T4523
Adult-sized disposable incontinence product, brief/diaper, small
Adult-sized disposable incontinence product, brief/diaper, small is the #296 most-billed Medicaid procedure code, with $471.4M in payments across 6.0M claims from 2018–2024. The national median cost per claim is $96.13.
Total Paid
$471.4M
0.04% of all spending
Total Claims
6.0M
Providers
1K
Avg Cost/Claim
$78
National Cost Distribution
How much do providers bill per claim for T4523? Based on 1K providers billing this code nationally.
Median
$96.13
Average
$100.94
Std Dev
$43.89
Max
$797.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $77.79 and $117.79 per claim for this code.
90% bill between $61.15 and $144.31.
Top 1% bill above $215.65.
About This Procedure
HCPCS code T4523 (Adult-sized disposable incontinence product, brief/diaper, small) was billed by 1K providers across 6.0M claims, totaling $471.4M in Medicaid payments from 2018–2024. This code was used for 5.8M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$96.13
Providers Billing
1K
National Spending
$471.4M
Avg/Median Ratio
1.05×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4523
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $23.4M |
| 2 | 1245387943 | $15.0M |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $13.3M |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $11.7M |
| 5 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $9.8M |
| 6 | 1699795054 | $8.9M |
| 7 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $8.6M |
| 8 | 1134305972 | $8.4M |
| 9 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $8.4M |
| 10 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $8.4M |
| 11 | 1306990619 | $8.4M |
| 12 | 1750316055 | $7.4M |
| 13 | 1710932173 | $6.8M |
| 14 | 1013911056 | $6.6M |
| 15 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $6.1M |
| 16 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $4.9M |
| 17 | 1003247297 | $4.7M |
| 18 | 1467467050 | $4.5M |
| 19 | 1134137730 | $4.4M |
| 20 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $3.8M |
Showing top 20 of 1K providers billing this code