Home › Billing code B4157
B4157
Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Medicaid paid $12.15M on code B4157 from 2018 through 2024, to 26 providers — the #1,889 code in the file by dollars.
28Total paid$12.15M
24GClaims16,291
Paid per claim line$745.88
33Providers billing it26
Box 32 · Location
Where B4157 is billed
The largest of 14 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 B4157
| # | Provider | Location | Claims | Paid on B4157 |
|---|---|---|---|---|
| 1 | Washington State Department of Health | Shoreline, WA | 3,240 | $2.38M |
| 2 | De-Light Medicals INC | Malden, MA | 1,150 | $2.09M |
| 3 | Castleton Pharmacy Corp | Staten Island, NY | 1,003 | $1.31M |
| 4 | Jwtdo LLC | Glasgow, MO | 1,911 | $1.28M |
| 5 | Asaasa Medical Supply & Home Oxygen | Charlotte, NC | 1,512 | $1.10M |
| 6 | RGH Enterprises, LLC | Twinsburg, OH | 2,602 | $1.05M |
| 7 | 1184653388 | 676 | $603K | |
| 8 | Fairview Pharmacy Services LLC | Shoreview, MN | 1,320 | $591K |
| 9 | Inomancy Incorporation | Raleigh, NC | 765 | $482K |
| 10 | Tradelink Network USA LLC | Lauderhill, FL | 369 | $304K |
| 11 | 1518971928 | 280 | $271K | |
| 12 | Aapex Community Pharmacy INC | Houston, TX | 334 | $241K |
| 13 | 1497837280 | 83 | $101K | |
| 14 | Express Medical Supply, INC | Raleigh, NC | 158 | $85K |
| 15 | Indiana University Health, INC | Indianapolis, IN | 59 | $63K |
| 16 | Tri-Med, INC. | Clinton Twp., MI | 54 | $61K |
| 17 | Chartwell Pennsylvania, LP | Oakdale, PA | 348 | $57K |
| 18 | Complete Infusion Services, LLC | Novi, MI | 32 | $38K |
| 19 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 54 | $23K |
| 20 | Joy Medical Supply | Charlotte, NC | 25 | $13K |
| 21 | Children's Hospital Medical Center | Cincinnati, OH | 14 | $6K |
| 22 | State University of Iowa | Iowa City, IA | 19 | $5K |
| 23 | Pentec Health INC | Upper Chichester, PA | 17 | $4K |
| 24 | 1013919240 | 15 | $1K | |
| 25 | Coram Alternate Site Services, INC. | Phoenix, AZ | 238 | $0.00 |
| 26 | Founders Healthcare, LLC | Phoenix, AZ | 13 | $0.00 |