Home › Billing code B4162
B4162
Enteral formula, for pediatrics, 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 $40.49M on code B4162 from 2018 through 2024, to 53 providers — the #1,107 code in the file by dollars. 64% of it was billed in Texas.
28Total paid$40.49M
24GClaims115,735
Paid per claim line$349.85
33Providers billing it53
Box 32 · Location
Where B4162 is billed
The largest of 21 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 B4162
| # | Provider | Location | Claims | Paid on B4162 |
|---|---|---|---|---|
| 1 | HHSC Wic Program | Austin, TX | 75,545 | $19.00M |
| 2 | Aapex Community Pharmacy INC | Houston, TX | 7,045 | $5.22M |
| 3 | Jwtdo LLC | Glasgow, MO | 2,541 | $1.72M |
| 4 | Indiana University Health, INC | Indianapolis, IN | 2,712 | $1.14M |
| 5 | Medco Respiratory Instruments, INC. | Houston, TX | 1,522 | $1.11M |
| 6 | The Children's Mercy Hospital | Riverside, MO | 2,217 | $880K |
| 7 | Tri-Med, INC. | Clinton Twp., MI | 955 | $845K |
| 8 | 1184653388 | 1,182 | $844K | |
| 9 | Option 1 Nutrition Solutions, LLC | Chandler, AZ | 2,160 | $818K |
| 10 | Innovation Health Center | Morrisville, NC | 629 | $577K |
| 11 | Entramed, INC | Tomball, TX | 804 | $574K |
| 12 | Children's Hospital Medical Center | Cincinnati, OH | 1,399 | $531K |
| 13 | Cornerstone Health Systems | Hohenwald, TN | 1,168 | $485K |
| 14 | RGH Enterprises, LLC | Twinsburg, OH | 1,356 | $483K |
| 15 | Option 1 Nutrition Solutions LLC | Denver, CO | 1,138 | $461K |
| 16 | 1518971928 | 934 | $456K | |
| 17 | De-Light Medicals INC | Malden, MA | 273 | $421K |
| 18 | Entramed, INC | Colorado Springs, CO | 826 | $404K |
| 19 | Lorraine Surgical Supply INC | Middleburg Heights, OH | 655 | $400K |
| 20 | Castleton Pharmacy Corp | Staten Island, NY | 299 | $383K |
| 21 | Option Care Enterprises, INC. | Tampa, FL | 1,117 | $368K |
| 22 | Nicholasville Pharmacy Services INC | Nicholasville, KY | 596 | $357K |
| 23 | Coram Healthcare Corporation of Florida | Tampa, FL | 306 | $327K |
| 24 | Asaasa Medical Supply & Home Oxygen | Charlotte, NC | 557 | $325K |
| 25 | Knoxville Home Therapies LLC | Knoxville, TN | 1,210 | $260K |
| 26 | Amerita, INC. | Oklahoma City, OK | 473 | $235K |
| 27 | Ihc Health Services INC | South Jordan, UT | 815 | $211K |
| 28 | Kabafusion Ky, LLC | Louisville, KY | 740 | $177K |
| 29 | Pediatric Home Respiratory Services LLC | Roseville, MN | 485 | $169K |
| 30 | Integra Partners LLC | Troy, MI | 195 | $164K |
| 31 | Johns Hopkins Pediatrics at Home, INC. | Baltimore, MD | 365 | $138K |
| 32 | Tradelink Network USA LLC | Lauderhill, FL | 173 | $121K |
| 33 | 1053340893 | 137 | $116K | |
| 34 | Twelvestone Medical, INC. | Murfreesboro, TN | 430 | $94K |
| 35 | Urs Sub I, LLC | Waco, TX | 94 | $78K |
| 36 | Fairview Pharmacy Services LLC | Shoreview, MN | 208 | $76K |
| 37 | Children's Hospital of Philadelphia | King Of Prussia, PA | 443 | $67K |
| 38 | Option Care Infusion Services, LLC | Nashville, TN | 243 | $65K |
| 39 | Option Care Enterprises INC | Marlborough, MA | 80 | $53K |
| 40 | Nationwide Children's Hospital | Columbus, OH | 326 | $42K |
| 41 | Office of Public Health -Genetics Diseases Program | New Orleans, LA | 271 | $39K |
| 42 | State University of Iowa | Iowa City, IA | 106 | $37K |
| 43 | Wincare, INC. | Rocky Mount, NC | 50 | $34K |
| 44 | Complete Infusion Services, LLC | Novi, MI | 45 | $34K |
| 45 | Chartwell Pennsylvania, LP | Oakdale, PA | 218 | $32K |
| 46 | Accesscare | Morrisville, NC | 71 | $31K |
| 47 | Bioscrip Infusion Services, LLC | Tampa, FL | 60 | $25K |
| 48 | Nationwide Children's Hospital Homecare | Columbus, OH | 134 | $24K |
| 49 | Option 1 Northwest Enteral LLC | Kent, WA | 52 | $21K |
| 50 | 1750445623 | 81 | $15K | |
| 51 | Seattle Children's Hospital | Bothell, WA | 12 | $4K |
| 52 | 1013919240 | 74 | $264.36 | |
| 53 | Coram Alternate Site Services, INC. | Phoenix, AZ | 208 | $1.16 |