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OPTION 1 NUTRITION SOLUTIONS, LLC

Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition·CHANDLER, AZ·NPI: 1871509489Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$79.2M

$79,180,307

Total Claims

878K

Beneficiaries

721K

1.2 claims/patient

Avg Cost/Claim

$90

Monthly Spending Trend

Yearly Spending

2018
$3.2M
+72%
2019
$5.5M
+36%
2020
$7.5M
+76%
2021
$13.2M
+19%
2022
$15.8M
+21%
2023
$19.0M
-22%
2024
$14.9M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 50 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 26% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$20.3M

75K claims · 25.6%

Your Cost: $270.36/claim|Median: $465.86
0.6× median
B4160Normal range

Enteral formula, per 100 calories

$16.4M

174K claims · 20.7%

Your Cost: $94.20/claim|Median: $157.30
0.6× median
B4035Normal range

Enteral feeding supply kit, pump fed, per day

$14.7M

141K claims · 18.6%

Your Cost: $104.34/claim|Median: $117.24
0.9× median
B9998Normal range

Enteral/parenteral nutritional supplies, NOS

$3.2M

63K claims · 4.1%

Your Cost: $51.38/claim|Median: $55.51
0.9× median
B4149Normal range

Enteral formula, manufactured blenderized, per 100 calories

$2.9M

23K claims · 3.7%

Your Cost: $127.80/claim|Median: $300.16
0.4× median
B4158Normal range

$2.5M

18K claims · 3.2%

Your Cost: $143.19/claim|Median: $145.71
1.0× median
B4152Normal range

Enteral formula, calorically dense, per 100 calories

$2.4M

29K claims · 3.1%

Your Cost: $85.88/claim|Median: $92.20
0.9× median
B9002Normal range

$2.2M

63K claims · 2.8%

Your Cost: $35.47/claim|Median: $54.41
0.7× median
B4150Normal range

Enteral formula, nutritionally complete with fiber, per 100 calories

$2.0M

34K claims · 2.5%

Your Cost: $58.69/claim|Median: $89.79
0.7× median
B4153Normal range

$1.8M

7,862 claims · 2.2%

Your Cost: $224.90/claim|Median: $410.73
0.5× median
B4088Normal range

$1.4M

38K claims · 1.7%

Your Cost: $36.41/claim|Median: $73.20
0.5× median
B4154Normal range

$1.3M

11K claims · 1.6%

Your Cost: $119.67/claim|Median: $132.96
0.9× median
B4034Normal range

$1.3M

26K claims · 1.6%

Your Cost: $48.86/claim|Median: $46.28
1.1× median
B4155Normal range

$1.2M

27K claims · 1.5%

Your Cost: $44.20/claim|Median: $46.72
0.9× median
B4103Normal range

$999K

20K claims · 1.3%

Your Cost: $50.67/claim|Median: $82.54
0.6× median
B4162Normal range

$818K

2,160 claims · 1.0%

Your Cost: $378.47/claim|Median: $412.82
0.9× median
B4100Normal range

$591K

13K claims · 0.7%

Your Cost: $47.14/claim|Median: $67.58
0.7× median
T4530Normal range

$408K

5,253 claims · 0.5%

Your Cost: $77.62/claim|Median: $83.90
0.9× median
T4534Normal range

Adult-sized disposable underpads/pads, small

$388K

4,082 claims · 0.5%

Your Cost: $94.96/claim|Median: $110.54
0.9× median
B4036Normal range

$367K

4,647 claims · 0.5%

Your Cost: $78.92/claim|Median: $74.87
1.1× median
A4554Normal range

Disposable underpads, all sizes

$334K

9,334 claims · 0.4%

Your Cost: $35.74/claim|Median: $37.02
1.0× median
E0776Normal range

$317K

45K claims · 0.4%

Your Cost: $7.00/claim|Median: $8.13
0.9× median
B4081Normal range

$287K

9,168 claims · 0.4%

Your Cost: $31.27/claim|Median: $36.64
0.9× median
A9999Normal range

$240K

3,052 claims · 0.3%

Your Cost: $78.50/claim|Median: $39.73
2.0× median
T4522Normal range

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

$150K

1,717 claims · 0.2%

Your Cost: $87.63/claim|Median: $84.50
1.0× median
T4532Normal range

$119K

1,427 claims · 0.1%

Your Cost: $83.19/claim|Median: $116.50
0.7× median
B4082Normal range

$100K

3,394 claims · 0.1%

Your Cost: $29.44/claim|Median: $28.33
1.0× median
B4104Normal range

$76K

4,186 claims · 0.1%

Your Cost: $18.22/claim|Median: $72.05
0.3× median
T4521Normal range

$67K

788 claims · 0.1%

Your Cost: $85.03/claim|Median: $81.60
1.0× median
A4335Normal range

Incontinence supply, miscellaneous

$62K

13K claims · 0.1%

Your Cost: $4.79/claim|Median: $5.54
0.9× median
T4541Normal range

Pediatric-sized disposable incontinence product, large

$33K

1,075 claims · 0.0%

Your Cost: $30.28/claim|Median: $41.28
0.7× median
A4927Normal range

Gloves, non-sterile, per 100

$29K

2,284 claims · 0.0%

Your Cost: $12.60/claim|Median: $12.90
1.0× median
T4526Normal range

Adult-sized disposable incontinence product, medium

$27K

405 claims · 0.0%

Your Cost: $67.59/claim|Median: $88.94
0.8× median
B4102Normal range

$26K

823 claims · 0.0%

Your Cost: $31.41/claim|Median: $65.22
0.5× median
T4523Top 25%

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

$24K

196 claims · 0.0%

Your Cost: $122.51/claim|Median: $96.13
1.3× median
B4157Normal range

$23K

54 claims · 0.0%

Your Cost: $423.55/claim|Median: $693.97
0.6× median
T4525Top 25%

$22K

218 claims · 0.0%

Your Cost: $102.74/claim|Median: $79.46
1.3× median
A4385Normal range

$17K

251 claims · 0.0%

Your Cost: $67.66/claim|Median: $49.51
1.4× median
E1399Normal range

Durable medical equipment, miscellaneous

$16K

42 claims · 0.0%

Your Cost: $386.15/claim|Median: $104.06
3.7× median
B4087Normal range

$11K

628 claims · 0.0%

Your Cost: $17.24/claim|Median: $25.27
0.7× median
W4211Normal range

$4K

2,428 claims · 0.0%

Your Cost: $1.79/claim|Median: $1.09
1.6× median
A4371Top 25%

$1K

242 claims · 0.0%

Your Cost: $6.04/claim|Median: $3.49
1.7× median
A4456Normal range

$1K

202 claims · 0.0%

Your Cost: $6.60/claim|Median: $6.74
1.0× median
A4351Normal range

Intermittent urinary catheter, straight tip, each

$951

14 claims · 0.0%

Your Cost: $67.92/claim|Median: $116.15
0.6× median
W4212Normal range

$193

201 claims · 0.0%

Your Cost: $0.96/claim|Median: $1.00
1.0× median
A5120Normal range

$79

35 claims · 0.0%

Your Cost: $2.25/claim|Median: $6.35
0.4× median
A4322Normal range

$73

15 claims · 0.0%

Your Cost: $4.85/claim|Median: $14.10
0.3× median
A6257Normal range

$37

173 claims · 0.0%

Your Cost: $0.22/claim|Median: $10.48
0.0× median
84035Normal range

$0

265 claims · 0.0%

Your Cost: $0.00/claim|Median: $2.08
84160Normal range

$0

201 claims · 0.0%

Your Cost: $0.00/claim|Median: $1.94

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