T4527
Adult-sized disposable incontinence product, large
Adult-sized disposable incontinence product, large is the #185 most-billed Medicaid procedure code, with $919.6M in payments across 11.0M claims from 2018–2024. The national median cost per claim is $99.53.
Total Paid
$919.6M
0.08% of all spending
Total Claims
11.0M
Providers
2K
Avg Cost/Claim
$84
National Cost Distribution
How much do providers bill per claim for T4527? Based on 2K providers billing this code nationally.
Median
$99.53
Average
$103.02
Std Dev
$44.98
Max
$680.32
Percentile Distribution (Cost per Claim)
50% of providers bill between $73.93 and $127.56 per claim for this code.
90% bill between $52.80 and $152.80.
Top 1% bill above $225.91.
About This Procedure
HCPCS code T4527 (Adult-sized disposable incontinence product, large) was billed by 2K providers across 11.0M claims, totaling $919.6M in Medicaid payments from 2018–2024. This code was used for 10.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$99.53
Providers Billing
2K
National Spending
$919.6M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4527
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $38.6M |
| 2 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $35.6M |
| 3 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $33.3M |
| 4 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $29.9M |
| 5 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $24.3M |
| 6 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $21.7M |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $17.2M |
| 8 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $13.4M |
| 9 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $11.9M |
| 10 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $11.9M |
| 11 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $10.8M |
| 12 | 1821013590 | $9.6M |
| 13 | 1649383084 | $9.3M |
| 14 | 1124132154 | $8.2M |
| 15 | 1992861736 | $7.3M |
| 16 | 1497841704 | $7.0M |
| 17 | 1861576282 | $6.7M |
| 18 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $5.8M |
| 19 | 1629213418 | $5.7M |
| 20 | 1275647299 | $5.6M |
Showing top 20 of 2K providers billing this code