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OPTION CARE ENTERPRISES, INC.

Pharmacy, Home Infusion Therapy Pharmacy·TAMPA, FL·NPI: 1205924826Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$29.6M

$29,583,765

Total Claims

1.6M

Beneficiaries

100K

15.6 claims/patient

Avg Cost/Claim

$19

Monthly Spending Trend

Yearly Spending

2018
$41K
+872%
2019
$400K
+970%
2020
$4.3M
+87%
2021
$8.0M
-31%
2022
$5.6M
-9%
2023
$5.1M
+23%
2024
$6.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 36 distinct procedure codes. The top code (S9342 (Home infusion therapy, continuous or intermittent, per diem)) accounts for 26% of total spending.

S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$7.6M

665K claims · 25.6%

Your Cost: $11.39/claim|Median: $176.25
0.1× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$4.0M

11K claims · 13.6%

Your Cost: $359.92/claim|Median: $465.86
0.8× median
S9340Normal range

$2.2M

364K claims · 7.5%

Your Cost: $6.10/claim|Median: $196.46
0.0× median
S9366Normal range

$2.0M

42K claims · 6.7%

Your Cost: $46.41/claim|Median: $394.05
0.1× median
B4160Normal range

Enteral formula, per 100 calories

$1.7M

16K claims · 5.8%

Your Cost: $107.30/claim|Median: $157.30
0.7× median
B4105Normal range

$1.5M

433 claims · 5.1%

Your Cost: $3,508.15/claim|Median: $4,164.23
0.8× median
S9343Normal range

$1.0M

170K claims · 3.4%

Your Cost: $5.91/claim|Median: $99.47
0.1× median
99601Normal range

$917K

19K claims · 3.1%

Your Cost: $48.43/claim|Median: $82.41
0.6× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$904K

4,058 claims · 3.1%

Your Cost: $222.85/claim|Median: $300.16
0.7× median
B4153Normal range

$859K

2,157 claims · 2.9%

Your Cost: $398.02/claim|Median: $410.73
1.0× median
E0781Normal range

$783K

35K claims · 2.6%

Your Cost: $22.07/claim|Median: $54.38
0.4× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$635K

10K claims · 2.1%

Your Cost: $61.56/claim|Median: $92.20
0.7× median
B4088Normal range

$622K

9,998 claims · 2.1%

Your Cost: $62.26/claim|Median: $73.20
0.9× median
S9500Normal range

$573K

34K claims · 1.9%

Your Cost: $17.05/claim|Median: $144.40
0.1× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$499K

6,920 claims · 1.7%

Your Cost: $72.17/claim|Median: $89.79
0.8× median
S9379Normal range

$474K

18K claims · 1.6%

Your Cost: $26.58/claim|Median: $70.89
0.4× median
B4155Normal range

$458K

5,756 claims · 1.5%

Your Cost: $79.51/claim|Median: $46.72
1.7× median
B4162Normal range

$368K

1,117 claims · 1.2%

Your Cost: $329.49/claim|Median: $412.82
0.8× median
B4154Normal range

$329K

3,202 claims · 1.1%

Your Cost: $102.67/claim|Median: $132.96
0.8× median
S9374Normal range

$329K

18K claims · 1.1%

Your Cost: $18.69/claim|Median: $136.10
0.1× median
99602Normal range

$266K

2,853 claims · 0.9%

Your Cost: $93.10/claim|Median: $84.91
1.1× median
S9348Normal range

$228K

4,239 claims · 0.8%

Your Cost: $53.86/claim|Median: $141.48
0.4× median
S9501Normal range

$226K

14K claims · 0.8%

Your Cost: $16.58/claim|Median: $160.52
0.1× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$211K

33K claims · 0.7%

Your Cost: $6.49/claim|Median: $117.24
0.1× median
A4223Normal range

$179K

8,921 claims · 0.6%

Your Cost: $20.12/claim|Median: $60.92
0.3× median
S9365Normal range

$162K

5,867 claims · 0.5%

Your Cost: $27.57/claim|Median: $188.23
0.1× median
S9502Normal range

$153K

11K claims · 0.5%

Your Cost: $14.22/claim|Median: $165.71
0.1× median
B4185Normal range

$153K

976 claims · 0.5%

Your Cost: $156.69/claim|Median: $134.70
1.2× median
B4034Normal range

$139K

34K claims · 0.5%

Your Cost: $4.07/claim|Median: $46.28
0.1× median
S9338Normal range

$44K

2,041 claims · 0.1%

Your Cost: $21.71/claim|Median: $60.83
0.4× median
A4222Normal range

$27K

353 claims · 0.1%

Your Cost: $75.43/claim|Median: $62.70
1.2× median
S9367Normal range

$10K

750 claims · 0.0%

Your Cost: $12.67/claim|Median: $270.91
0.0× median
B4103Normal range

$6K

88 claims · 0.0%

Your Cost: $69.15/claim|Median: $82.54
0.8× median
B9002Normal range

$3K

223 claims · 0.0%

Your Cost: $14.96/claim|Median: $54.41
0.3× median
S5497Normal range

$1K

120 claims · 0.0%

Your Cost: $8.80/claim|Median: $46.31
0.2× median
B4036Normal range

$958

145 claims · 0.0%

Your Cost: $6.61/claim|Median: $74.87
0.1× median

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