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B4103
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Medicaid paid $10.97M on code B4103 from 2018 through 2024, to 93 providers — the #1,958 code in the file by dollars. 27% of it was billed in Texas.
28Total paid$10.97M
24GClaims140,315
Paid per claim line$78.18
33Providers billing it93
Box 32 · Location
Where B4103 is billed
The largest of 22 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 B4103
| # | Provider | Location | Claims | Paid on B4103 |
|---|---|---|---|---|
| 1 | Option 1 Nutrition Solutions LLC | Denver, CO | 20,212 | $1.33M |
| 2 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 19,726 | $999K |
| 3 | Wincare, INC. | Rocky Mount, NC | 8,662 | $838K |
| 4 | Apple Homecare Medical Supply LLC | Richardson, TX | 4,105 | $680K |
| 5 | Indiana University Health, INC | Indianapolis, IN | 5,577 | $591K |
| 6 | Medco Respiratory Instruments, INC. | Houston, TX | 7,875 | $508K |
| 7 | Urs Sub I, LLC | Waco, TX | 2,707 | $450K |
| 8 | Cook Childrens Home Health | Fort Worth, TX | 2,057 | $411K |
| 9 | Hometown Oxygen Charlotte LLC | Concord, NC | 2,941 | $277K |
| 10 | Carolinas Medical Center at Home LLC | Charlotte, NC | 3,562 | $271K |
| 11 | Lincare INC. | Wilmington, NC | 3,333 | $241K |
| 12 | 1306961792 | 2,348 | $236K | |
| 13 | Angel Medical Supply LLC | Houston, TX | 725 | $221K |
| 14 | Medi-Rents & Sales, INC. | Baltimore, MD | 1,498 | $169K |
| 15 | Palmetto Seating and Mobility, INC. | Anderson, SC | 719 | $168K |
| 16 | Alliance Medical Supply, LLC | San Antonio, TX | 1,243 | $164K |
| 17 | 1184653388 | 1,510 | $163K | |
| 18 | Tender Care Pediatric Services, INC | Loveland, CO | 2,139 | $158K |
| 19 | Entramed, INC | Tomball, TX | 2,145 | $153K |
| 20 | Option Care Enterprises INC | Marlborough, MA | 1,450 | $146K |
| 21 | Twelvestone Medical, INC. | Murfreesboro, TN | 3,177 | $140K |
| 22 | Johns Hopkins Pediatrics at Home, INC. | Baltimore, MD | 1,244 | $133K |
| 23 | Lincare INC. | Charlotte, NC | 899 | $132K |
| 24 | Continuum, LLC | Philadelphia, PA | 2,285 | $125K |
| 25 | Children's Hospital Medical Center | Cincinnati, OH | 3,301 | $124K |
| 26 | Nationwide Children's Hospital | Columbus, OH | 3,079 | $121K |
| 27 | A2z Home Medical Supplies, INC | Wilmington, NC | 1,232 | $113K |
| 28 | Seattle Children's Hospital | Bothell, WA | 1,622 | $111K |
| 29 | Wave Healthcare | San Antonio, TX | 1,565 | $103K |
| 30 | TCG Interests, LLC | Houston, TX | 836 | $100K |
| 31 | New England Home Therapies, INC. | Southborough, MA | 913 | $94K |
| 32 | Option 1 Northwest Enteral LLC | Kent, WA | 2,108 | $88K |
| 33 | Lincare INC. | Chesapeake, VA | 695 | $88K |
| 34 | Providence Health & Services - Washington | Spokane Valley, WA | 561 | $84K |
| 35 | Ortho-Tek INC | Nacogdoches, TX | 955 | $79K |
| 36 | The Children's Mercy Hospital | Riverside, MO | 1,174 | $74K |
| 37 | Medco Respiratory Instruments, INC. | Virginia Beach, VA | 513 | $71K |
| 38 | Johns Hopkins Pharmaquip INC | Baltimore, MD | 766 | $66K |
| 39 | Multicare Health System | Tacoma, WA | 711 | $64K |
| 40 | Medical Plus Supplies INC | Houston, TX | 971 | $63K |
| 41 | Option 1 Nutrition Solutions LLC | Charlotte, NC | 846 | $57K |
