B4035
Enteral feeding supply kit, pump fed, per day
Enteral feeding supply kit, pump fed, per day is the #197 most-billed Medicaid procedure code, with $837.1M in payments across 6.9M claims from 2018–2024. The national median cost per claim is $117.24. Costs vary widely — the 90th percentile is $238.74 per claim, 2.0× the median.
Total Paid
$837.1M
0.08% of all spending
Total Claims
6.9M
Providers
1K
Avg Cost/Claim
$122
National Cost Distribution
How much do providers bill per claim for B4035? Based on 1K providers billing this code nationally.
Median
$117.24
Average
$125.57
Std Dev
$80.94
Max
$534.15
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.96 and $176.56 per claim for this code.
90% bill between $25.68 and $238.74.
Top 1% bill above $337.05.
About This Procedure
HCPCS code B4035 (Enteral feeding supply kit, pump fed, per day) was billed by 1K providers across 6.9M claims, totaling $837.1M in Medicaid payments from 2018–2024. This code was used for 4.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$117.24
Providers Billing
1K
National Spending
$837.1M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4035
| # | Provider | Total Paid |
|---|---|---|
| 1 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $25.1M |
| 2 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $24.6M |
| 3 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $21.1M |
| 4 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $19.5M |
| 5 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $19.4M |
| 6 | 1871509489 | $14.7M |
| 7 | Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment | $14.2M |
| 8 | 1760425011 | $12.9M |
| 9 | 1902137409 | $10.7M |
| 10 | 1346270527 | $10.4M |
| 11 | 1396852000 | $10.2M |
| 12 | 1871738153 | $9.8M |
| 13 | 1861480048 | $9.1M |
| 14 | 1073692794 | $8.6M |
| 15 | 1912101783 | $8.2M |
| 16 | 1184768293 | $8.2M |
| 17 | 1326140138 | $8.1M |
| 18 | 1750686432 | $8.0M |
| 19 | 1245383348 | $7.8M |
| 20 | 1407159817 | $7.7M |
Showing top 20 of 1K providers billing this code