B4158
HCPCS Procedure Code
HCPCS code B4158 is the #1,184 most-billed Medicaid procedure code, with $34.7M in payments across 215K claims from 2018–2024. The national median cost per claim is $145.71.
Total Paid
$34.7M
0.00% of all spending
Total Claims
215K
Providers
157
Avg Cost/Claim
$161
National Cost Distribution
How much do providers bill per claim for B4158? Based on 153 providers billing this code nationally.
Median
$145.71
Average
$160.68
Std Dev
$94.14
Max
$741.56
Percentile Distribution (Cost per Claim)
50% of providers bill between $110.08 and $192.88 per claim for this code.
90% bill between $73.70 and $251.09.
Top 1% bill above $485.34.
About This Procedure
HCPCS code B4158 was billed by 157 providers across 215K claims, totaling $34.7M in Medicaid payments from 2018–2024. This code was used for 175K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$145.71
Providers Billing
153
National Spending
$34.7M
Avg/Median Ratio
1.10×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4158
| # | Provider | Total Paid |
|---|---|---|
| 1 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $3.9M |
| 2 | 1871509489 | $2.5M |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $2.4M |
| 4 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $2.3M |
| 5 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $1.8M |
| 6 | Hhsc Wic Program Austin, TX · Pharmacy | $1.3M |
| 7 | 1902863434 | $878K |
| 8 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $802K |
| 9 | 1306961792 | $751K |
| 10 | 1407159817 | $721K |
| 11 | 1043512114 | $648K |
| 12 | 1871738153 | $620K |
| 13 | 1679823587 | $587K |
| 14 | 1780625533 | $576K |
| 15 | 1801866173 | $545K |
| 16 | 1184653388 | $509K |
| 17 | 1194859629 | $496K |
| 18 | 1013952613 | $484K |
| 19 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $468K |
| 20 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $457K |
Showing top 20 of 157 providers billing this code