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

Why is the Medicaid comparison limited to Kentucky 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. Kentucky (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 1902182637)

Field	Value
Entity Type	Organization
Organization	Option Care Enterprises Inc
Address	11403 Bluegrass Pkwy
City	Louisville
State	KY
ZIP	40299
Taxonomy	Pharmacy
NPI Enumerated	October 26, 2011

Payer Source	Total Paid
Medicaid	$39.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

63 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	78,990	$80	$6.5M
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…	28,830	$130	$3.6M
J0878	Injection, daptomycin, 1 mg	7,400	$430	$3.2M
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…	11,950	$260	$3.1M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	12,730	$160	$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.	25,080	$80	$2.1M
A4223	Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately)	8,240	$200	$1.7M
B4153	Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	6,320	$250	$1.6M
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	9,380	$150	$1.4M
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…	7,810	$170	$1.3M

Showing 1–10 of 63

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Kentucky Distribution

Option Care Enterprises Inc — 10 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Kentucky

Full comparison — all codes billed, vs. Kentucky median

63 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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	10	3,070	$50	$2.1M
J3380	Injection, vedolizumab, intravenous, 1 mg	4	10	110	$5,930	$1.6M
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…	2	10	5,490	$100	$1.6M
S9501	Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…	2	10	11,840	$90	$1.1M
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…	1	10	500	$320	$1.1M
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…	2	10	9,260	$110	$1M
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	1	10	5,840	$150	$879.3K
J0878	Injection, daptomycin, 1 mg	1	10	100	$300	$854.3K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	3	20	2,220	$120	$530.7K
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	1,550	$330	$504.6K

Showing 1–10 of 63

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	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
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
Kentuckinana Regional Planning And Development Agency	KY	Supports Brokerage Agency	$0	$47.2M
Baptist Health Medical Group Inc	KY	Internal Medicine Physician	$0	$27.9M
Baptist Health Medical Group Inc	KY	Urgent Care Clinic/Center	$0	$26.7M
Kentuckiana Regional Planning And Development Agency	KY	Supports Brokerage Agency	$0	$24.3M
Kaleidoscope Inc	KY	Adult Day Care Clinic/Center	$0	$19.9M
Crossroads Treatment Center Of Louisville, Psc	KY	Methadone Clinic	$82.3K	$13.7M
Rehab Medical Of Louisville LLC	KY	Customized Equipment (DME)	$0	$11M
Zoom Group	KY	Developmentally Disabled Services Day Training Agency	$0	$8.2M
Silver Angels Of Tennessee - Greene, LLC	KY	In Home Supportive Care Agency	$0	$6.5M
Community And Family Empowerment	KY	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$6.4M

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