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

Why is the Medicaid comparison limited to Connecticut 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. Connecticut (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 1750686432)

Field	Value
Entity Type	Organization
Organization	Option Care Enterprises, Inc
Address	100 Trap Falls Rd
City	Shelton
State	CT
ZIP	06484
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	January 11, 2011

Payer Source	Total Paid
Medicaid	$13.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

24 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	45,190	$180	$8M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	14,050	$80	$1.2M
B4224	Parenteral nutrition administration kit, per day	8,640	$110	$924.7K
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	10,670	$80	$885.6K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	33,900	$20	$610.2K
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.	10,580	$30	$317.3K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	11,990	$30	$299.8K
B4220	Parenteral nutrition supply kit; premix, per day	8,390	$30	$285.2K
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1,140	$150	$165.7K
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…	7,940	$20	$158.7K

Showing 1–10 of 24

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Connecticut Distribution

Option Care Enterprises, Inc — 14 of 24 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Connecticut

Full comparison — all codes billed, vs. Connecticut median

24 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	860	$180	$1.1M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	1	10	6,100	$80	$503.1K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1	10	4,100	$60	$342.2K
B4224	Parenteral nutrition administration kit, per day	1	10	950	$110	$339.5K
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	5,750	$30	$182.2K
B9002	Enteral nutrition infusion pump, any type	1	10	2,830	$60	$167.1K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	1	10	410	$20	$141.9K
B9998	Noc for enteral supplies	5	10	590	$110	$129.1K
E0781	Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient	1	10	1,080	$100	$108.9K
B4220	Parenteral nutrition supply kit; premix, per day	1	10	930	$30	$106.4K

Showing 1–10 of 24

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 Home Care Inc	WI	Pharmacy	$0	$12.5M
Option Care Enterprises, Inc.	MO	Home Infusion Therapy Pharmacy	$0	$11.2M

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
Pediatric Services Of America, LLC	CT	Home Health Agency	$0	$92.9M
Adult Day Care Of America, Inc.	CT	In Home Supportive Care Agency	$0	$35.1M
Dianon Systems, Inc	CT	Clinical Medical Laboratory	$4.9M	$8.5M
Ameripath New York LLC	CT	Clinical Medical Laboratory	$2.9M	$7.7M
Esoterix Genetic Laboratories, LLC	CT	Clinical Medical Laboratory	$2.2M	$3.2M
Enzo Clinical Labs, Inc.	CT	Clinical Medical Laboratory	$0	$3.8M
Bridgeport Radiological Associates LLC	CT	Diagnostic Radiology Physician	$0	$2.9M
Shelton Pediatrics	CT	Pediatrics Physician	$0	$2.7M
Echo Hose Hook And Ladder Ambulance Corps., Inc.	CT	Land Ambulance	$568.5K	$1.7M
Shelton Dental Group LLC	CT	Dentist	$0	$2.1M

Option Care Enterprises, Inc — Billing Profile & Reimbursement Data

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Option Care Enterprises, Inc — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References