B4153
HCPCS Procedure Code
HCPCS code B4153 is the #568 most-billed Medicaid procedure code, with $143.8M in payments across 333K claims from 2018–2024. The national median cost per claim is $410.73. Costs vary widely — the 90th percentile is $831.34 per claim, 2.0× the median.
Total Paid
$143.8M
0.01% of all spending
Total Claims
333K
Providers
297
Avg Cost/Claim
$432
National Cost Distribution
How much do providers bill per claim for B4153? Based on 294 providers billing this code nationally.
Median
$410.73
Average
$480.91
Std Dev
$355.07
Max
$1,961.27
Percentile Distribution (Cost per Claim)
50% of providers bill between $247.11 and $596.12 per claim for this code.
90% bill between $124.77 and $831.34.
Top 1% bill above $1,628.51.
About This Procedure
HCPCS code B4153 was billed by 297 providers across 333K claims, totaling $143.8M in Medicaid payments from 2018–2024. This code was used for 242K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$410.73
Providers Billing
294
National Spending
$143.8M
Avg/Median Ratio
1.17×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4153
| # | Provider | Total Paid |
|---|---|---|
| 1 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $7.7M |
| 2 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $6.4M |
| 3 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $4.8M |
| 4 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $4.6M |
| 5 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $4.4M |
| 6 | 1891106985 | $3.7M |
| 7 | 1154733186 | $3.0M |
| 8 | 1407159817 | $2.3M |
| 9 | 1184653388 | $2.2M |
| 10 | Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $2.1M |
| 11 | 1871509489 | $1.8M |
| 12 | 1710225271 | $1.6M |
| 13 | 1003862020 | $1.6M |
| 14 | 1417907627 | $1.6M |
| 15 | 1902182637 | $1.6M |
| 16 | 1013952613 | $1.6M |
| 17 | 1649228909 | $1.5M |
| 18 | 1801866173 | $1.5M |
| 19 | 1306865340 | $1.5M |
| 20 | 1861480048 | $1.4M |
Showing top 20 of 297 providers billing this code