Home › Billing code B4155
B4155
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
Medicaid paid $69.60M on code B4155 from 2018 through 2024, to 364 providers — the #835 code in the file by dollars. 35% of it was billed in Texas.
28Total paid$69.60M
24GClaims623,374
Paid per claim line$111.66
33Providers billing it364
Box 32 · Location
Where B4155 is billed
The largest of 42 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 B4155
| # | Provider | Location | Claims | Paid on B4155 |
|---|---|---|---|---|
| 1 | Medco Respiratory Instruments, INC. | Houston, TX | 24,182 | $4.87M |
| 2 | Option 1 Nutrition Solutions LLC | Denver, CO | 23,921 | $4.18M |
| 3 | Shalom Family INC. | Aurora, CO | 6,869 | $3.88M |
| 4 | Comed Ventures LLC | Denver, CO | 5,574 | $3.67M |
| 5 | Apple Homecare Medical Supply LLC | Richardson, TX | 10,257 | $2.89M |
| 6 | Pediatric Home Respiratory Services LLC | Roseville, MN | 10,992 | $2.71M |
| 7 | Urs Sub I, LLC | Waco, TX | 7,406 | $2.47M |
| 8 | National Medical Supply, INC | Littleton, CO | 3,913 | $2.38M |
| 9 | Entramed, INC | Tomball, TX | 6,739 | $2.16M |
| 10 | Aapex Community Pharmacy INC | Houston, TX | 4,196 | $2.08M |
| 11 | Shield Texas Healthcare INC | Carrollton, TX | 4,530 | $1.29M |
| 12 | TCG Interests, LLC | Houston, TX | 5,468 | $1.27M |
| 13 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 26,526 | $1.17M |
| 14 | 1457828055 | 568 | $1.15M | |
| 15 | Cook Childrens Home Health | Fort Worth, TX | 3,500 | $1.09M |
| 16 | Alliance Medical Supply, LLC | San Antonio, TX | 3,082 | $1.04M |
| 17 | Wave Healthcare | San Antonio, TX | 3,664 | $1.01M |
| 18 | Wincare, INC. | Rocky Mount, NC | 5,767 | $960K |
| 19 | De-Light Medicals INC | Malden, MA | 1,489 | $864K |
| 20 | Carolinas Medical Center at Home LLC | Charlotte, NC | 6,894 | $770K |
| 21 | Angel Medical Supply LLC | Houston, TX | 2,745 | $742K |
| 22 | Star Formula INC | Addison, TX | 2,845 | $699K |
| 23 | Castleton Pharmacy Corp | Staten Island, NY | 1,679 | $631K |
| 24 | 1184653388 | 6,833 | $621K | |
| 25 | Hometown Oxygen Charlotte LLC | Concord, NC | 6,198 | $599K |
| 26 | Knoxville Home Therapies LLC | Knoxville, TN | 4,049 | $545K |
| 27 | Ortho-Tek INC | Nacogdoches, TX | 2,237 | $545K |
| 28 | Indiana University Health, INC | Indianapolis, IN | 12,985 | $508K |
| 29 | Geisinger Pharmacy LLC | Danville, PA | 1,975 | $506K |
| 30 | Total Home Care INC | Morganton, NC | 5,622 | $501K |
| 31 | The Children's Mercy Hospital | Riverside, MO | 5,006 | $491K |
| 32 | Option Care Enterprises, INC. | Tampa, FL | 5,756 | $458K |
| 33 | A&p Quality Care Medical Limited Partnership | Austin, TX | 1,424 | $435K |
| 34 | Home Medical Equipment Specialists LLC | Albuquerque, NM | 3,689 | $435K |
| 35 | Lincare INC. | Charlotte, NC | 3,005 | $372K |
| 36 | Rocky Mountain Medical Equipment, INC. | Lakewood, CO | 3,405 | $370K |
| 37 | Continuum, LLC | Philadelphia, PA | 5,803 | $367K |
| 38 | Tradelink Network USA LLC | Lauderhill, FL | 1,131 | $365K |
| 39 | Medical Plus Supplies INC | Houston, TX | 2,414 | $345K |
| 40 | Regents of the University of Michigan | Ann Arbor, MI | 7,433 | $320K |
| 41 | Britkare Home Medical of Texas LTD | Amarillo, TX | 953 | $317K |
| 42 | Coram Healthcare Corporation of Florida | Tampa, FL | 3,201 | $307K |
| 43 | Innovative Services INC. | Syracuse, NY | 7,009 | $292K |
| 44 | Twelvestone Medical, INC. | Murfreesboro, TN | 12,566 | $272K |
| 45 | Option 1 Northwest Enteral LLC | Kent, WA | 5,706 | $272K |
| 46 | Children's Hospital Medical Center | Cincinnati, OH | 6,382 | $271K |
| 47 | RGH Enterprises, LLC | Twinsburg, OH | 2,807 | $270K |
