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Option 1 Nutrition Solutions LLC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·Denver, CO·NPI: 1548347156Share
Active Billing Period:2018-01→2024-12(84 months)

Total Paid

$168.5M

$168,526,474

Total Claims

923K

Beneficiaries

796K

1.2 claims/patient

Avg Cost/Claim

$183

#591 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Option 1 Nutrition Solutions LLC is a Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition provider based in Denver, CO. From the 2018–2024 period, this provider received $168.5M in Medicaid payments across 923K claims.

Why This Matters

This provider received $168.5M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 21,065 Medicaid beneficiaries for a full year at average per-enrollee costs.

↑ 40% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$18.3M
+12%
2019
$20.6M
+31%
2020
$27.0M
-4%
2021
$26.0M
-3%
2022
$25.2M
+3%
2023
$25.9M
-2%
2024
$25.5M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 30 distinct procedure codes. The top code (B4160 (Enteral formula, per 100 calories)) accounts for 21% of total spending.

B4160Top 10%

Enteral formula, per 100 calories

$36.1M

117K claims · 21.4%

Your Cost: $308.45/claim|Median: $157.30
2.0× median
B4161Top 25%

Enteral formula, semisolid, 100 calories = 1 unit

$31.8M

44K claims · 18.9%

Your Cost: $729.30/claim|Median: $465.86
1.6× median
B4035Top 10%

Enteral feeding supply kit, pump fed, per day

$24.6M

98K claims · 14.6%

Your Cost: $250.42/claim|Median: $117.24
2.1× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$12.3M

35K claims · 7.3%

Your Cost: $346.72/claim|Median: $300.16
1.2× median
B4088Top 25%

$10.0M

74K claims · 5.9%

Your Cost: $134.20/claim|Median: $73.20
1.8× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$8.2M

108K claims · 4.9%

Your Cost: $76.25/claim|Median: $55.51
1.4× median
B4153Normal range

$4.6M

8,258 claims · 2.7%

Your Cost: $552.68/claim|Median: $410.73
1.3× median
T4534Top 10%

Adult-sized disposable underpads/pads, small

$4.3M

24K claims · 2.5%

Your Cost: $176.74/claim|Median: $110.54
1.6× median
B4155Top 25%

$4.2M

24K claims · 2.5%

Your Cost: $174.82/claim|Median: $46.72
3.7× median
B4158Top 25%

$3.9M

17K claims · 2.3%

Your Cost: $231.22/claim|Median: $145.71
1.6× median
B4152Top 25%

Enteral formula, calorically dense, per 100 calories

$3.9M

28K claims · 2.3%

Your Cost: $137.91/claim|Median: $92.20
1.5× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$3.6M

35K claims · 2.1%

Your Cost: $101.18/claim|Median: $89.79
1.1× median
B4154Top 25%

$3.1M

12K claims · 1.8%

Your Cost: $251.11/claim|Median: $132.96
1.9× median
B4100Normal range

$2.3M

26K claims · 1.3%

Your Cost: $87.96/claim|Median: $67.58
1.3× median
B9002Normal range

$1.8M

29K claims · 1.1%

Your Cost: $62.84/claim|Median: $54.41
1.2× median
A4554Top 25%

Disposable underpads, all sizes

$1.7M

33K claims · 1.0%

Your Cost: $51.30/claim|Median: $37.02
1.4× median
T4530Normal range

$1.6M

17K claims · 0.9%

Your Cost: $93.97/claim|Median: $83.90
1.1× median
B4103Normal range

$1.3M

20K claims · 0.8%

Your Cost: $65.97/claim|Median: $82.54
0.8× median
B4034Top 10%

$1.2M

9,429 claims · 0.7%

Your Cost: $122.85/claim|Median: $46.28
2.7× median
B4104Normal range

$1.1M

15K claims · 0.6%

Your Cost: $73.50/claim|Median: $72.05
1.0× median
T4522Top 10%

Adult-sized disposable incontinence product, brief/diaper, above XL

$961K

6,978 claims · 0.6%

Your Cost: $137.75/claim|Median: $84.50
1.6× median
A4927Top 25%

Gloves, non-sterile, per 100

$778K

37K claims · 0.5%

Your Cost: $21.28/claim|Median: $12.90
1.6× median
B4036Top 10%

$580K

3,498 claims · 0.3%

Your Cost: $165.73/claim|Median: $74.87
2.2× median
A6212Top 5%

$469K

1,577 claims · 0.3%

Your Cost: $297.30/claim|Median: $76.51
3.9× median
T4526Top 10%

Adult-sized disposable incontinence product, medium

$465K

3,382 claims · 0.3%

Your Cost: $137.59/claim|Median: $88.94
1.5× median
B4162Normal range

$461K

1,138 claims · 0.3%

Your Cost: $405.13/claim|Median: $412.82
1.0× median
T4521Top 25%

$449K

3,959 claims · 0.3%

Your Cost: $113.47/claim|Median: $81.60
1.4× median
T4523Top 10%

Adult-sized disposable incontinence product, brief/diaper, small

$415K

2,603 claims · 0.2%

Your Cost: $159.46/claim|Median: $96.13
1.7× median
T4532Normal range

$351K

3,055 claims · 0.2%

Your Cost: $114.94/claim|Median: $116.50
1.0× median
A6250Normal range

Skin sealant protectant, moisturizer, each ounce

$276K

28K claims · 0.2%

Your Cost: $9.89/claim|Median: $9.88
1.0× median

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