B4088
HCPCS Procedure Code
HCPCS code B4088 is the #635 most-billed Medicaid procedure code, with $118.8M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $73.20.
Total Paid
$118.8M
0.01% of all spending
Total Claims
1.4M
Providers
571
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for B4088? Based on 560 providers billing this code nationally.
Median
$73.20
Average
$76.64
Std Dev
$46.37
Max
$361.70
Percentile Distribution (Cost per Claim)
50% of providers bill between $36.30 and $107.70 per claim for this code.
90% bill between $20.97 and $136.01.
Top 1% bill above $189.79.
About This Procedure
HCPCS code B4088 was billed by 571 providers across 1.4M claims, totaling $118.8M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$73.20
Providers Billing
560
National Spending
$118.8M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for B4088
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $10.2M |
| 2 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $10.0M |
| 3 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $6.6M |
| 4 | 1699853713 | $2.3M |
| 5 | 1316364011 | $2.2M |
| 6 | 1760425011 | $2.1M |
| 7 | 1861480048 | $1.5M |
| 8 | 1376620815 | $1.4M |
| 9 | 1912101783 | $1.4M |
| 10 | 1871509489 | $1.4M |
| 11 | 1275637324 | $1.4M |
| 12 | 1902137409 | $1.3M |
| 13 | 1871738153 | $1.3M |
| 14 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $1.3M |
| 15 | 1073692794 | $1.2M |
| 16 | 1326096629 | $1.2M |
| 17 | 1184768293 | $1.1M |
| 18 | 1497831507 | $1.0M |
| 19 | 1326140138 | $1.0M |
| 20 | Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies | $1.0M |
Showing top 20 of 571 providers billing this code