#460 of 11K

B9998

Enteral/parenteral nutritional supplies, NOS

Enteral/parenteral nutritional supplies, NOS is the #460 most-billed Medicaid procedure code, with $209.3M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $55.51. Costs vary widely — the 90th percentile is $143.20 per claim, 2.6× the median.

Total Paid

$209.3M

0.02% of all spending

Total Claims

2.8M

Providers

532

Avg Cost/Claim

$74

National Cost Distribution

How much do providers bill per claim for B9998? Based on 520 providers billing this code nationally.

Median

$55.51

Average

$75.27

Std Dev

$86.85

Max

$920.87

Percentile Distribution (Cost per Claim)

p10

$10.87

p25

$27.32

Median

$55.51

p75

$89.84

p90

$143.20

p95

$177.42

p99

$490.15

50% of providers bill between $27.32 and $89.84 per claim for this code.

90% bill between $10.87 and $143.20.

Top 1% bill above $490.15.

About This Procedure

HCPCS code B9998 (Enteral/parenteral nutritional supplies, NOS) was billed by 532 providers across 2.8M claims, totaling $209.3M in Medicaid payments from 2018–2024. This code was used for 2.0M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$55.51

Providers Billing

520

National Spending

$209.3M

Avg/Median Ratio

1.36×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B9998

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies	$12.0M	$62.07	1.1× median	Above Median
2	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$10.2M	$104.77	1.9× median	Above 75th
3	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$10.0M	$73.00	1.3× median	Above Median
4	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$8.2M	$76.25	1.4× median	Above Median
5	1902829500	$7.7M	$298.15	5.4× median	Top 10%
6	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$6.6M	$88.42	1.6× median	Above Median
7	1235209081	$6.1M	$553.81	10.0× median	Top 1%
8	1477748119	$6.1M	$177.23	3.2× median	Top 10%
9	1407159817	$4.6M	$90.15	1.6× median	Above 75th
10	1306865340	$4.3M	$167.78	3.0× median	Top 10%
11	1013952613	$4.1M	$101.39	1.8× median	Above 75th
12	1871509489	$3.2M	$51.38	0.9× median	Below Median
13	1699853713	$3.0M	$54.21	1.0× median	Below Median
14	1750608147	$2.9M	$124.69	2.2× median	Above 75th
15	1801866173	$2.8M	$63.19	1.1× median	Above Median
16	1538128293	$2.7M	$47.25	0.9× median	Below Median
17	1306961792	$2.6M	$49.56	0.9× median	Below Median
18	1376620815	$2.4M	$79.22	1.4× median	Above Median
19	1366580391	$2.4M	$63.00	1.1× median	Above Median
20	1861480048	$2.4M	$63.76	1.1× median	Above Median

Showing top 20 of 532 providers billing this code

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