| 48 | Shield Denver Health Care Center INC | Aurora, CO | 1,513 | $254K |
| 49 | Nationwide Children's Hospital | Columbus, OH | 6,917 | $248K |
| 50 | Romo Medical Equipment, LLC | San Antonio, TX | 1,257 | $241K |
| 51 | Option Care Enterprises INC | Marlborough, MA | 3,230 | $236K |
| 52 | Duke University Health System, INC. | Durham, NC | 1,532 | $231K |
| 53 | Tender Care Pediatric Services, INC | Loveland, CO | 1,507 | $227K |
| 54 | Bioscrip Infusion Services, LLC | Tampa, FL | 1,082 | $225K |
| 55 | Seattle Children's Hospital | Bothell, WA | 3,125 | $222K |
| 56 | Wadsworth Medical Arts Pharmacy LLC | Arvada, CO | 786 | $222K |
| 57 | Shield California Health Care Center INC | Valencia, CA | 3,280 | $218K |
| 58 | 1770509218 | 1,469 | $216K | |
| 59 | Keith & Associates INC. | Tulsa, OK | 2,393 | $216K |
| 60 | A2z Home Medical Supplies, INC | Wilmington, NC | 1,509 | $211K |
| 61 | Integra Partners LLC | Troy, MI | 765 | $190K |
| 62 | Coram Alternate Site Services, INC. | Asheville, NC | 1,467 | $187K |
| 63 | Allcare Medical Supply Corporation | Millbury, MA | 2,864 | $184K |
| 64 | Travis Medical Sales Corporation | Temple, TX | 486 | $184K |
| 65 | Option 1 Northwest Enteral, LLC | Beaverton, OR | 6,278 | $182K |
| 66 | Ihc Health Services INC | South Jordan, UT | 3,896 | $181K |
| 67 | Advanced Medical Equipment, LLC | Miamisburg, OH | 5,512 | $178K |
| 68 | Johns Hopkins Pediatrics at Home, INC. | Baltimore, MD | 2,289 | $178K |
| 69 | Option Care Enterprises INC | Louisville, KY | 4,127 | $177K |
| 70 | 1497837280 | 1,887 | $175K | |
| 71 | Crescent City Pharmaceuticals INC | Kenner, LA | 509 | $171K |
| 72 | Medi-Rents & Sales, INC. | Baltimore, MD | 5,478 | $171K |
| 73 | Bright Medical Technology INC | Philadelphia, PA | 1,295 | $160K |
| 74 | Carmichael's Cashway Pharmacy, INC. | Crowley, LA | 3,884 | $159K |
| 75 | HHSC Wic Program | Austin, TX | 1,209 | $158K |
| 76 | Option Care Enterprises, INC. | Itasca, IL | 4,212 | $156K |
| 77 | Childrens Home Healthcare | Omaha, NE | 2,617 | $151K |
| 78 | Discount Drug Mart INC | Medina, OH | 2,873 | $150K |
| 79 | The Promptcare Companies, INC. | New Providence, NJ | 1,383 | $150K |
| 80 | Option 1 Nutrition Solutions LLC | Charlotte, NC | 1,158 | $143K |
| 81 | Joshua's Respiratory Care, INC | Dallas, TX | 1,010 | $142K |
| 82 | Infusion Partners LLC | Memphis, TN | 3,753 | $142K |
| 83 | Apria Healthcare LLC | Indianapolis, IN | 2,684 | $141K |
| 84 | Providence Health & Services - Washington | Spokane Valley, WA | 2,648 | $135K |
| 85 | Elite Medical & Mobility, LLC | Frisco, TX | 369 | $134K |
| 86 | 1306961792 | 4,034 | $133K | |
| 87 | Lifehme, INC. | Columbia, SC | 3,510 | $132K |
| 88 | Children's Hospital Medical Center of Akron | Akron, OH | 2,939 | $129K |
| 89 | Doubek Medical Supply INC. | Alsip, IL | 5,019 | $122K |
| 90 | Athome Medical INC | Morris Plains, NJ | 984 | $122K |
| 91 | Hometown Oxygen Charlotte, LLC | Leland, NC | 1,611 | $122K |
| 92 | Behrens Southern Comfort Medical Supply, LLC | League City, TX | 963 | $118K |
| 93 | Kabafusion Ky, LLC | Louisville, KY | 2,109 | $118K |
| 94 | East Tennessee Children's Hospital Association, INC | Farragut, TN | 4,671 | $117K |
| 95 | Johns Hopkins Pharmaquip INC | Baltimore, MD | 1,353 | $116K |
| 96 | Infusion Partners LLC | New Orleans, LA | 4,570 | $114K |
| 97 | RSVP Equipment of Greater Cincinnati, LLC | Covington, KY | 2,219 | $111K |
| 98 | Infusion Partners, LLC | Canfield, OH | 4,105 | $109K |
| 99 | Coram Healthcare/Carolina Home Therapeutics | Columbia, SC | 2,206 | $109K |
| 100 | 1578505897 | 2,256 | $108K |