T4522
Adult-sized disposable incontinence product, brief/diaper, above XL
Adult-sized disposable incontinence product, brief/diaper, above XL is the #355 most-billed Medicaid procedure code, with $353.5M in payments across 5.5M claims from 2018–2024. The national median cost per claim is $84.50.
Total Paid
$353.5M
0.03% of all spending
Total Claims
5.5M
Providers
1K
Avg Cost/Claim
$64
National Cost Distribution
How much do providers bill per claim for T4522? Based on 1K providers billing this code nationally.
Median
$84.50
Average
$86.01
Std Dev
$35.17
Max
$389.12
Percentile Distribution (Cost per Claim)
50% of providers bill between $65.29 and $101.82 per claim for this code.
90% bill between $49.06 and $121.18.
Top 1% bill above $197.61.
About This Procedure
HCPCS code T4522 (Adult-sized disposable incontinence product, brief/diaper, above XL) was billed by 1K providers across 5.5M claims, totaling $353.5M in Medicaid payments from 2018–2024. This code was used for 5.3M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$84.50
Providers Billing
1K
National Spending
$353.5M
Avg/Median Ratio
1.02×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4522
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $18.4M |
| 2 | 1245387943 | $11.7M |
| 3 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $11.3M |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $9.5M |
| 5 | Integra Partners Llc Troy, MI · Orthotic Fitter | $8.5M |
| 6 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $8.1M |
| 7 | 1659365849 | $6.5M |
| 8 | 1699795054 | $6.5M |
| 9 | 1306990619 | $6.1M |
| 10 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $5.8M |
| 11 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $5.6M |
| 12 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $5.5M |
| 13 | 1710932173 | $4.4M |
| 14 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $4.3M |
| 15 | 1750316055 | $4.3M |
| 16 | 1013911056 | $4.1M |
| 17 | 1649383084 | $3.8M |
| 18 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $3.6M |
| 19 | 1467467050 | $3.4M |
| 20 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $3.3M |
Showing top 20 of 1K providers billing this code