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

Why is the Medicaid comparison limited to Washington 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. Washington (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 501 Inc (NPI 1841832466)

Field	Value
Entity Type	Organization
Organization	Optum Infusion Services 501 Inc
Address	8131 W Bostian Rd Ste A345
City	Woodinville
State	WA
ZIP	98072
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	October 15, 2019

Payer Source	Total Paid
Medicaid	$3.3M
Medicare	$0

Medicaid: Complete Services Breakdown

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

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	690	$3,770	$2.6M
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.	2,050	$70	$149.5K
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.	1,730	$70	$128.2K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	2,600	$50	$124.7K
J1559	Injection, immune globulin (hizentra), 100 mg	160	$750	$121.2K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	160	$700	$111.1K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	760	$20	$14.4K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	160	$40	$6.7K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Washington Distribution

Optum Infusion Services 501 Inc — 0 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Washington

Full comparison — all codes billed, vs. Washington median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	6	10	3,990	$610	$2.8M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	3	10	1,290	$1,830	$2.4M
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	7	10	3,880	$310	$2.1M
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.	5	10	2,660	$110	$397.1K
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	10	10	6,250	$30	$211.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	66	80	1,640	$40	$136.1K
J1559	Injection, immune globulin (hizentra), 100 mg	1	10	160	$750	$121.2K
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.	2	10	1,360	$60	$102.4K

Nearby Providers

Other providers in the same ZIP code as Optum Infusion Services 501 Inc, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Alliance Nursing	WA	Home Health Agency	$0	$36.9M
Manisha Ramdev	WA	Family Nurse Practitioner	$254.1K	$0
Jennifer Kuehl	WA	Family Nurse Practitioner	$81.2K	$0
Danielle Debelak	WA	Family Medicine Physician	$47K	$0
Lynn Albertson	WA	Family Nurse Practitioner	$29.2K	$0
Evghenii Jignea	WA	Psychiatric/Mental Health Nurse Practitioner	$13.4K	$0
Prescriptions Etc Inc	WA	Long Term Care Pharmacy	$3.7K	$0

Optum Infusion Services 501 Inc — Billing Profile & Reimbursement Data

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Optum Infusion Services 501 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

Nearby Providers

Frequently Asked Questions

References