Medline Industries, LP
Rate Outlier
Billing above the 90th percentile across multiple procedure codes simultaneously.
Billing above the 90th percentile for 13 procedure codes: S5199 at 10.1× median, A4335 at 4.4× median.
Statistical flags are not proof of wrongdoing. Some entities (government agencies, home care programs) may legitimately bill at high rates. Hospitals, government entities, and large care organizations may legitimately bill at higher rates due to patient acuity, overhead costs, or specialized services. Read our methodology.
Red Flags Explained
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Each flag represents a statistical test that identified unusual billing patterns. Here's what each flag on this provider means in plain English:
Rate Outlier
Rate Outlier means this provider charges above the 90th percentile for multiple different procedure codes simultaneously. While one high-cost code could reflect specialization, consistently high rates across many codes may indicate systematic overbilling.
These flags are statistical indicators only. Many flagged providers have legitimate explanations for their billing patterns. Learn more about our methodology.
Advanced Detection Signals
Additional statistical tests from advanced fraud detection methods
These signals use advanced statistical methods including digit distribution analysis, change-point detection, and market concentration metrics. Learn more.
Risk Assessment
Bills $108.99 per claim for S5199 (Personal care item, NOS, each) — 10.1× the national median of $10.82.
Bills $24.15 per claim for A4335 (Incontinence supply, miscellaneous) — 4.4× the national median of $5.54.
Billing above the 90th percentile for 2 procedure codes simultaneously.
This is a statistical summary, not an accusation. See our methodology.
Compared to Durable Medical Equipment & Medical Supplies Peers
Total spending distribution among 35 providers in this specialty
This provider's total spending of $233.1M is at the 75th percentile among 35 Durable Medical Equipment & Medical Supplies providers.
Total Paid
$233.1M
$233,148,643
Total Claims
6.9M
Beneficiaries
6.1M
1.1 claims/patient
Avg Cost/Claim
$34
#361 of 618K providers by total spending(top <0.1%)
🔍 Analysis
Provider Overview
Medline Industries, LP is a Durable Medical Equipment & Medical Supplies provider based in Grayslake, IL. From the 2018–2024 period, this provider received $233.1M in Medicaid payments across 6.9M claims.
Why This Matters
This provider received $233.1M in taxpayer-funded Medicaid payments — enough to fund healthcare for approximately 29,143 Medicaid beneficiaries for a full year at average per-enrollee costs.
Monthly Spending Trend
Yearly Spending
Procedure Breakdown
Cost per claim compared to national benchmarks
This provider bills for 30 distinct procedure codes. The top code (S5199 (Personal care item, NOS, each)) accounts for 8% of total spending.
Personal care item, NOS, each
$18.9M
173K claims · 8.1%
$17.2M
356K claims
$48.28
$99.53
Adult-sized disposable incontinence product, large
$17.2M
356K claims · 7.4%
$16.2M
572K claims
$28.33
$37.02
Disposable underpads, all sizes
$16.2M
572K claims · 6.9%
Incontinence supply, miscellaneous
$14.8M
613K claims · 6.4%
$14.4M
326K claims
$44.13
$88.94
Adult-sized disposable incontinence product, medium
$14.4M
326K claims · 6.2%
$12.9M
623K claims
$20.73
$42.03
Adult-sized disposable underpads/pads, large
$12.9M
623K claims · 5.5%
$12.1M
202K claims
$59.98
$105.14
Adult-sized disposable incontinence product, extra-large
$12.1M
202K claims · 5.2%
$11.8M
473K claims
$24.93
$41.28
Pediatric-sized disposable incontinence product, large
$11.8M
473K claims · 5.1%
$11.7M
257K claims
$45.67
$96.13
Adult-sized disposable incontinence product, brief/diaper, small
$11.7M
257K claims · 5.0%
$10.5M
180K claims
$58.61
$108.31
Adult-sized disposable incontinence product, brief/diaper, medium
$10.5M
180K claims · 4.5%
$9.5M
262K claims
$36.41
$84.50
Adult-sized disposable incontinence product, brief/diaper, above XL
$9.5M
262K claims · 4.1%
$8.5M
83K claims
$101.45
$177.75
Pediatric-sized disposable incontinence product, above XL
$8.5M
83K claims · 3.6%
$7.4M
117K claims
$63.34
$110.54
Adult-sized disposable underpads/pads, small
$7.4M
117K claims · 3.2%
$6.5M
72K claims
$90.65
$171.64
Pediatric-sized disposable underpads/pads, small
$6.5M
72K claims · 2.8%
Gloves, non-sterile, per 100
$5.5M
785K claims · 2.4%
$4.3M
179K claims · 1.8%
$3.1M
62K claims · 1.3%
$3.1M
5K claims · 1.3%
Breast pump, electric, any type
$3.1M
35K claims · 1.3%
$2.3M
50K claims · 1.0%
$1.8M
22K claims
$81.70
$116.15
Intermittent urinary catheter, straight tip, each
$1.8M
22K claims · 0.8%
$1.8M
46K claims
$38.12
$89.79
Enteral formula, nutritionally complete with fiber, per 100 calories
$1.8M
46K claims · 0.8%
$1.6M
39K claims · 0.7%
$1.5M
39K claims · 0.7%
$1.3M
4K claims
$314.25
$508.29
Intermittent urinary catheter, with insertion supplies
$1.3M
4K claims · 0.5%
$1.3M
57K claims · 0.5%
$1.2M
4K claims · 0.5%
$1.2M
20K claims
$61.17
$87.25
Adult disposable incontinence product, youth or small
$1.2M
20K claims · 0.5%
$1.2M
10K claims · 0.5%
$1.1M
19K claims · 0.5%
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