Home › Billing code B4158
B4158
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
Medicaid paid $34.66M on code B4158 from 2018 through 2024, to 157 providers — the #1,184 code in the file by dollars.
28Total paid$34.66M
24GClaims215,469
Paid per claim line$160.88
33Providers billing it157
Box 32 · Location
Where B4158 is billed
The largest of 33 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 B4158
| # | Provider | Location | Claims | Paid on B4158 |
|---|---|---|---|---|
| 1 | Option 1 Nutrition Solutions LLC | Denver, CO | 16,775 | $3.88M |
| 2 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 17,599 | $2.52M |
| 3 | Integra Partners LLC | Troy, MI | 6,141 | $2.45M |
| 4 | Indiana University Health, INC | Indianapolis, IN | 14,361 | $2.26M |
| 5 | Medco Respiratory Instruments, INC. | Houston, TX | 10,513 | $1.77M |
| 6 | HHSC Wic Program | Austin, TX | 15,977 | $1.32M |
| 7 | Allcare Medical Supply Corporation | Millbury, MA | 2,754 | $878K |
| 8 | Apple Homecare Medical Supply LLC | Richardson, TX | 3,551 | $802K |
| 9 | 1306961792 | 4,910 | $751K | |
| 10 | Urs Sub I, LLC | Waco, TX | 3,487 | $721K |
| 11 | Shield Texas Healthcare INC | Carrollton, TX | 2,902 | $648K |
| 12 | Hometown Oxygen Charlotte LLC | Concord, NC | 5,092 | $620K |
| 13 | Preferred Health Medical Supply LLC | Bronx, NY | 1,840 | $587K |
| 14 | Procare Home Medical, INC. | Anchorage, AK | 3,669 | $576K |
| 15 | Cook Childrens Home Health | Fort Worth, TX | 2,390 | $545K |
| 16 | 1184653388 | 2,265 | $509K | |
| 17 | Entramed, INC | Tomball, TX | 2,819 | $496K |
| 18 | TCG Interests, LLC | Houston, TX | 2,269 | $484K |
| 19 | Pediatric Home Respiratory Services LLC | Roseville, MN | 2,876 | $468K |
| 20 | RGH Enterprises, LLC | Twinsburg, OH | 3,136 | $457K |
| 21 | Behrens Southern Comfort Medical Supply, LLC | League City, TX | 1,705 | $429K |
| 22 | Option 1 Northwest Enteral LLC | Kent, WA | 3,609 | $418K |
| 23 | Home Medical Equipment Specialists LLC | Albuquerque, NM | 1,516 | $379K |
| 24 | Option 1 Northwest Enteral, LLC | Beaverton, OR | 3,526 | $332K |
| 25 | Cornerstone Health Systems | Hohenwald, TN | 1,283 | $326K |
| 26 | Rocky Mountain Medical Equipment, INC. | Lakewood, CO | 1,367 | $322K |
| 27 | Twelvestone Medical, INC. | Murfreesboro, TN | 2,305 | $314K |
| 28 | Star Formula INC | Addison, TX | 1,453 | $295K |
| 29 | Infusion Partners LLC | Memphis, TN | 1,900 | $269K |
| 30 | The Promptcare Companies, INC. | New Providence, NJ | 1,153 | $256K |
| 31 | Children's Hospital Medical Center | Cincinnati, OH | 3,024 | $247K |
| 32 | Lincare INC. | Fayetteville, NC | 1,773 | $242K |
| 33 | Medical Plus Supplies INC | Houston, TX | 1,245 | $240K |
| 34 | Shield Denver Health Care Center INC | Aurora, CO | 1,115 | $226K |
| 35 | A&p Quality Care Medical Limited Partnership | Austin, TX | 838 | $223K |
| 36 | Angel Medical Supply LLC | Houston, TX | 726 | $216K |
| 37 | Option Care Enterprises, INC. | Itasca, IL | 2,533 | $210K |
| 38 | 1912953431 | 1,190 | $205K | |
| 39 | Medi-Rents & Sales, INC. | Baltimore, MD | 1,502 | $205K |
| 40 | Rehabtech Supply, LLC | Elmhurst, IL | 2,148 | $194K |
| 41 | Sentara Enterprises | Chesapeake, VA | 1,025 | $194K |
| 42 | Coram Alternate Site Services INC | Denver, CO | 1,111 | $191K |
| 43 | The Children's Mercy Hospital | Riverside, MO | 1,544 | $188K |
| 44 | Regents of the University of Michigan | Ann Arbor, MI | 2,793 | $188K |
| 45 | Continuum, LLC | Philadelphia, PA | 1,029 | $184K |
