#2869 of 11K

B4102

HCPCS Procedure Code

HCPCS code B4102 is the #2,869 most-billed Medicaid procedure code, with $3.3M in payments across 40K claims from 2018–2024. The national median cost per claim is $65.22. Costs vary widely — the 90th percentile is $186.10 per claim, 2.9× the median.

Total Paid

$3.3M

0.00% of all spending

Total Claims

40K

Providers

Avg Cost/Claim

$81

National Cost Distribution

How much do providers bill per claim for B4102? Based on 37 providers billing this code nationally.

Median

$65.22

Average

$94.22

Std Dev

$98.28

Max

$535.75

Percentile Distribution (Cost per Claim)

p10

$18.85

p25

$34.98

Median

$65.22

p75

$110.86

p90

$186.10

p95

$228.51

p99

$447.36

50% of providers bill between $34.98 and $110.86 per claim for this code.

90% bill between $18.85 and $186.10.

Top 1% bill above $447.36.

About This Procedure

HCPCS code B4102 was billed by 37 providers across 40K claims, totaling $3.3M in Medicaid payments from 2018–2024. This code was used for 32K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$65.22

Providers Billing

National Spending

$3.3M

Avg/Median Ratio

1.44×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4102

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1144358839	$704K	$103.82	1.6× median	Above Median
2	1306961792	$487K	$213.08	3.3× median	Top 10%
3	1033231832	$358K	$97.31	1.5× median	Above Median
4	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$274K	$92.13	1.4× median	Above Median
5	1033267901	$187K	$34.98	0.5× median	Below Median
6	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$169K	$110.86	1.7× median	Above Median
7	1467467050	$151K	$100.89	1.5× median	Above Median
8	1902863434	$119K	$78.01	1.2× median	Above Median
9	1326096629	$100K	$129.05	2.0× median	Above 75th
10	1366653545	$83K	$201.93	3.1× median	Top 10%
11	1861480048	$74K	$168.51	2.6× median	Above 75th
12	Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies	$66K	$40.06	0.6× median	Below Median
13	1336736115	$65K	$112.88	1.7× median	Above 75th
14	1134175581	$57K	$63.41	1.0× median	Below Median
15	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$51K	$19.46	0.3× median	Below Median
16	1952844334	$43K	$59.33	0.9× median	Below Median
17	Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier	$42K	$51.13	0.8× median	Below Median
18	Rapid Medical, Llc Pueblo, CO · Durable Medical Equipment & Medical Supplies	$41K	$100.54	1.5× median	Above Median
19	1710932173	$32K	$23.62	0.4× median	Below Median
20	1497837280	$30K	$290.21	4.4× median	Top 10%

Showing top 20 of 37 providers billing this code

Related Procedures

B4100$35.7M B4105$28.5M B4103$11.0M B4104$6.1M

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