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#408 of 11K

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)

p10
$148.17
p25
$231.11
Median
$300.16
p75
$370.59
p90
$431.40
p95
$492.96
p99
$753.11

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

#ProviderTotal Paid
1Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$24.5M
2Option 1 Nutrition Solutions Llc

Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$12.3M
3Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$9.7M
4Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$6.0M
51043398407$5.0M
6Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$4.9M
71326140138$4.5M
81902137409$4.4M
91184653388$4.0M
101871738153$3.5M
111184768293$3.4M
121376620815$3.4M
131912101783$3.4M
141154418218$3.1M
151902829500$3.0M
161497831507$3.0M
171710225271$3.0M
181871509489$2.9M
191245383348$2.9M
201659319325$2.7M

Showing top 20 of 347 providers billing this code