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    OpenPayerNPI Medicare & MedicaidOptum Infusion Services 101, Inc.
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    Optum Infusion Services 101, Inc. — Billing Profile & Reimbursement Data

    NPI 1952598575 · Farmingdale, NY · Home Infusion Therapy Pharmacy

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    Optum Infusion Services 101, Inc. is a home infusion therapy pharmacy provider located in Farmingdale, New York. This profile covers 3 Medicare and 14 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationOptum Infusion Services 101, Inc.
    Address931 Conklin St Ste D
    CityFarmingdale
    StateNY
    ZIP11735
    TaxonomyHome Infusion Therapy Pharmacy
    NPI EnumeratedSeptember 27, 2007

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$3.7M
    Medicare$88.9K

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    3 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    G0068Professional services for the administration of anti-infective, pain management, chelation, pulmonary hypertension, inotropic, or other intravenous infusion drug or biological (excluding chemotherapy…1,340$30$42.8K
    G0069Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's…1,680$30$42.1K
    G0089Professional services, initial visit, for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the…160$20$3.5K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 3 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    3 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    G00681101,020$40$42.9K
    G00691101,680$30$42.6K
    G0089110160$20$3.5K

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    14 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg140$7,490$1.1M
    99601The 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.10,940$80$874.8K
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…2,160$210$458.6K
    J1555Injection, immune globulin (cuvitru), 100 mg220$1,850$415.3K
    99602The 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.4,840$60$309.9K
    J1559Injection, immune globulin (hizentra), 100 mg110$2,190$243.2K
    S9338Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…2,840$40$122.1K
    A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)1,000$60$62.9K
    S9379Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…820$50$42.4K
    S9502Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…90$270$24.3K

    Showing 1–10 of 14

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. New York median

    14 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg820140$2,120$1.4M
    S9500Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 24 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…5201,660$260$897.7K
    99601The 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.4202,510$110$737.1K
    S9502Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 8 hours, administrative services, professional pharmacy services, care coordination, and all necessary supplies and…710490$250$529.5K
    S9379Home infusion therapy, infusion therapy, not otherwise classified; administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and…410620$320$487.6K
    J1555Injection, immune globulin (cuvitru), 100 mg110220$1,850$415.2K
    S9501Home infusion therapy, antibiotic, antiviral, or antifungal therapy; once every 12 hours; administrative services, professional pharmacy services, care coordination, and all necessary supplies and…610400$270$262K
    J1559Injection, immune globulin (hizentra), 100 mg110110$2,190$243.2K
    99602The 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.3201,150$120$223.1K
    S9338Home infusion therapy, immunotherapy, administrative services, professional pharmacy services, care coordination, and all necessary supplies and equipment (drugs and nursing visits coded separately),…2101,320$60$100.5K

    Showing 1–10 of 14

    Nearby Providers

    Other providers in the same ZIP code as Optum Infusion Services 101, Inc., ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Enzo Clinical Labs, Inc.NYClinical Medical Laboratory$3.2M$26.2M
    Med-trans CorporationNYAir Ambulance$468.1K$1.8M
    Progressive Surgery Center LLCNYAmbulatory Surgical Clinic/Center$1.7M$0
    Hasib SarijNYInterventional Pain Medicine Physician$597.8K$404.6K
    Ayesha HameedNYInterventional Pain Medicine Physician$431.5K$7.5K
    Ronald FaganNYInternal Medicine Physician$236.9K$21.8K
    Gil MartinezNYPhysician Assistant$256.7K$0
    Jennifer DefeoNYOccupational Therapist$205.3K$0
    Greatneck Chemists IncNYLong Term Care Pharmacy$178.5K$0
    Henry PurslowNYPhysical Therapist$157.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. New York Distribution
    Optum Infusion Services 101, Inc. — 1 of 3 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York
    Medicaid Revenue by Year vs. New York Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. New York Distribution
    Optum Infusion Services 101, Inc. — 0 of 14 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — New York