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#383 of 11K

T4524

Adult-sized disposable incontinence product, brief/diaper, medium

Adult-sized disposable incontinence product, brief/diaper, medium is the #383 most-billed Medicaid procedure code, with $288.4M in payments across 3.3M claims from 2018–2024. The national median cost per claim is $108.31.

Total Paid

$288.4M

0.03% of all spending

Total Claims

3.3M

Providers

867

Avg Cost/Claim

$88

National Cost Distribution

How much do providers bill per claim for T4524? Based on 858 providers billing this code nationally.

Median

$108.31

Average

$110.20

Std Dev

$45.16

Max

$564.43

Percentile Distribution (Cost per Claim)

p10
$64.72
p25
$81.81
Median
$108.31
p75
$132.65
p90
$156.80
p95
$175.67
p99
$235.52

50% of providers bill between $81.81 and $132.65 per claim for this code.

90% bill between $64.72 and $156.80.

Top 1% bill above $235.52.

About This Procedure

HCPCS code T4524 (Adult-sized disposable incontinence product, brief/diaper, medium) was billed by 867 providers across 3.3M claims, totaling $288.4M in Medicaid payments from 2018–2024. This code was used for 3.1M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$108.31

Providers Billing

858

National Spending

$288.4M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4524

#ProviderTotal Paid
1Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$14.0M
2Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$10.5M
3Integra Partners Llc

Troy, MI · Orthotic Fitter

$9.1M
41245387943$7.1M
5J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$5.8M
6Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$5.6M
7Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$5.1M
8Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$5.0M
91699795054$4.9M
101750316055$4.6M
111710932173$4.5M
12J & B Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$4.4M
131306990619$4.1M
141013911056$3.7M
15Personal Touch Home Care Of Ky, Inc.

Fort Thomas, KY · Home Health

$3.6M
16Activstyle, Llc

Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$3.1M
17Tenderheart Health Outcomes, Inc.

Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$2.9M
181821013590$2.8M
191164493003$2.4M
201124132154$2.3M

Showing top 20 of 867 providers billing this code