Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • NPI Medicare & Medicaid
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.28
    OpenPayerNPI Medicare & MedicaidBioscrip Pharmacy Services, Inc
    Ask Trek AI about this page

    Bioscrip Pharmacy Services, Inc — Billing Profile & Reimbursement Data

    NPI 1619970845 · Dublin, OH · Home Infusion Therapy Pharmacy

    Customize your policy alerts

    Sign up for Bioscrip Pharmacy Services, Inc — Billing Profile & Reimbursement Data policy alerts

    Get alerted when relevant policies change without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    Bioscrip Pharmacy Services, Inc is a home infusion therapy pharmacy provider located in Dublin, Ohio. This profile covers 0 Medicare and 54 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Table of contents

    Progress1 / 8

    Explore openpayer tools

    • Billing CodesCPT, HCPCS, DRG & more
    • Reimbursement RatesCommercial vs. Medicare rate reports
    • ProvidersHospitals & facilities
    • PayersPlans & market footprint
    • Taxonomy CodesNUCC specialty codes
    • ModifiersCPT modifiers & usage
    • Prior AuthorizationPA policies by payer & drug
    • Timely FilingFiling deadlines by payer
    • Coverage CriteriaMedical necessity by payer
    • Payer ContactsClaims, PA & appeals contacts
    View all tools

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationBioscrip Pharmacy Services, Inc
    Address5700 Perimeter Dr Ste B
    CityDublin
    StateOH
    ZIP43017
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedMay 23, 2005

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

    Payer SourceTotal Paid
    Medicaid$19.2M
    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.

    54 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    S9342Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…43,890$60$2.8M
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…13,990$130$1.8M
    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…22,970$60$1.3M
    A4223Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)34,270$40$1.3M
    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…4,340$270$1.2M
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape27,690$40$1.2M
    B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…5,490$210$1.1M
    B4185Parenteral nutrition solution, not otherwise specified, 10 grams lipids4,900$160$797.9K
    J1745Injection, infliximab, excludes biosimilar, 10 mg190$3,970$749.6K
    S9343Home therapy; enteral nutrition via bolus; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…9,770$70$722.7K

    Showing 1–10 of 54

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Ohio median

    54 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    S9340Home therapy; enteral nutrition; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits coded…510670$580$4.6M
    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…9303,220$390$1.5M
    S9342Home therapy; enteral nutrition via pump; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (enteral formula and nursing visits…11016,370$70$1.2M
    J1745Injection, infliximab, excludes biosimilar, 10 mg1220260$1,470$1.1M
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…3102,450$140$851.9K
    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,…8402,610$120$677.4K
    B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape5504,010$80$640.4K
    Q5103Injection, infliximab-dyyb, biosimilar, (inflectra), 10 mg710860$810$630.8K
    B4149Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…8201,070$260$575K
    G0299Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes2705603,370$40$543.8K

    Showing 1–10 of 54

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Bioscrip Pharmacy Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Marcia DavisUTAcute Care Nurse Practitioner$823.3K$0
    Stephanie DupreeUTPsychiatric/Mental Health Nurse Practitioner$397K$0
    Sarah CookUTNurse Practitioner$63.4K$0
    Brandy CainTNFamily Nurse Practitioner$33.8K$0

    Nearby Providers

    Other providers in the same ZIP code as Bioscrip Pharmacy Services, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Viaquest Psychiatric & Behavioral Solutions LLCOHCommunity/Behavioral Health Agency$0$130.7M
    Primary Care Nursing Services, Inc.OHHome Health Agency$0$27.6M
    Audiology Distribution, LLCOHAudiologist-Hearing Aid Fitter$0$21.9M
    Syntero, Inc.OHMental Health Counselor$0$8.1M
    Seth KantorOHRheumatology Physician$1.7M$0
    Stephanie ZainoOHNurse Practitioner$357.2K$0
    Brett KockentietOHMOHS-Micrographic Surgery Physician$270.6K$0
    Melissa HansOHPhysical Therapist$239.8K$0
    Ernest DebourbonOHSurgery Physician$237K$0
    Charlotte AgnoneOHIntegrative Medicine Physician$215.4K$0

    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. Ohio Providers
    5 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Ohio Distribution
    Bioscrip Pharmacy Services, Inc — 9 of 25 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio