#411 of 11K

B4150

Enteral formula, nutritionally complete with fiber, per 100 calories

Enteral formula, nutritionally complete with fiber, per 100 calories is the #411 most-billed Medicaid procedure code, with $254.4M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $89.79.

Total Paid

$254.4M

0.02% of all spending

Total Claims

2.8M

Providers

Avg Cost/Claim

$90

National Cost Distribution

How much do providers bill per claim for B4150? Based on 1K providers billing this code nationally.

Median

$89.79

Average

$100.34

Std Dev

$79.09

Max

$1,562.20

Percentile Distribution (Cost per Claim)

p10

$34.86

p25

$59.59

Median

$89.79

p75

$124.00

p90

$168.02

p95

$211.30

p99

$302.04

50% of providers bill between $59.59 and $124.00 per claim for this code.

90% bill between $34.86 and $168.02.

Top 1% bill above $302.04.

About This Procedure

HCPCS code B4150 (Enteral formula, nutritionally complete with fiber, per 100 calories) was billed by 1K providers across 2.8M claims, totaling $254.4M in Medicaid payments from 2018–2024. This code was used for 2.2M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$89.79

Providers Billing

National Spending

$254.4M

Avg/Median Ratio

1.12×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4150

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	1467467050	$4.4M	$124.33	1.4× median	Above 75th
2	1922046085	$4.3M	$1,562.20	17.4× median	Top 1%
3	1346248341	$4.3M	$63.79	0.7× median	Below Median
4	1619988284	$4.0M	$99.29	1.1× median	Above Median
5	Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies	$3.8M	$100.68	1.1× median	Above Median
6	Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies	$3.6M	$159.94	1.8× median	Above 75th
7	Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$3.6M	$101.18	1.1× median	Above Median
8	1336736115	$3.0M	$70.69	0.8× median	Below Median
9	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$3.0M	$60.31	0.7× median	Below Median
10	Integra Partners Llc Troy, MI · Orthotic Fitter	$2.8M	$82.35	0.9× median	Below Median
11	1144358839	$2.5M	$100.02	1.1× median	Above Median
12	1124132154	$2.4M	$121.08	1.3× median	Above Median
13	1356410864	$2.4M	$175.35	2.0× median	Top 10%
14	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$2.3M	$278.16	3.1× median	Top 10%
15	Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$2.2M	$81.52	0.9× median	Below Median
16	1629072665	$2.2M	$83.39	0.9× median	Below Median
17	1427228634	$2.2M	$137.74	1.5× median	Above 75th
18	1710918164	$2.1M	$141.36	1.6× median	Above 75th
19	Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies	$2.0M	$50.04	0.6× median	Below Median
20	1871509489	$2.0M	$58.69	0.7× median	Below Median

Showing top 20 of 1K providers billing this code

Related Procedures

B4160Enteral formula, per 100 calories$628.3M B4149Enteral formula, manufactured blenderized, per 100 calories$259.1M B4152Enteral formula, calorically dense, per 100 calories$183.9M B4154$148.5M B4153$143.8M

← All procedures Top providers →