B4149
Enteral formula, manufactured blenderized, per 100 calories
Enteral formula, manufactured blenderized, per 100 calories is the #408 most-billed Medicaid procedure code, with $259.1M in payments across 832K claims from 2018–2024. The national median cost per claim is $300.16.
Total Paid
$259.1M
0.02% of all spending
Total Claims
832K
Providers
347
Avg Cost/Claim
$311
National Cost Distribution
How much do providers bill per claim for B4149? Based on 343 providers billing this code nationally.
Median
$300.16
Average
$302.74
Std Dev
$130.84
Max
$1,070.04
Percentile Distribution (Cost per Claim)
50% of providers bill between $231.11 and $370.59 per claim for this code.
90% bill between $148.17 and $431.40.
Top 1% bill above $753.11.
About This Procedure
HCPCS code B4149 (Enteral formula, manufactured blenderized, per 100 calories) was billed by 347 providers across 832K claims, totaling $259.1M in Medicaid payments from 2018–2024. This code was used for 635K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$300.16
Providers Billing
343
National Spending
$259.1M
Avg/Median Ratio
1.01×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4149
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $24.5M |
| 2 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $12.3M |
| 3 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $9.7M |
| 4 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $6.0M |
| 5 | 1043398407 | $5.0M |
| 6 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $4.9M |
| 7 | 1326140138 | $4.5M |
| 8 | 1902137409 | $4.4M |
| 9 | 1184653388 | $4.0M |
| 10 | 1871738153 | $3.5M |
| 11 | 1184768293 | $3.4M |
| 12 | 1376620815 | $3.4M |
| 13 | 1912101783 | $3.4M |
| 14 | 1154418218 | $3.1M |
| 15 | 1902829500 | $3.0M |
| 16 | 1497831507 | $3.0M |
| 17 | 1710225271 | $3.0M |
| 18 | 1871509489 | $2.9M |
| 19 | 1245383348 | $2.9M |
| 20 | 1659319325 | $2.7M |
Showing top 20 of 347 providers billing this code