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#1119 of 11K

B4189

HCPCS Procedure Code

HCPCS code B4189 is the #1,119 most-billed Medicaid procedure code, with $39.6M in payments across 73K claims from 2018–2024. The national median cost per claim is $743.70.

Total Paid

$39.6M

0.00% of all spending

Total Claims

73K

Providers

27

Avg Cost/Claim

$545

National Cost Distribution

How much do providers bill per claim for B4189? Based on 27 providers billing this code nationally.

Median

$743.70

Average

$782.81

Std Dev

$681.69

Max

$3,682.23

Percentile Distribution (Cost per Claim)

p10
$199.79
p25
$358.46
Median
$743.70
p75
$947.38
p90
$1,184.61
p95
$1,283.88
p99
$3,068.85

50% of providers bill between $358.46 and $947.38 per claim for this code.

90% bill between $199.79 and $1,184.61.

Top 1% bill above $3,068.85.

About This Procedure

HCPCS code B4189 was billed by 27 providers across 73K claims, totaling $39.6M in Medicaid payments from 2018–2024. This code was used for 13K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$743.70

Providers Billing

27

National Spending

$39.6M

Avg/Median Ratio

1.05×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4189

#ProviderTotal Paid
1Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$7.3M
21912930736$6.8M
31326096629$5.0M
41891703575$3.6M
51952440604$3.4M
61629174214$3.0M
71770528994$2.4M
81598809600$1.9M
91669657193$1.3M
101457395394$1.3M
111396852000$689K
121780187237$587K
131912958174$503K
141750517108$471K
151134226178$367K
161326279746$241K
171578866752$201K
181720187362$114K
191184653388$95K
201760417232$92K

Showing top 20 of 27 providers billing this code