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

Why is the Medicaid comparison limited to Oklahoma 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. Oklahoma (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 1 Nutrition Solutions LLC (NPI 1891094108)

Field	Value
Entity Type	Organization
Organization	Option 1 Nutrition Solutions LLC
Address	4149 Highline Blvd Ste 275
City	Oklahoma City
State	OK
ZIP	73108
Taxonomy	Durable Medical Equipment & Medical Supplies
NPI Enumerated	March 25, 2011

Payer Source	Total Paid
Medicaid	$21.3M
Medicare	$0

Key Findings

OPTION 1 NUTRITION SOLUTIONS LLC is effectively a Medicaid-focused DME supplier: total Medicaid revenue is $21.3M and there is none (no Medicare billing on file). This makes the provider a single-payer participant in practice, with business volume concentrated entirely in Medicaid claims and payments.

Revenue is highly concentrated in a small set of enteral nutrition codes: B4035 (18.0%), B4149 (13.2%) and B4161 (12.8%) together account for 44.1% of this provider's total Medicaid revenue. Those three codes are the precomputed top drivers of Medicaid receipts and indicate that nearly half of the business depends on enteral formula and enteral supply kit billing.

The provider’s code mix and top-revenue items indicate a dual focus on enteral nutrition and home respiratory care. High-revenue enteral codes (B4035 $3.7M, B4149 $2.7M, B4161 $2.6M) point to substantial operations supplying enteral formulas and daily feeding kits, while E0465 home ventilator billing ($2.2M, 10.5%) and E1390 oxygen concentrators ($1.7M, 8.5%) show a significant respiratory equipment line supporting ventilator-dependent and oxygen-dependent patients.

On competitive standing, OPTION 1 is a leading supplier in several in-state categories: it ranks #1 of 8 providers for E0465 (100th percentile) and #1 of 6 for E0445 (100th percentile), and it ranks #1 of 5 for A4624 (100th percentile). Those top ranks indicate the provider is a dominant in-state supplier for invasive ventilators and certain respiratory/airway supplies, while other product lines are more contested.

Several codes show materially higher-than-typical state volume: B4035 ranks #2 of 13 providers in-state (92th percentile; notably above typical state volume for this code), E1390 ranks #7 of 83 providers in-state (93th percentile; notably above typical state volume for this code), and E0431 ranks #2 of 68 providers in-state (99th percentile; notably above typical state volume for this code). These rank and percentile signals suggest the provider moves large volumes of oxygen and enteral supply items relative to most in-state peers.

High claim counts for recurring consumables point to a distribution and recurring-supply business model: E1390 shows 15.5K claims, E0431 14.5K claims, A7000 10.1K claims, A4628 8.8K claims and B4035 14.2K claims, indicating frequent refills/rentals and steady recurring revenue. This pattern is consistent with DME operations that supply monthly oxygen, disposables and enteral supplies rather than one-time durable sales.

The provider’s tenure is long enough to indicate an established operation: the NPI was enumerated 2011-03-25 (~15 years ago), which aligns with the volume and rank positions observed across multiple Medicaid codes. That history supports the interpretation that these Medicaid relationships and operational capabilities are persistent rather than newly developed.

There is a clear pediatric and specialized-formula niche within the business: pediatric enteral formula codes such as B4161 (4.6K claims, $2.6M revenue) and other pediatric formula codes like B4160 and B4158 appear in the top code mix, signaling specialized pediatric nutrition services that together represent a meaningful share of Medicaid revenue. This suggests the provider competes not only on generic enteral supplies but also on specialized and pediatric nutrition products.

Medicaid: Complete Services Breakdown

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

71 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	14,190	$260	$3.7M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6,650	$410	$2.7M
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…	4,550	$580	$2.6M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	2,110	$1,020	$2.2M
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	15,500	$110	$1.7M
E0445	Oximeter device for measuring blood oxygen levels non-invasively	7,850	$170	$1.3M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	6,430	$160	$995.9K
A4624	Tracheal suction catheter, any type other than closed system, each	3,430	$210	$703.4K
A4606	Oxygen probe for use with oximeter device, replacement	10,040	$70	$652.4K
B4160	Enteral 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,…	2,890	$200	$583K

Showing 1–10 of 71

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oklahoma Distribution

Option 1 Nutrition Solutions LLC — 12 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oklahoma

Full comparison — all codes billed, vs. Oklahoma median

71 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	2	10	50	$80	$5.5M
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…	3	10	3,130	$670	$2M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	2	10	3,110	$410	$1.6M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	2	10	1,700	$210	$1M
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	1	10	750	$980	$901.9K
B4160	Enteral 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,…	3	10	1,800	$240	$491.5K
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	2	10	2,000	$150	$440.6K
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	17	20	640	$330	$379K
E0445	Oximeter device for measuring blood oxygen levels non-invasively	1	10	520	$170	$353.4K
A4624	Tracheal suction catheter, any type other than closed system, each	1	10	1,670	$200	$338.5K

Showing 1–10 of 71

Related Providers

Other providers that share a Tax Identification Number (TIN) with Option 1 Nutrition Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Option 1 Nutrition Solutions LLC	CO	Parenteral & Enteral Nutrition Supplies (DME)	$0	$168.4M
D & D Services Inc	OK	Nursing Care Agency	$0	$119.1M
Option 1 Nutrition Solutions LLC	OK	Durable Medical Equipment & Medical Supplies	$0	$18.8M
Option 1 Nutrition Solutions LLC	IL	Durable Medical Equipment & Medical Supplies	$0	$8.6M
Option 1 Nutrition Solutions LLC	MT	Durable Medical Equipment & Medical Supplies	$0	$3.7M

Nearby Providers

Other providers in the same ZIP code as Option 1 Nutrition Solutions LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Affordable Health Services PLLC	OK	Primary Care Clinic/Center	$0	$2.9M
Southeastern Oklahoma Family Services, Inc	OK	Community/Behavioral Health Agency	$0	$2.7M
Atg Colorado Inc	OK	Customized Equipment (DME)	$0	$2.5M
Logisticare Solutions, LLC	OK	Transportation Broker	$0	$2.4M
Hands Of Hope Youth And Family Services, LLC.	OK	Community/Behavioral Health Agency	$0	$1.7M
Pharmacy Solutions LLC	OK	Long Term Care Pharmacy	$239.4K	$0
Dao Goodnight	OK	Family Nurse Practitioner	$17.7K	$0

Option 1 Nutrition Solutions LLC — Billing Profile & Reimbursement Data

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Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References