T4528
Adult-sized disposable incontinence product, extra-large
Adult-sized disposable incontinence product, extra-large is the #229 most-billed Medicaid procedure code, with $644.7M in payments across 6.8M claims from 2018–2024. The national median cost per claim is $105.14.
Total Paid
$644.7M
0.06% of all spending
Total Claims
6.8M
Providers
2K
Avg Cost/Claim
$94
National Cost Distribution
How much do providers bill per claim for T4528? Based on 1K providers billing this code nationally.
Median
$105.14
Average
$114.91
Std Dev
$54.05
Max
$718.68
Percentile Distribution (Cost per Claim)
50% of providers bill between $79.68 and $141.11 per claim for this code.
90% bill between $63.65 and $177.21.
Top 1% bill above $267.19.
About This Procedure
HCPCS code T4528 (Adult-sized disposable incontinence product, extra-large) was billed by 2K providers across 6.8M claims, totaling $644.7M in Medicaid payments from 2018–2024. This code was used for 6.4M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$105.14
Providers Billing
1K
National Spending
$644.7M
Avg/Median Ratio
1.09×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4528
| # | Provider | Total Paid |
|---|---|---|
| 1 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $28.4M |
| 2 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $26.1M |
| 3 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $25.1M |
| 4 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $23.6M |
| 5 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $20.0M |
| 6 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $19.5M |
| 7 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $17.3M |
| 8 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $12.2M |
| 9 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $12.1M |
| 10 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $10.0M |
| 11 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $9.6M |
| 12 | 1649383084 | $8.5M |
| 13 | 1861576282 | $6.5M |
| 14 | 1124132154 | $6.3M |
| 15 | 1821013590 | $6.1M |
| 16 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $5.2M |
| 17 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $4.6M |
| 18 | 1497841704 | $4.2M |
| 19 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $4.0M |
| 20 | 1275647299 | $3.6M |
Showing top 20 of 2K providers billing this code