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

Why is the Medicaid comparison limited to Delaware 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. Delaware (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 Enterprises Inc (NPI 1720241649)

Field	Value
Entity Type	Organization
Organization	Option Care Enterprises Inc
Address	604 White Clay Center Dr
City	Newark
State	DE
ZIP	19711
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	July 10, 2008

Payer Source	Total Paid
Medicaid	$2.8M
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
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.	13,800	$60	$758.8K
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…	5,190	$130	$680.4K
S9366	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all…	880	$490	$433.5K
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…	2,500	$160	$406.8K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	1,220	$170	$206.9K
S9374	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	630	$150	$96.1K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1,970	$40	$86.7K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	510	$120	$59K
B4152	Enteral 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…	670	$80	$51.9K
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…	90	$360	$30.3K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Delaware Distribution

Option Care Enterprises Inc — 1 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	10	5,190	$130	$679K
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.	1	10	7,820	$60	$435.1K
S9366	Home infusion therapy, total parenteral nutrition (tpn); more than one liter but no more than two liters per day, administrative services, professional pharmacy services, care coordination, and all…	1	10	880	$490	$433.4K
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…	1	10	2,500	$160	$407.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	10	3,060	$130	$405.2K
S9502	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	1	10	1,220	$170	$207.4K
B4152	Enteral 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…	2	10	1,570	$80	$130.5K
S9374	Home infusion therapy, hydration therapy; one liter per day, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing…	1	10	630	$150	$96K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1	10	1,970	$40	$86K
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…	2	10	340	$240	$82.5K

Showing 1–10 of 16

Related Providers

Other providers that share a Tax Identification Number (TIN) with Option Care Enterprises Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Trinity Homecare LLC	NY	Home Infusion Therapy Pharmacy	$0	$46.8M
Option Care Enterprises, Inc.	IL	Home Infusion Therapy Pharmacy	$0	$45.6M
Option Care Enterprises Inc	KY	Pharmacy	$0	$39.1M
Option Care Enterprises Inc	MA	Home Infusion Therapy Pharmacy	$0	$37M
Option Care Enterprises, Inc.	FL	Home Infusion Therapy Pharmacy	$0	$29.3M
Option Care Enterprises, Inc.	OH	Home Infusion Therapy Pharmacy	$0	$18.9M
Option Care Enterprises, Inc.	WA	Home Infusion Therapy Pharmacy	$0	$18.9M
Option Care Enterprises, Inc.	TX	Home Infusion Therapy Pharmacy	$0	$13.8M
Option Care Enterprises, Inc	CT	Home Infusion Therapy Pharmacy	$0	$13.3M
Option Care Home Care Inc	WI	Pharmacy	$0	$12.5M

Nearby Providers

Other providers in the same ZIP code as Option Care Enterprises Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Chimes Metro, Inc.	DE	Intellectual & Developmental Disabilities Psychologist	$0	$173.9M
Newark Emergency Center	DE	Emergency Medicine Physician	$0	$6.8M
Connections Community Support Programs, Inc	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.9M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.5M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.3M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Connections Community Support Programs, Inc.	DE	Mental Health Clinic/Center (Including Community Mental Health Center)	$0	$2.2M
Bancroft Behavioral Health	DE	Psychiatric/Mental Health Nurse Practitioner	$0	$1.8M
American Homepatient, Inc.	DE	Durable Medical Equipment & Medical Supplies	$0	$1.6M
Aetna Hose, Hook And Ladder Company Of Newark Delaware	DE	Land Ambulance	$774K	$481.1K

Option Care Enterprises Inc — Billing Profile & Reimbursement Data

Sign up for Option Care Enterprises Inc — Billing Profile & Reimbursement Data policy alerts

Option Care Enterprises Inc — Billing Profile & Reimbursement Data

Sign up for Option Care Enterprises Inc — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References