#2424 of 11K

T4529

Pediatric disposable incontinence product, pull-on, large

Pediatric disposable incontinence product, pull-on, large is the #2,424 most-billed Medicaid procedure code, with $5.9M in payments across 80K claims from 2018–2024. The national median cost per claim is $71.73.

Total Paid

$5.9M

0.00% of all spending

Total Claims

80K

Providers

Avg Cost/Claim

$73

National Cost Distribution

How much do providers bill per claim for T4529? Based on 74 providers billing this code nationally.

Median

$71.73

Average

$78.33

Std Dev

$49.18

Max

$319.74

Percentile Distribution (Cost per Claim)

p10

$31.64

p25

$47.82

Median

$71.73

p75

$103.47

p90

$114.64

p95

$125.11

p99

$290.91

50% of providers bill between $47.82 and $103.47 per claim for this code.

90% bill between $31.64 and $114.64.

Top 1% bill above $290.91.

About This Procedure

HCPCS code T4529 (Pediatric disposable incontinence product, pull-on, large) was billed by 75 providers across 80K claims, totaling $5.9M in Medicaid payments from 2018–2024. This code was used for 62K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$71.73

Providers Billing

National Spending

$5.9M

Avg/Median Ratio

1.09×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4529

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition	$722K	$120.45	1.7× median	Top 10%
2	1144207911	$443K	$110.86	1.5× median	Above 75th
3	1710918164	$439K	$105.62	1.5× median	Above 75th
4	Pediatric Home Respiratory Services Llc Roseville, MN · Home Health	$410K	$153.29	2.1× median	Top 10%
5	Home Medical Equipment Specialists Llc Albuquerque, NM · Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies	$315K	$97.95	1.4× median	Above Median
6	Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health	$294K	$319.74	4.5× median	Top 1%
7	1649485848	$256K	$93.83	1.3× median	Above Median
8	1366580391	$231K	$78.64	1.1× median	Above Median
9	Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies	$168K	$63.01	0.9× median	Below Median
10	1477748119	$164K	$58.22	0.8× median	Below Median
11	1134167646	$157K	$71.21	1.0× median	Below Median
12	1447474010	$153K	$58.74	0.8× median	Below Median
13	1063968881	$132K	$101.25	1.4× median	Above Median
14	1588760870	$131K	$104.38	1.5× median	Above 75th
15	1689633307	$115K	$109.66	1.5× median	Above 75th
16	Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies	$111K	$72.26	1.0× median	Above Median
17	1811089782	$106K	$114.78	1.6× median	Top 10%
18	1871738153	$100K	$65.49	0.9× median	Below Median
19	1295798627	$99K	$280.24	3.9× median	Top 10%
20	Purfoods Llc Ankeny, IA · Home Delivered Meals	$95K	$44.44	0.6× median	Below Median

Showing top 20 of 75 providers billing this code

Related Procedures

T4527Adult-sized disposable incontinence product, large$919.6M T4535Adult-sized disposable underpads/pads, large$850.8M T4526Adult-sized disposable incontinence product, medium$740.7M T4528Adult-sized disposable incontinence product, extra-large$644.7M T4523Adult-sized disposable incontinence product, brief/diaper, small$471.4M

← All procedures Top providers →