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

Why is the Medicaid comparison limited to Texas 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. Texas (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 1912930736)

Field	Value
Entity Type	Organization
Organization	Option Care Enterprises, Inc.
Address	9360 Kirby Dr Ste 100
City	Houston
State	TX
ZIP	77054
Taxonomy	Home Infusion Therapy Pharmacy
NPI Enumerated	July 7, 2006

Payer Source	Total Paid
Medicaid	$13.8M
Medicare	$0

Medicaid: Complete Services Breakdown

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

41 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	10,050	$680	$6.8M
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	7,900	$240	$1.9M
B4224	Parenteral nutrition administration kit, per day	18,560	$70	$1.3M
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…	1,280	$540	$692.1K
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	810	$830	$671.5K
A4305	Disposable drug delivery system, flow rate of 50 ml or greater per hour	1,260	$360	$447.3K
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	70	$6,350	$425.2K
B4220	Parenteral nutrition supply kit; premix, per day	18,460	$20	$406.1K
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	18,750	$20	$375.1K
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	5,100	$60	$290.5K

Showing 1–10 of 41

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Texas Distribution

Option Care Enterprises, Inc. — 3 of 25 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

41 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
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…	25	40	2,180	$270	$7.2M
B4189	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix	1	10	5,680	$630	$3.5M
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,…	41	50	2,810	$150	$3.2M
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	11	60	2,520	$210	$1.8M
B4105	In-line cartridge containing digestive enzyme(s) for enteral feeding, each	3	10	230	$4,200	$1.2M
B9998	Noc for enteral supplies	40	60	4,690	$90	$1.1M
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	2	10	1,920	$160	$887K
B4155	Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium…	30	30	1,340	$250	$771.4K
J1726	Injection, hydroxyprogesterone caproate, (makena), 10 mg	1	10	770	$1,190	$672.6K
B4224	Parenteral nutrition administration kit, per day	2	10	3,640	$60	$488.2K

Showing 1–10 of 41

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	KY	Pharmacy	$0	$39.1M
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	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
Tcg Interests, LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$52.4M
Texas Quality One Medical Services Inc.	TX	Personal Care Attendant	$0	$31.7M
Siblings Healthcare Solutions LLC	TX	Home Health Agency	$0	$19.7M
National Seating & Mobility, Inc.	TX	Durable Medical Equipment & Medical Supplies	$0	$17.7M
Optimal In Home Care Inc.	TX	Personal Care Attendant	$0	$13.6M
United Seating And Mobility LLC	TX	Durable Medical Equipment & Medical Supplies	$0	$11.6M
Privia Medical Group Gulf Coast, PLLC	TX	Obstetrics & Gynecology Physician	$0	$11.3M
Access Dx Laboratory LLC	TX	Clinical Medical Laboratory	$458.3K	$4.3M
Ignacio Valdes	TX	Psychiatry Physician	$404.4K	$2.1M
Orion Ambulance Service LLC	TX	Land Ambulance	$1.8M	$476.7K

Option Care Enterprises, Inc. — Billing Profile & Reimbursement Data

Sign up for Option Care Enterprises, Inc. — Billing Profile & Reimbursement Data policy alerts

Option Care Enterprises, Inc. — Billing Profile & Reimbursement Data

Sign up for Option Care Enterprises, Inc. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References