| 46 | Amerita, INC. | Oklahoma City, OK | 731 | $184K |
| 47 | The Promptcare Companies, INC. | King Of Prussia, PA | 1,100 | $179K |
| 48 | Option 1 Nutrition Solutions LLC | Oklahoma City, OK | 726 | $173K |
| 49 | Promptcare Home Infusion LLC | Plainview, NY | 331 | $154K |
| 50 | Visiting Nurse Association of Wisconsin, INC. | West Allis, WI | 1,263 | $153K |
| 51 | Entramed, INC | Colorado Springs, CO | 636 | $145K |
| 52 | Carolinas Medical Center at Home LLC | Charlotte, NC | 1,760 | $142K |
| 53 | Seattle Children's Hospital | Bothell, WA | 1,737 | $138K |
| 54 | 1407985922 | 1,057 | $136K | |
| 55 | Lincare INC | Indianapolis, IN | 747 | $135K |
| 56 | Duke University Health System, INC. | Durham, NC | 1,189 | $123K |
| 57 | Ortho-Tek INC | Nacogdoches, TX | 663 | $123K |
| 58 | Providence Health & Services - Washington | Spokane Valley, WA | 1,072 | $122K |
| 59 | Lincare INC. | Greenwood, IN | 747 | $116K |
| 60 | Wave Healthcare | San Antonio, TX | 535 | $115K |
| 61 | Option Care Infusion Services, LLC | Nashville, TN | 1,097 | $114K |
| 62 | Innovative Services INC. | Syracuse, NY | 595 | $113K |
| 63 | Lincare INC | Westerville, OH | 948 | $113K |
| 64 | Option Care at Legacy Health LLC | Portland, OR | 988 | $109K |
| 65 | Johns Hopkins Pharmaquip INC | Baltimore, MD | 875 | $108K |
| 66 | Johns Hopkins Pediatrics at Home, INC. | Baltimore, MD | 903 | $107K |
| 67 | Alliance Medical Supply, LLC | San Antonio, TX | 560 | $106K |
| 68 | Fairmeadows Home Health Center, INC. | Griffith, IN | 508 | $100K |
| 69 | Chartwell Pennsylvania, LP | Oakdale, PA | 738 | $98K |
| 70 | Helen C Ananti | Charlotte, NC | 948 | $96K |
| 71 | Pharmacy Counter, LLC | Toledo, OH | 443 | $94K |
| 72 | Tender Care Pediatric Services, INC | Loveland, CO | 478 | $89K |
| 73 | Albermarle Medical Supply | Albemarle, NC | 723 | $88K |
| 74 | Rector & Visitors of the University of Virginia | Charlottesville, VA | 1,540 | $87K |
| 75 | 1881639755 | 571 | $80K | |
| 76 | Option Care Home Care INC | Wauwatosa, WI | 1,046 | $72K |
| 77 | Aapex Community Pharmacy INC | Houston, TX | 614 | $69K |
| 78 | Lincare INC. | Cleveland, OH | 941 | $65K |
| 79 | 1366475022 | 411 | $64K | |
| 80 | Lincare INC. | Earth City, MO | 126 | $61K |
| 81 | East Tennessee Children's Hospital Association, INC | Farragut, TN | 547 | $61K |
| 82 | Coram Healthcare/Carolina Home Therapeutics | Columbia, SC | 627 | $60K |
| 83 | 1316046915 | 361 | $60K | |
| 84 | Advanced Medical Equipment, LLC | Miamisburg, OH | 400 | $58K |
| 85 | Option 1 Nutrition Solutions LLC | Tulsa, OK | 272 | $57K |
| 86 | 1093814774 | 301 | $57K | |
| 87 | Nationwide Children's Hospital Homecare | Columbus, OH | 476 | $56K |
| 88 | Lincare INC. | Chesapeake, VA | 369 | $56K |
| 89 | Adderson Healthcare of Idaho, INC. | Meridian, ID | 263 | $50K |
| 90 | De-Light Medicals INC | Malden, MA | 104 | $50K |
| 91 | Minuteman Medical INC. | Manchester, NH | 169 | $49K |
| 92 | Children's Hospital Medical Center | Cincinnati, OH | 318 | $38K |
| 93 | The Promptcare Companies, INC. | Nashville, TN | 193 | $37K |
| 94 | Trinity Homecare LLC | Ridgewood, NY | 193 | $37K |
| 95 | Coram Healthcare Corporation of Florida | Tampa, FL | 229 | $37K |
| 96 | 1578505897 | 296 | $37K | |
| 97 | Lincare INC. | Bartlett, TN | 137 | $35K |
| 98 | Infusion Partners LLC | New Orleans, LA | 1,496 | $34K |
| 99 | Westcare INC | Englewood, CO | 242 | $32K |
| 100 | Hometown Oxygen Charlotte, LLC | Leland, NC | 351 | $30K |