Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Texas for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Texas only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Texas (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Hhsc Wic Program (NPI 1245765163)

Field	Value
Entity Type	Organization
Organization	Hhsc Wic Program
Address	4616 W Howard Ln Ste 840
City	Austin
State	TX
ZIP	78728
Taxonomy	Pharmacy
NPI Enumerated	April 28, 2017

Payer Source	Total Paid
Medicaid	$244.9M
Medicare	$0

Key Findings

HHSC WIC PROGRAM is effectively a Medicaid-focused distributor of pediatric enteral nutrition products: its lifetime Medicaid revenue is $244.9M and there is no Medicare billing on file, making it functionally single-payer in the available claims data. The provider taxonomy is Pharmacy and the NPI was enumerated on 2017-04-28 (~9 years ago), indicating roughly nine years of activity under this billing identity.

Revenue is extremely concentrated in a small set of enteral nutrition codes: the precomputed top three Medicaid codes account for 99.2% of this provider's total Medicaid revenue, with B4161, B4160, and B4162 together representing the vast majority of receipts. This concentration signals a specialized product mix rather than a broad ambulatory or pharmacy portfolio.

B4161 is the single largest revenue driver: 868.4K claims at $169 avg paid/claim produced $146.8M in revenue, which is 59.9% of the provider’s Medicaid revenue. The code description (enteral formula for pediatrics, hydrolyzed/amino acids and peptide chain proteins) and the volume indicate this provider primarily dispenses specialized pediatric hydrolyzed/amino-acid enteral formulas at scale.

B4160 is the second major product line with 714.4K claims at $108 avg paid/claim generating $77.2M in revenue (31.5% of Medicaid revenue), supplying nutritionally complete, calorically dense pediatric enteral formulas. Together with B4161, these two codes account for over 90% of revenue and define the provider’s operating focus on pediatric tube-feeding nutrition products.

B4162 represents a targeted niche within the same service line: 75.5K claims at $252 avg paid/claim generated $19M (7.8% of Medicaid revenue) for pediatric enteral formulas intended for inherited metabolic disease. Its higher avg paid/claim suggests a more specialized, higher-cost product mix compared with the broader pediatric formulas.

Competitive standing within Texas is dominant for the top lines: the provider ranks #1 in-state for B4161 (100th percentile; described as an extreme outlier), B4160 (100th percentile; extreme outlier), and B4162 (100th percentile; notably above typical state volume). These ranks indicate the provider is a major statewide supplier of pediatric enteral formulas and operates far above typical peer volume for these codes.

Other Medicaid codes contribute only marginally to total revenue (for example, B4158 generated $1.3M or 0.5% of revenue and B4154 generated $378.8K or 0.2%); several of these smaller codes still show top-in-state ranks but together they do not materially change the provider’s concentration in the three leading pediatric enteral codes. This profile points to a highly specialized, high-volume Medicaid dispensing operation centered on pediatric enteral nutrition rather than a diversified clinical billing practice.

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

8 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	868,400	$170	$146.8M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	714,420	$110	$77.2M
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…	75,550	$250	$19M
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…	15,980	$80	$1.3M
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	2,790	$140	$378.8K
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…	1,210	$130	$158.4K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	310	$130	$41K
B4102	Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit	200	$1	$800

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Texas providers billing the same CPT/HCPCS codes.

Claims Volume vs. Texas Distribution

Hhsc Wic Program — 4 of 8 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Texas

Full comparison — all codes billed, vs. Texas median

8 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
B4161	Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding…	1	40	2,180	$270	$7.2M
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…	1	10	1,520	$310	$5.2M
B4160	Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals,…	1	50	2,810	$150	$3.2M
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…	18	30	1,340	$250	$771.4K
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…	1	20	1,580	$160	$478.4K
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or…	4	30	640	$280	$397.3K
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100…	46	60	820	$170	$346.3K
B4102	Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit	1	10	200	$1	$750

Nearby Providers

Other providers in the same ZIP code as Hhsc Wic Program, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elder Homecare, LLC	TX	Personal Care Attendant	$0	$41.6M

Hhsc Wic Program — Billing Profile & Reimbursement Data

Sign up for Hhsc Wic Program — Billing Profile & Reimbursement Data policy alerts

Hhsc Wic Program — Billing Profile & Reimbursement Data

Sign up for Hhsc Wic Program — Billing Profile & Reimbursement Data policy alerts

Key Findings

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References