Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#550 of 11K

T4532

HCPCS Procedure Code

HCPCS code T4532 is the #550 most-billed Medicaid procedure code, with $150.6M in payments across 1.4M claims from 2018–2024. The national median cost per claim is $116.50.

Total Paid

$150.6M

0.01% of all spending

Total Claims

1.4M

Providers

294

Avg Cost/Claim

$108

National Cost Distribution

How much do providers bill per claim for T4532? Based on 290 providers billing this code nationally.

Median

$116.50

Average

$117.51

Std Dev

$49.89

Max

$444.02

Percentile Distribution (Cost per Claim)

p10
$64.56
p25
$84.98
Median
$116.50
p75
$141.71
p90
$163.65
p95
$188.29
p99
$255.83

50% of providers bill between $84.98 and $141.71 per claim for this code.

90% bill between $64.56 and $163.65.

Top 1% bill above $255.83.

About This Procedure

HCPCS code T4532 was billed by 294 providers across 1.4M claims, totaling $150.6M in Medicaid payments from 2018–2024. This code was used for 1.3M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$116.50

Providers Billing

290

National Spending

$150.6M

Avg/Median Ratio

1.01×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4532

#ProviderTotal Paid
1Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$36.9M
21992736425$16.2M
31710918164$9.5M
4Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$8.4M
5Personal Touch Home Care Of Ky, Inc.

Fort Thomas, KY · Home Health

$7.9M
61194837229$4.1M
71619988284$3.0M
81962440891$2.9M
9Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$2.7M
10Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$2.4M
111902863434$2.0M
121639375835$1.8M
131811089782$1.5M
141467467050$1.4M
151801866173$1.4M
161275992869$1.3M
17Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$1.2M
181992975700$1.2M
19Tenderheart Health Outcomes, Inc.

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

$1.2M
201336510080$1.1M

Showing top 20 of 294 providers billing this code