Medicaid Provider Spending Explorer

T-MSIS provider-level spending data, Jan 2018 – Dec 2024

Data note: November and December 2024 data may be incomplete due to CMS reporting delays (typically 3–6 months for full coverage). Learn more
← All Procedures

B4161Enteral/Parenteral

Ef ped hydrolyzed/amino acid

Total Paid

$1.05B

$1,049,842,847

Beneficiaries

1.9M

1,914,181

Avg $/Claim

$389

Median: $577

Utilization

1.4 claims/bene

543 providers

Top Providers for This Procedure

Each dot is a provider. X = cost index (vs procedure median). Y = total spending.

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Provider Rankings

#ProviderStateTotal Paid$/ClaimCost IndexClaimsBeneficiaries
1
1245765163

HHSC WIC PROGRAM

TX$146.8M$169vs $577 med0.29x868,404513,194
2
1518032622

INDIANA UNIVERSITY HEALTH, INC

IN$65.1M$780vs $577 med1.35x83,43964,167
3
1093789901

MEDCO RESPIRATORY INSTRUMENTS, INC.

TX$31.8M$569vs $577 med0.99x55,87146,564
4
1548347156

OPTION 1 NUTRITION SOLUTIONS LLC

CO$31.8M$729vs $577 med1.26x43,57537,620
5
1871509489

OPTION 1 NUTRITION SOLUTIONS, LLC

AZ$20.3M$270vs $577 med0.47x74,94261,088
6
1902863434

ALLCARE MEDICAL SUPPLY CORPORATION

MA$17.6M$501vs $577 med0.87x35,17334,473
7
1629141213

PEDIATRIC HOME RESPIRATORY SERVICES LLC

MN$16.9M$555vs $577 med0.96x30,42423,195
8
1649259797

APPLE HOMECARE MEDICAL SUPPLY LLC

TX$15.3M$766vs $577 med1.33x19,93918,438
9
1801866173

COOK CHILDRENS HOME HEALTH

TX$11.9M$813vs $577 med1.41x14,67313,165
10
1710225271

PROVIDENCE HEALTH & SERVICES - WASHINGTON

WA$11.9M$555vs $577 med0.96x21,43118,709
11
1407159817

URS SUB I, LLC

TX$11.6M$716vs $577 med1.24x16,17115,459
12
1194859629

ENTRAMED, INC

TX$9.7M$659vs $577 med1.14x14,67913,694
13
1043512114

SHIELD TEXAS HEALTHCARE INC

TX$9.5M$657vs $577 med1.14x14,52314,049
14
1154418218

TWELVESTONE MEDICAL, INC.

TN$9.1M$308vs $577 med0.53x29,68914,722
15
1346270527

OPTION CARE ENTERPRISES, INC.

IL$9.1M$618vs $577 med1.07x14,7349,392
16
1902897259

ELM PHARMACY, INC.

NY$8.8M$864vs $577 med1.50x10,1959,288
17$8.8M$494vs $577 med0.86x17,78115,939
18
1003862020

INNOVATIVE SERVICES INC.

NY$8.5M$537vs $577 med0.93x15,85012,888
19$8.4M$398vs $577 med0.69x21,12515,324
20
1871738153

HOMETOWN OXYGEN CHARLOTTE LLC

NC$7.7M$398vs $577 med0.69x19,43714,848
21
1659319325

WINCARE, INC.

NC$7.3M$482vs $577 med0.83x15,17413,034
22
1902137409

REHABTECH SUPPLY, LLC

IL$7.0M$624vs $577 med1.08x11,26910,451
23
1831499789

EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION, INC

TN$7.0M$373vs $577 med0.65x18,83511,898
24
1962502229

INTEGRA PARTNERS LLC

MI$6.9M$625vs $577 med1.08x10,99510,682
25
1477748119

WAVE HEALTHCARE

TX$6.8M$725vs $577 med1.25x9,3759,153

50 rows · Page 1 of 2

State Breakdown

Each dot is a state. X = average cost per claim. Y = total spending.

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State Rankings

#StateTotal PaidAvg $/ClaimClaimsBeneficiariesProviders
1TX$294.8M$2711,088,243710,07041
2IN$81.0M$714113,43887,81613
3FL$54.9M$66682,47162,96130
4CO$49.1M$70969,27658,05216
5OH$41.5M$385107,70567,57527
6MA$41.2M$54375,84471,40514
7NC$36.8M$326113,09470,88925
8TN$35.8M$332107,94557,89716
9NY$33.6M$60855,21648,52320
10WA$30.1M$54255,52348,44611
11IL$29.5M$59349,77138,23416
12AZ$21.4M$197108,30887,4727
13MN$18.3M$56732,25724,7734
14SC$16.8M$51732,49325,8188
15PA$15.3M$47432,35328,23220
16VA$15.3M$24363,01138,53819
17MD$14.9M$45232,91524,24013
18MI$14.4M$45131,90828,65713
19NJ$14.0M$67720,61817,67510
20MO$12.1M$43927,55022,23311
21NH$12.0M$48224,91416,0297
22OK$11.9M$67417,71916,0676
23CA$11.8M$28341,59739,37627
24KY$9.6M$32229,99515,5339
25ME$8.1M$1,1546,9784,7564

48 rows · Page 1 of 2