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#1168 of 11K

B4100

HCPCS Procedure Code

HCPCS code B4100 is the #1,168 most-billed Medicaid procedure code, with $35.7M in payments across 438K claims from 2018–2024. The national median cost per claim is $67.58. Costs vary widely — the 90th percentile is $164.08 per claim, 2.4× the median.

Total Paid

$35.7M

0.00% of all spending

Total Claims

438K

Providers

226

Avg Cost/Claim

$82

National Cost Distribution

How much do providers bill per claim for B4100? Based on 224 providers billing this code nationally.

Median

$67.58

Average

$85.23

Std Dev

$75.24

Max

$539.02

Percentile Distribution (Cost per Claim)

p10
$29.28
p25
$42.24
Median
$67.58
p75
$95.08
p90
$164.08
p95
$221.07
p99
$448.74

50% of providers bill between $42.24 and $95.08 per claim for this code.

90% bill between $29.28 and $164.08.

Top 1% bill above $448.74.

About This Procedure

HCPCS code B4100 was billed by 226 providers across 438K claims, totaling $35.7M in Medicaid payments from 2018–2024. This code was used for 377K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$67.58

Providers Billing

224

National Spending

$35.7M

Avg/Median Ratio

1.26×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4100

#ProviderTotal Paid
11235300674$6.1M
21710918164$2.7M
3Option 1 Nutrition Solutions Llc

Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$2.3M
41992736425$1.7M
51851456180$902K
61245383348$893K
71467467050$785K
81962440891$764K
91649485848$755K
101396852000$722K
111194837229$634K
121356410864$630K
131487623880$593K
141871509489$591K
151154349157$566K
16Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$507K
171659319325$476K
181487896957$353K
191205837879$342K
201962463075$339K

Showing top 20 of 226 providers billing this code