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#636 of 11K

T4525

HCPCS Procedure Code

HCPCS code T4525 is the #636 most-billed Medicaid procedure code, with $118.6M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $79.46.

Total Paid

$118.6M

0.01% of all spending

Total Claims

1.7M

Providers

588

Avg Cost/Claim

$68

National Cost Distribution

How much do providers bill per claim for T4525? Based on 584 providers billing this code nationally.

Median

$79.46

Average

$82.50

Std Dev

$36.64

Max

$404.09

Percentile Distribution (Cost per Claim)

p10
$47.01
p25
$59.77
Median
$79.46
p75
$100.17
p90
$118.68
p95
$139.01
p99
$191.58

50% of providers bill between $59.77 and $100.17 per claim for this code.

90% bill between $47.01 and $118.68.

Top 1% bill above $191.58.

About This Procedure

HCPCS code T4525 was billed by 588 providers across 1.7M claims, totaling $118.6M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$79.46

Providers Billing

584

National Spending

$118.6M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4525

#ProviderTotal Paid
1J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$7.4M
2Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$6.8M
3Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$6.7M
4Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$6.3M
5Activstyle, Llc

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

$5.2M
6Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$3.1M
7Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$2.7M
8Personal Touch Home Care Of Ky, Inc.

Fort Thomas, KY · Home Health

$2.7M
9Tenderheart Health Outcomes, Inc.

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

$2.3M
101104811629$2.0M
111124132154$2.0M
12Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$1.7M
13Shield Denver Health Care Center Inc

Aurora, CO · Durable Medical Equipment & Medical Supplies

$1.6M
141467467050$1.5M
151043512114$1.5M
161649383084$1.5M
17J & B Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$1.3M
18Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$1.1M
191629213418$1.1M
201427032291$974K

Showing top 20 of 588 providers billing this code