| 42 | Norco, INC. | Meridian, ID | 807 | $50K |
| 43 | Geisinger Pharmacy LLC | Danville, PA | 526 | $48K |
| 44 | Chartwell Pennsylvania, LP | Oakdale, PA | 423 | $45K |
| 45 | Lincare INC. | Chantilly, VA | 347 | $44K |
| 46 | Coram Healthcare Corporation of Florida | Tampa, FL | 513 | $41K |
| 47 | Children's Hospital of Philadelphia | King Of Prussia, PA | 608 | $39K |
| 48 | 1912953431 | 429 | $38K | |
| 49 | Bright Medical Technology INC | Philadelphia, PA | 590 | $37K |
| 50 | Lifehme, INC. | Columbia, SC | 242 | $35K |
| 51 | The Promptcare Companies, INC. | Nashville, TN | 504 | $33K |
| 52 | Nationwide Children's Hospital Homecare | Columbus, OH | 593 | $30K |
| 53 | Wilmington Medical Supply INC | Wilmington, NC | 393 | $30K |
| 54 | The Promptcare Companies, INC. | King Of Prussia, PA | 343 | $23K |
| 55 | Rector & Visitors of the University of Virginia | Charlottesville, VA | 506 | $22K |
| 56 | Allcare Medical Supply Corporation | Millbury, MA | 265 | $22K |
| 57 | Option 1 Nutrition Solutions, LLC | Las Vegas, NV | 1,497 | $21K |
| 58 | Carolina Home Medical, INC. | Smithfield, NC | 272 | $19K |
| 59 | Option 1 Northwest Enteral, LLC | Beaverton, OR | 291 | $18K |
| 60 | Star Formula INC | Addison, TX | 109 | $16K |
| 61 | Infusion Partners LLC | New Orleans, LA | 722 | $16K |
| 62 | Entramed, INC | Colorado Springs, CO | 120 | $12K |
| 63 | Jwtdo LLC | Glasgow, MO | 110 | $10K |
| 64 | Joshua's Respiratory Care, INC | Dallas, TX | 83 | $9K |
| 65 | Shield Texas Healthcare INC | Carrollton, TX | 120 | $9K |
| 66 | Lifehme, INC. | Florence, SC | 64 | $8K |
| 67 | Coram Alternate Site Services, INC. | Asheville, NC | 103 | $8K |
| 68 | 1437161999 | 62 | $7K | |
| 69 | Tender Care Pediatric Services, INC | Colorado Springs, CO | 57 | $6K |
| 70 | Option Care Enterprises, INC. | Tampa, FL | 88 | $6K |
| 71 | Special Needs Network | Arvada, CO | 81 | $5K |
| 72 | Pediatric Home Respiratory Services LLC | Roseville, MN | 326 | $5K |
| 73 | Lincare INC | Indianapolis, IN | 26 | $5K |
| 74 | Apria Healthcare LLC | Indianapolis, IN | 29 | $4K |
| 75 | Knoxville Home Therapies LLC | Knoxville, TN | 186 | $4K |
| 76 | Lincare INC. | Richmond, VA | 26 | $4K |
| 77 | 1770509218 | 42 | $4K | |
| 78 | Britkare Home Medical of Texas LTD | Amarillo, TX | 12 | $3K |
| 79 | Coram Alternate Site Services, INC. | Phoenix, AZ | 2,256 | $3K |
| 80 | Option Care Enterprises INC | Wilmington, NC | 146 | $3K |
| 81 | Founders Healthcare, LLC | Phoenix, AZ | 1,131 | $3K |
| 82 | Regents of the University of Michigan | Ann Arbor, MI | 188 | $3K |
| 83 | Infuscience, LLC | Chantilly, VA | 36 | $2K |
| 84 | Homechoice Partners LLC | Henrico, VA | 23 | $2K |
| 85 | Sanford Healthcare Accessories, LLC | Sioux Falls, SD | 16 | $2K |
| 86 | Homechoice Partners, LLC | Duncan, SC | 16 | $2K |
| 87 | 1013919240 | 283 | $1K | |
| 88 | Duke University Health System, INC. | Durham, NC | 16 | $1K |
| 89 | Behrens Southern Comfort Medical Supply, LLC | League City, TX | 12 | $1K |
| 90 | Lincare INC. | Winston-salem, NC | 15 | $1K |
| 91 | Lincare INC | Moraine, OH | 12 | $239.99 |
| 92 | Founders Healthcare, LLC | Phoenix, AZ | 586 | $0.00 |
| 93 | Founders Healthcare, LLC | Tucson, AZ | 77 | $0.00 |