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#411 of 11K

B4150

Enteral formula, nutritionally complete with fiber, per 100 calories

Enteral formula, nutritionally complete with fiber, per 100 calories is the #411 most-billed Medicaid procedure code, with $254.4M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $89.79.

Total Paid

$254.4M

0.02% of all spending

Total Claims

2.8M

Providers

1K

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for B4150? Based on 1K providers billing this code nationally.

Median

$89.79

Average

$100.34

Std Dev

$79.09

Max

$1,562.20

Percentile Distribution (Cost per Claim)

p10
$34.86
p25
$59.59
Median
$89.79
p75
$124.00
p90
$168.02
p95
$211.30
p99
$302.04

50% of providers bill between $59.59 and $124.00 per claim for this code.

90% bill between $34.86 and $168.02.

Top 1% bill above $302.04.

About This Procedure

HCPCS code B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories) was billed by 1K providers across 2.8M claims, totaling $254.4M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.79

Providers Billing

1K

National Spending

$254.4M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4150

#ProviderTotal Paid
11467467050$4.4M
21922046085$4.3M
31346248341$4.3M
41619988284$4.0M
5Continuum, Llc

Philadelphia, PA · Durable Medical Equipment & Medical Supplies

$3.8M
6Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$3.6M
7Option 1 Nutrition Solutions Llc

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

$3.6M
81336736115$3.0M
9Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$3.0M
10Integra Partners Llc

Troy, MI · Orthotic Fitter

$2.8M
111144358839$2.5M
121124132154$2.4M
131356410864$2.4M
14Pediatric Home Respiratory Services Llc

Roseville, MN · Home Health

$2.3M
15Activstyle, Llc

Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$2.2M
161629072665$2.2M
171427228634$2.2M
181710918164$2.1M
19Shield Denver Health Care Center Inc

Aurora, CO · Durable Medical Equipment & Medical Supplies

$2.0M
201871509489$2.0M

Showing top 20 of 1K providers billing this code