#1958 of 11K

B4103

HCPCS Procedure Code

HCPCS code B4103 is the #1,958 most-billed Medicaid procedure code, with $11.0M in payments across 140K claims from 2018–2024. The national median cost per claim is $82.54.

Total Paid

$11.0M

0.00% of all spending

Total Claims

140K

Providers

Avg Cost/Claim

$78

National Cost Distribution

How much do providers bill per claim for B4103? Based on 91 providers billing this code nationally.

Median

$82.54

Average

$90.72

Std Dev

$53.32

Max

$304.61

Percentile Distribution (Cost per Claim)

p10

$22.48

p25

$63.98

Median

$82.54

p75

$109.08

p90

$149.18

p95

$176.17

p99

$276.32

50% of providers bill between $63.98 and $109.08 per claim for this code.

90% bill between $22.48 and $149.18.

Top 1% bill above $276.32.

About This Procedure

HCPCS code B4103 was billed by 93 providers across 140K claims, totaling $11.0M in Medicaid payments from 2018–2024. This code was used for 117K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$82.54

Providers Billing

National Spending

$11.0M

Avg/Median Ratio

1.10×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4103

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$1.3M	$65.97	0.8× median	Below Median
2	1871509489	$999K	$50.67	0.6× median	Below Median
3	1659319325	$838K	$96.77	1.2× median	Above Median
4	Apple Homecare Medical Supply Llc Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment	$680K	$165.66	2.0× median	Top 10%
5	Indiana University Health, Inc Indianapolis, IN · Durable Medical Equipment & Medical Supplies	$591K	$105.99	1.3× median	Above Median
6	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$508K	$64.49	0.8× median	Below Median
7	1407159817	$450K	$166.24	2.0× median	Top 10%
8	1801866173	$411K	$200.03	2.4× median	Top 10%
9	1871738153	$277K	$94.27	1.1× median	Above Median
10	1750517108	$271K	$76.13	0.9× median	Below Median
11	1750310603	$241K	$72.28	0.9× median	Below Median
12	1306961792	$236K	$100.31	1.2× median	Above Median
13	1750608147	$221K	$304.61	3.7× median	Top 1%
14	1861480048	$169K	$112.62	1.4× median	Above 75th
15	1902829500	$168K	$233.18	2.8× median	Top 10%
16	1306865340	$164K	$132.17	1.6× median	Above 75th
17	1184653388	$163K	$107.90	1.3× median	Above Median
18	1316364011	$158K	$74.07	0.9× median	Below Median
19	1194859629	$153K	$71.51	0.9× median	Below Median
20	1952440604	$146K	$100.39	1.2× median	Above Median

Showing top 20 of 93 providers billing this code

Related Procedures

B4100$35.7M B4105$28.5M B4104$6.1M B4102$3.3M

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