T4541
Pediatric-sized disposable incontinence product, large
Pediatric-sized disposable incontinence product, large is the #206 most-billed Medicaid procedure code, with $757.4M in payments across 18.5M claims from 2018–2024. The national median cost per claim is $41.28.
Total Paid
$757.4M
0.07% of all spending
Total Claims
18.5M
Providers
1K
Avg Cost/Claim
$41
National Cost Distribution
How much do providers bill per claim for T4541? Based on 1K providers billing this code nationally.
Median
$41.28
Average
$44.01
Std Dev
$26.99
Max
$427.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $29.06 and $54.95 per claim for this code.
90% bill between $19.58 and $67.24.
Top 1% bill above $118.49.
About This Procedure
HCPCS code T4541 (Pediatric-sized disposable incontinence product, large) was billed by 1K providers across 18.5M claims, totaling $757.4M in Medicaid payments from 2018–2024. This code was used for 17.7M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$41.28
Providers Billing
1K
National Spending
$757.4M
Avg/Median Ratio
1.07×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4541
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $93.5M |
| 2 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $43.3M |
| 3 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $29.7M |
| 4 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $22.3M |
| 5 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $19.0M |
| 6 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $16.4M |
| 7 | 1124132154 | $16.2M |
| 8 | 1275647299 | $14.3M |
| 9 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $11.8M |
| 10 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $10.1M |
| 11 | 1992975700 | $9.9M |
| 12 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $9.1M |
| 13 | H & H Drug Stores, Inc Glendale, CA · Durable Medical Equipment & Medical Supplies | $7.9M |
| 14 | 1023271822 | $7.6M |
| 15 | 1134305972 | $7.5M |
| 16 | 1023017647 | $7.5M |
| 17 | 1649383084 | $7.1M |
| 18 | 1467471342 | $6.8M |
| 19 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $6.7M |
| 20 | 1164493003 | $6.4M |
Showing top 20 of 1K providers billing this code