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B4102
Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Medicaid paid $3.26M on code B4102 from 2018 through 2024, to 37 providers — the #2,869 code in the file by dollars.
28Total paid$3.26M
24GClaims40,204
Paid per claim line$81.10
33Providers billing it37
Box 32 · Location
Where B4102 is billed
The largest of 16 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.
Ranked
Top providers billing B4102
| # | Provider | Location | Claims | Paid on B4102 |
|---|---|---|---|---|
| 1 | National Medical Supply, INC | Littleton, CO | 6,777 | $704K |
| 2 | 1306961792 | 2,286 | $487K | |
| 3 | National Total Care Services, LLC | Lafayette, LA | 3,674 | $358K |
| 4 | Indiana University Health, INC | Indianapolis, IN | 2,973 | $274K |
| 5 | Carmichael's Cashway Pharmacy, INC. | Crowley, LA | 5,347 | $187K |
| 6 | Home Care Delivered, INC. | Richmond, VA | 1,528 | $169K |
| 7 | Tmed Holdings, INC. | Pembroke, MA | 1,499 | $151K |
| 8 | Allcare Medical Supply Corporation | Millbury, MA | 1,524 | $119K |
| 9 | Regents of the University of Michigan | Ann Arbor, MI | 774 | $100K |
| 10 | One Source Medical Group LLC | Tampa, FL | 413 | $83K |
| 11 | Medi-Rents & Sales, INC. | Baltimore, MD | 441 | $74K |
| 12 | Medline Industries, LP | Grayslake, IL | 1,643 | $66K |
| 13 | Optumrx, INC. | Eden Prairie, MN | 572 | $65K |
| 14 | Geisinger Pharmacy LLC | Danville, PA | 896 | $57K |
| 15 | Option 1 Nutrition Solutions LLC | Denver, CO | 2,620 | $51K |
| 16 | Inclusa INC | Stevens Point, WI | 723 | $43K |
| 17 | RGH Enterprises, LLC | Twinsburg, OH | 824 | $42K |
| 18 | Rapid Medical, LLC | Pueblo, CO | 403 | $41K |
| 19 | Byram Healthcare Centers, INC. | White Plains, NY | 1,362 | $32K |
| 20 | 1497837280 | 103 | $30K | |
| 21 | Continuum, LLC | Philadelphia, PA | 408 | $27K |
| 22 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 823 | $26K |
| 23 | Conlin's Pharmacy, INC. | Methuen, MA | 264 | $23K |
| 24 | Rocky Mountain Medical Equipment, INC. | Lakewood, CO | 610 | $11K |
| 25 | George's Family Pharmacy INC | Brookville, IN | 18 | $10K |
| 26 | Airline Drug INC. | Springfield, MA | 187 | $9K |
| 27 | Sentara Enterprises | Chesapeake, VA | 50 | $7K |
| 28 | Rocky Mountain Homecare, INC. | Arvada, CO | 106 | $6K |
| 29 | 1184653388 | 13 | $2K | |
| 30 | Bioscrip Pharmacy Services, INC | Dublin, OH | 71 | $2K |
| 31 | Lincare INC | Westerville, OH | 113 | $2K |
| 32 | Lincare INC. | Cleveland, OH | 50 | $2K |
| 33 | Bright Medical Technology INC | Philadelphia, PA | 14 | $1K |
| 34 | HHSC Wic Program | Austin, TX | 201 | $754.19 |
| 35 | Shield Denver Health Care Center INC | Aurora, CO | 13 | $646.13 |
| 36 | Integra Partners LLC | Troy, MI | 12 | $401.63 |
| 37 | Coram Alternate Site Services, INC. | Phoenix, AZ | 869 | $264.67 |