#768 of 11K

B4034

HCPCS Procedure Code

HCPCS code B4034 is the #768 most-billed Medicaid procedure code, with $85.3M in payments across 1.6M claims from 2018–2024. The national median cost per claim is $46.28. Costs vary widely — the 90th percentile is $112.07 per claim, 2.4× the median.

Total Paid

$85.3M

0.01% of all spending

Total Claims

1.6M

Providers

707

Avg Cost/Claim

$53

National Cost Distribution

How much do providers bill per claim for B4034? Based on 703 providers billing this code nationally.

Median

$46.28

Average

$55.18

Std Dev

$40.10

Max

$351.47

Percentile Distribution (Cost per Claim)

p10

$11.53

p25

$25.17

Median

$46.28

p75

$78.14

p90

$112.07

p95

$127.32

p99

$165.33

50% of providers bill between $25.17 and $78.14 per claim for this code.

90% bill between $11.53 and $112.07.

Top 1% bill above $165.33.

About This Procedure

HCPCS code B4034 was billed by 707 providers across 1.6M claims, totaling $85.3M in Medicaid payments from 2018–2024. This code was used for 993K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$46.28

Providers Billing

703

National Spending

$85.3M

Avg/Median Ratio

1.19×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4034

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$6.4M	$108.89	2.4× median	Above 75th
2	1760425011	$4.3M	$98.90	2.1× median	Above 75th
3	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$2.3M	$87.73	1.9× median	Above 75th
4	Apria Healthcare Llc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$1.9M	$78.70	1.7× median	Above 75th
5	1396852000	$1.8M	$165.37	3.6× median	Top 1%
6	1366580391	$1.4M	$55.65	1.2× median	Above Median
7	1902829500	$1.3M	$153.07	3.3× median	Top 10%
8	1871509489	$1.3M	$48.86	1.1× median	Above Median
9	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$1.2M	$122.85	2.7× median	Top 10%
10	1154418218	$1.0M	$24.01	0.5× median	Below Median
11	1750517108	$1.0M	$75.13	1.6× median	Above Median
12	1912101783	$959K	$110.76	2.4× median	Above 75th
13	1295803831	$916K	$39.40	0.9× median	Below Median
14	1043398407	$915K	$121.64	2.6× median	Top 10%
15	1750686432	$888K	$83.24	1.8× median	Above 75th
16	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$857K	$129.89	2.8× median	Top 10%
17	1710225271	$774K	$97.88	2.1× median	Above 75th
18	1326140138	$759K	$183.60	4.0× median	Top 1%
19	1649228909	$722K	$110.78	2.4× median	Above 75th
20	1659319325	$657K	$58.07	1.3× median	Above Median

Showing top 20 of 707 providers billing this code

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