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Hhsc Wic Program

Pharmacy·Austin, TX·NPI: 1245765163Share
Active Billing Period:2018-012024-12(84 months)

Total Paid

$244.6M

$244,570,608

Total Claims

1.7M

Beneficiaries

1.0M

1.7 claims/patient

Avg Cost/Claim

$146

#339 of 618K providers by total spending(top <0.1%)

🔍 Analysis

Provider Overview

Hhsc Wic Program is a Pharmacy provider based in Austin, TX. From the 2018–2024 period, this provider received $244.6M in Medicaid payments across 1.7M claims.

Why This Matters

This provider received $244.6M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 30,571 Medicaid beneficiaries for a full year at average per-enrollee costs.

65% growthsince first billing year

Monthly Spending Trend

Yearly Spending

2018
$28.0M
-13%
2019
$24.3M
+22%
2020
$29.6M
+32%
2021
$38.9M
-20%
2022
$31.1M
+50%
2023
$46.5M
-1%
2024
$46.1M

Procedure Breakdown

Cost per claim compared to national benchmarks

This provider bills for 8 distinct procedure codes. The top code (B4161 (Enteral formula, semisolid, 100 calories = 1 unit)) accounts for 60% of total spending.

B4161Normal range

Enteral formula, semisolid, 100 calories = 1 unit

$146.8M

868K claims · 60.0%

Your Cost: $169.08/claim|Median: $465.86
0.4× median
B4160Normal range

Enteral formula, per 100 calories

$76.8M

714K claims · 31.4%

Your Cost: $107.55/claim|Median: $157.30
0.7× median
B4162Normal range

$19.0M

76K claims · 7.8%

Your Cost: $251.55/claim|Median: $412.82
0.6× median
B4158Normal range

$1.3M

16K claims · 0.5%

Your Cost: $82.87/claim|Median: $145.71
0.6× median
B4154Normal range

$378K

3K claims · 0.2%

Your Cost: $135.55/claim|Median: $132.96
1.0× median
B4155Top 25%

$158K

1K claims · 0.1%

Your Cost: $131.03/claim|Median: $46.72
2.8× median
B4150Top 25%

Enteral formula, nutritionally complete with fiber, per 100 calories

$41K

306 claims · 0.0%

Your Cost: $133.70/claim|Median: $89.79
1.5× median
B4102Normal range

$754

201 claims · 0.0%

Your Cost: $3.75/claim|Median: $65.22
0.1× median