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#196 of 11K

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)

p10
$24.52
p25
$31.38
Median
$42.03
p75
$54.10
p90
$69.76
p95
$79.70
p99
$111.39

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

#ProviderTotal Paid
1Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$49.4M
2Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$38.5M
3Activstyle, Llc

Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$34.1M
4J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$21.4M
5Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$17.9M
6Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$15.0M
7Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$12.9M
81245387943$11.8M
9J & B Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$11.3M
10Integra Partners Llc

Troy, MI · Orthotic Fitter

$10.3M
11Tenderheart Health Outcomes, Inc.

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

$10.0M
121275647299$9.0M
131699795054$8.7M
141124132154$7.2M
15Personal Touch Home Care Of Ky, Inc.

Fort Thomas, KY · Home Health

$7.2M
161467471342$6.5M
171861576282$6.4M
181649383084$6.4M
191023271822$6.4M
201659365849$6.2M

Showing top 20 of 2K providers billing this code