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OPTION CARE ENTERPRISES, INC.

Pharmacy, Home Infusion Therapy Pharmacy·MILFORD, OH·NPI: 1376631457Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$18.9M

$18,933,406

Total Claims

107K

Beneficiaries

37K

2.9 claims/patient

Avg Cost/Claim

$176

Monthly Spending Trend

Yearly Spending

2018
$1.4M
+171%
2019
$3.7M
+10%
2020
$4.0M
-5%
2021
$3.9M
-13%
2022
$3.3M
-55%
2023
$1.5M
-23%
2024
$1.2M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 44 distinct procedure codes. The top code (J1726) accounts for 52% of total spending.

J1726Normal range

$9.9M

8,243 claims · 52.3%

Your Cost: $1,200.60/claim|Median: $789.74
1.5× median
99601Top 25%

$1.8M

16K claims · 9.3%

Your Cost: $106.72/claim|Median: $82.41
1.3× median
S9500Normal range

$1.1M

7,345 claims · 5.6%

Your Cost: $144.61/claim|Median: $144.40
1.0× median
S9342Normal range

Home infusion therapy, continuous or intermittent, per diem

$980K

12K claims · 5.2%

Your Cost: $79.88/claim|Median: $176.25
0.5× median
A4223Normal range

$783K

13K claims · 4.1%

Your Cost: $61.31/claim|Median: $60.92
1.0× median
S9351Top 10%

$769K

1,082 claims · 4.1%

Your Cost: $710.62/claim|Median: $268.01
2.7× median
B4153Normal range

$592K

1,712 claims · 3.1%

Your Cost: $346.05/claim|Median: $410.73
0.8× median
S9340Top 25%

$441K

669 claims · 2.3%

Your Cost: $658.84/claim|Median: $196.46
3.4× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$399K

7,009 claims · 2.1%

Your Cost: $56.97/claim|Median: $117.24
0.5× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$291K

4,154 claims · 1.5%

Your Cost: $70.07/claim|Median: $92.20
0.8× median
A4222Normal range

$272K

3,983 claims · 1.4%

Your Cost: $68.19/claim|Median: $62.70
1.1× median
S9343Normal range

$179K

4,240 claims · 0.9%

Your Cost: $42.16/claim|Median: $99.47
0.4× median
S9542Normal range

$174K

4,675 claims · 0.9%

Your Cost: $37.11/claim|Median: $43.71
0.8× median
B4185Normal range

$156K

1,632 claims · 0.8%

Your Cost: $95.46/claim|Median: $134.70
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$144K

2,728 claims · 0.8%

Your Cost: $52.63/claim|Median: $89.79
0.6× median
B4034Normal range

$136K

3,376 claims · 0.7%

Your Cost: $40.23/claim|Median: $46.28
0.9× median
S9379Normal range

$126K

1,042 claims · 0.7%

Your Cost: $120.92/claim|Median: $70.89
1.7× median
S9560Normal range

$106K

2,340 claims · 0.6%

Your Cost: $45.49/claim|Median: $119.30
0.4× median
S9374Normal range

$99K

723 claims · 0.5%

Your Cost: $137.30/claim|Median: $136.10
1.0× median
G0299Normal range

Skilled nursing services, home health, per visit, RN

$88K

2,037 claims · 0.5%

Your Cost: $43.17/claim|Median: $51.67
0.8× median
B4154Normal range

$73K

796 claims · 0.4%

Your Cost: $92.15/claim|Median: $132.96
0.7× median
S9502Normal range

$66K

518 claims · 0.3%

Your Cost: $127.49/claim|Median: $165.71
0.8× median
S9590Normal range

$63K

193 claims · 0.3%

Your Cost: $324.98/claim|Median: $324.98
1.0× median
B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$54K

125 claims · 0.3%

Your Cost: $432.58/claim|Median: $465.86
0.9× median
A4221Normal range

Supplies for maintenance of drug infusion catheter

$32K

1,634 claims · 0.2%

Your Cost: $19.76/claim|Median: $16.19
1.2× median
S9345Normal range

$27K

442 claims · 0.1%

Your Cost: $60.50/claim|Median: $41.98
1.4× median
J3370Top 5%

$21K

266 claims · 0.1%

Your Cost: $77.89/claim|Median: $2.40
32.5× median
B4160Normal range

Enteral formula, per 100 calories

$19K

267 claims · 0.1%

Your Cost: $71.60/claim|Median: $157.30
0.5× median
J2405Top 5%

Injection, ondansetron HCl, per one milligram

$19K

626 claims · 0.1%

Your Cost: $30.08/claim|Median: $0.58
51.9× median
S9359Top 25%

$18K

213 claims · 0.1%

Your Cost: $82.27/claim|Median: $62.59
1.3× median
S9501Normal range

$14K

80 claims · 0.1%

Your Cost: $180.55/claim|Median: $160.52
1.1× median
99602Normal range

$13K

152 claims · 0.1%

Your Cost: $87.36/claim|Median: $84.91
1.0× median
J0696Top 1%

$13K

176 claims · 0.1%

Your Cost: $71.50/claim|Median: $1.34
53.4× median
A4305Normal range

$12K

389 claims · 0.1%

Your Cost: $30.41/claim|Median: $76.95
0.4× median
J0878Normal range

$9K

33 claims · 0.0%

Your Cost: $260.39/claim|Median: $130.03
2.0× median
J1580Top 10%

$7K

836 claims · 0.0%

Your Cost: $8.84/claim|Median: $1.13
7.8× median
A4216Normal range

$6K

705 claims · 0.0%

Your Cost: $9.15/claim|Median: $8.45
1.1× median
J1642Top 10%

$4K

243 claims · 0.0%

Your Cost: $17.61/claim|Median: $1.11
15.9× median
E0781Normal range

$4K

449 claims · 0.0%

Your Cost: $8.26/claim|Median: $54.38
0.2× median
A4213Normal range

$3K

190 claims · 0.0%

Your Cost: $16.64/claim|Median: $9.01
1.8× median
J7030Top 25%

Normal saline solution infusion, 1000 cc

$3K

402 claims · 0.0%

Your Cost: $7.64/claim|Median: $1.53
5.0× median
A4217Normal range

Sterile water or saline for nebulizer, per unit

$1K

157 claims · 0.0%

Your Cost: $6.99/claim|Median: $13.14
0.5× median
B4155Normal range

$417

30 claims · 0.0%

Your Cost: $13.90/claim|Median: $46.72
0.3× median
J7050Top 25%

Normal saline solution infusion, 250 cc

$333

56 claims · 0.0%

Your Cost: $5.95/claim|Median: $0.82
7.3× median

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