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

Why is the Medicaid comparison limited to Oregon 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. Oregon (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 Northwest Enteral, LLC (NPI 1912101783)

Field	Value
Entity Type	Organization
Organization	Option 1 Northwest Enteral, LLC
Address	7926 Sw Nimbus Ave
City	Beaverton
State	OR
ZIP	97008
Taxonomy	Parenteral & Enteral Nutrition Supplies (DME)
NPI Enumerated	June 13, 2007

Payer Source	Total Paid
Medicaid	$30.1M
Medicare	$0

Key Findings

OPTION 1 NORTHWEST ENTERAL, LLC is effectively a single-payer Medicaid supplier: there is no Medicare billing on file while Medicaid revenue totals $30.1M, indicating its commercial footprint in fee-for-service Medicare is absent or not captured in this dataset. This concentration implies the business model and sales efforts are focused on Medicaid populations and related channels rather than Medicare beneficiaries.

Revenue concentration is high and focused on a small set of enteral supply and formula codes: the precomputed top 3 Medicaid codes account for 53.6% of the provider's total Medicaid revenue, with B4035 alone contributing $8.2M (27.2% of Medicaid revenue). This indicates the provider’s earnings are heavily dependent on a few high-volume product lines rather than a broad mix of lower-revenue items.

The code mix and descriptions show OPTION 1 operates primarily as a dedicated enteral nutrition and related supplies DME supplier. Large volumes for B4035 (enteral feeding supply kit), multiple enteral formula codes (B4161, B4149, B4160, B4154, etc.), and enteral equipment such as B9002 (infusion pump) and gastrostomy/jejunostomy supplies (B4088) indicate core operations supplying both formulas and daily-use enteral consumables to tube-fed patients.

State-level competitive standing is dominant across many product lines: the provider ranks #1 in-state for numerous high-revenue codes (for example, B4035, B4161, B4149, B4160, B4154, B4088, B9998, B4034, B9002 and others) and is repeatedly described as "notably above typical state volume" or at the 100th percentile. These ranks indicate OPTION 1 is a leading supplier in Oregon for enteral nutrition and related supplies.

Several pediatrics-focused formula codes show material volume, signaling a meaningful pediatric customer base within Medicaid. B4161 (pediatric hydrolyzed/amino acid formula) generated $4.6M and B4160 (pediatric calorically dense formula) generated $3M, both ranking #1 in-state; this mix suggests significant provision of specialized pediatric enteral nutrition alongside adult products.

The provider relies heavily on both supply kits and unit-based formula billing patterns: high claim counts for B4035 (34.3K claims) and B9998 (34.4K claims) coupled with substantial unit-based billing for formulas (e.g., thousands of claims for B4161, B4149, B4160) point to recurring, per-day or per-calorie service delivery that creates steady Medicaid revenue streams rather than one-time device sales.

Tenure in the CMS/NPI registry is long-standing: the NPI was enumerated on 2007-06-13 (~19 years ago), indicating the supplier has been operating and credentialed for nearly two decades, which supports its entrenched statewide market position and high-volume rankings.

Although dominant on many codes, the provider’s distribution across some ancillary product lines shows variability versus peers. A few items (for example, T4530, T4534, T4522) rank in the middle of state provider lists (percentiles from ~67th to 92th depending on the code), showing that while the company leads in core enteral categories it is a more modest competitor for some incontinence and ancillary products.

Medicaid: Complete Services Breakdown

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

35 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	34,340	$240	$8.2M
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…	9,650	$470	$4.6M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	8,140	$410	$3.4M
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,…	20,880	$140	$3M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	11,080	$130	$1.5M
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	11,530	$120	$1.4M
B9998	Noc for enteral supplies	34,430	$40	$1.3M
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…	2,640	$430	$1.1M
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…	7,340	$150	$1.1M
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	8,660	$110	$961.4K

Showing 1–10 of 35

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Oregon Distribution

Option 1 Northwest Enteral, LLC — 14 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Oregon

Full comparison — all codes billed, vs. Oregon median

35 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	20	1,990	$210	$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	580	$480	$1.1M
B4149	Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral…	1	10	1,050	$440	$992.1K
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,…	1	10	790	$150	$638.5K
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…	1	10	620	$450	$533.2K
T4530	Pediatric sized disposable incontinence product, brief/diaper, large size, each	2	10	3,300	$60	$524.8K
T4534	Youth sized disposable incontinence product, protective underwear/pull-on, each	3	10	510	$70	$432.1K
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, or silicone elastomer, etc.), each	8	10	250	$150	$404.6K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	1	10	660	$140	$396.9K
T4526	Adult sized disposable incontinence product, protective underwear/pull-on, medium size, each	26	40	1,010	$80	$359.6K

Showing 1–10 of 35

Related Providers

Other providers that share a Tax Identification Number (TIN) with Option 1 Northwest Enteral, 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
Option 1 Northwest Enteral LLC	WA	Parenteral & Enteral Nutrition Supplies (DME)	$0	$32.5M

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
University Professional Services	OR	Pharmacy	$0	$8.1M
Kidscare Home Health Of Oregon LLC	OR	Home Health Agency	$0	$2.5M
West End Surgical, LLC	OR	Ambulatory Surgical Clinic/Center	$2.3M	$0
Crm Physicians, LLC	OR	Internal Medicine Physician	$0	$2.1M
Phillips Care Services	OR	In Home Supportive Care Agency	$0	$1.9M
Centennial Medical Equipment Inc	OR	Durable Medical Equipment & Medical Supplies	$0	$1.3M
Higher Ground Counseling Inc	OR	Professional Counselor	$0	$1.2M
180 Medical, Inc.	OR	Durable Medical Equipment & Medical Supplies	$0	$1.2M
Hadi Nouredine Dmd	OR	General Practice Dentistry	$0	$953.3K
Jessica Spies	OR	Dermatopathology (Pathology) Physician	$642.4K	$0

Option 1 Northwest Enteral, LLC — Billing Profile & Reimbursement Data

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Option 1 Northwest Enteral, 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