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#1889 of 11K

B4157

HCPCS Procedure Code

HCPCS code B4157 is the #1,889 most-billed Medicaid procedure code, with $12.2M in payments across 16K claims from 2018–2024. The national median cost per claim is $693.97.

Total Paid

$12.2M

0.00% of all spending

Total Claims

16K

Providers

26

Avg Cost/Claim

$746

National Cost Distribution

How much do providers bill per claim for B4157? Based on 24 providers billing this code nationally.

Median

$693.97

Average

$724.91

Std Dev

$416.23

Max

$1,818.34

Percentile Distribution (Cost per Claim)

p10
$267.49
p25
$418.83
Median
$693.97
p75
$993.54
p90
$1,209.78
p95
$1,292.38
p99
$1,700.41

50% of providers bill between $418.83 and $993.54 per claim for this code.

90% bill between $267.49 and $1,209.78.

Top 1% bill above $1,700.41.

About This Procedure

HCPCS code B4157 was billed by 26 providers across 16K claims, totaling $12.2M in Medicaid payments from 2018–2024. This code was used for 14K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$693.97

Providers Billing

24

National Spending

$12.2M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for B4157

#ProviderTotal Paid
11194820001$2.4M
21164736146$2.1M
31538309331$1.3M
41487896957$1.3M
51437543212$1.1M
6Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$1.1M
71184653388$603K
81508890450$591K
91588945109$482K
101154733186$304K
111518971928$271K
121629013156$241K
131497837280$101K
141992958417$85K
15Indiana University Health, Inc

Indianapolis, IN · Durable Medical Equipment & Medical Supplies

$63K
161801980024$61K
171033166244$57K
181356348866$38K
191871509489$23K
201831443456$13K

Showing top 20 of 26 providers billing this code