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

Why is the Medicaid comparison limited to Ohio 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. Ohio (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 550, LLC (NPI 1851337778)

Field	Value
Entity Type	Organization
Organization	Optum Infusion Services 550, LLC
Address	7167 E Kemper Rd
City	Cincinnati
State	OH
ZIP	45249
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	June 20, 2006

Payer Source	Total Paid
Medicaid	$6.9M
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
J1559	Injection, immune globulin (hizentra), 100 mg	3,750	$1,220	$4.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	270	$2,980	$805.7K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	10,440	$50	$469.6K
B4224	Parenteral nutrition administration kit, per day	4,040	$60	$250.2K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1,760	$130	$223.4K
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.	3,810	$40	$159.9K
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.	2,940	$40	$111.8K
B4220	Parenteral nutrition supply kit; premix, per day	3,900	$20	$77.9K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	2,600	$20	$46.7K
J1555	Injection, immune globulin (cuvitru), 100 mg	50	$940	$45K

Showing 1–10 of 16

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Ohio Distribution

Optum Infusion Services 550, LLC — 3 of 16 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Ohio

Full comparison — all codes billed, vs. Ohio median

16 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
J1559	Injection, immune globulin (hizentra), 100 mg	1	10	3,750	$1,220	$4.6M
J1569	Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg	8	10	890	$1,920	$1.7M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	43	50	4,010	$80	$640.4K
G0299	Direct skilled nursing services of a registered nurse (RN) in the home health or hospice setting, each 15 minutes	548	560	3,370	$40	$543.8K
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	3,530	$100	$464.1K
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	14	20	2,860	$40	$313.9K
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	3	10	1,700	$130	$303.5K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	1	20	720	$80	$166.5K
B4224	Parenteral nutrition administration kit, per day	5	10	5,060	$30	$151.4K
S9338	Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…	1	10	1,060	$70	$82.3K

Showing 1–10 of 16

Nearby Providers

Other providers in the same ZIP code as Optum Infusion Services 550, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Vitas Healthcare Corporation Of Ohio	OH	Community Based Hospice Care Agency	$0	$44.2M
Irfan Firdaus	OH	Medical Oncology Physician	$880K	$0
Madhukar Gupta	OH	Clinical Cardiac Electrophysiology Physician	$329.6K	$0
Matthew Langenderfer	OH	Sports Medicine (Orthopaedic Surgery) Physician	$266.8K	$0
Atul Chandoke	OH	Pain Medicine (Anesthesiology) Physician	$240.6K	$0
Joshua Murphy	OH	Adult Reconstructive Orthopaedic Surgery Physician	$231.6K	$0
Kristine Zitelli	OH	Dermatology Physician	$188.3K	$0
Kevin Shaw	OH	Sports Medicine (Orthopaedic Surgery) Physician	$169.5K	$0
Gururau Sudarshan	OH	Pain Medicine (Anesthesiology) Physician	$154.2K	$730
Joseph Choo	OH	Interventional Cardiology Physician	$154.9K	$0

Optum Infusion Services 550, LLC — Billing Profile & Reimbursement Data

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Optum Infusion Services 550, LLC — 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