References