T4535
Adult-sized disposable underpads/pads, large
Adult-sized disposable underpads/pads, large is the #196 most-billed Medicaid procedure code, with $850.8M in payments across 22.2M claims from 2018–2024. The national median cost per claim is $42.03.
Total Paid
$850.8M
0.08% of all spending
Total Claims
22.2M
Providers
2K
Avg Cost/Claim
$38
National Cost Distribution
How much do providers bill per claim for T4535? Based on 2K providers billing this code nationally.
Median
$42.03
Average
$45.28
Std Dev
$24.89
Max
$505.77
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.38 and $54.10 per claim for this code.
90% bill between $24.52 and $69.76.
Top 1% bill above $111.39.
About This Procedure
HCPCS code T4535 (Adult-sized disposable underpads/pads, large) was billed by 2K providers across 22.2M claims, totaling $850.8M in Medicaid payments from 2018–2024. This code was used for 21.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$42.03
Providers Billing
2K
National Spending
$850.8M
Avg/Median Ratio
1.08×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4535
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $49.4M |
| 2 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $38.5M |
| 3 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $34.1M |
| 4 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $21.4M |
| 5 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $17.9M |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $15.0M |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $12.9M |
| 8 | 1245387943 | $11.8M |
| 9 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $11.3M |
| 10 | Integra Partners Llc Troy, MI · Orthotic Fitter | $10.3M |
| 11 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $10.0M |
| 12 | 1275647299 | $9.0M |
| 13 | 1699795054 | $8.7M |
| 14 | 1124132154 | $7.2M |
| 15 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $7.2M |
| 16 | 1467471342 | $6.5M |
| 17 | 1861576282 | $6.4M |
| 18 | 1649383084 | $6.4M |
| 19 | 1023271822 | $6.4M |
| 20 | 1659365849 | $6.2M |
Showing top 20 of 2K providers billing this code