A4554
Disposable underpads, all sizes
Disposable underpads, all sizes is the #235 most-billed Medicaid procedure code, with $624.8M in payments across 17.6M claims from 2018–2024. The national median cost per claim is $37.02.
Total Paid
$624.8M
0.06% of all spending
Total Claims
17.6M
Providers
2K
Avg Cost/Claim
$36
National Cost Distribution
How much do providers bill per claim for A4554? Based on 2K providers billing this code nationally.
Median
$37.02
Average
$41.61
Std Dev
$21.48
Max
$355.43
Percentile Distribution (Cost per Claim)
50% of providers bill between $31.68 and $48.67 per claim for this code.
90% bill between $23.35 and $63.16.
Top 1% bill above $96.04.
About This Procedure
HCPCS code A4554 (Disposable underpads, all sizes) was billed by 2K providers across 17.6M claims, totaling $624.8M in Medicaid payments from 2018–2024. This code was used for 16.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$37.02
Providers Billing
2K
National Spending
$624.8M
Avg/Median Ratio
1.12×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4554
| # | Provider | Total Paid |
|---|---|---|
| 1 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $36.1M |
| 2 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $19.2M |
| 3 | Integra Partners Llc Troy, MI · Orthotic Fitter | $16.7M |
| 4 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $16.2M |
| 5 | 1245387943 | $14.7M |
| 6 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $11.9M |
| 7 | 1013911056 | $9.5M |
| 8 | 1699795054 | $9.1M |
| 9 | 1710932173 | $9.0M |
| 10 | 1306990619 | $8.3M |
| 11 | 1992861736 | $7.4M |
| 12 | 1750316055 | $7.2M |
| 13 | 1497841704 | $6.9M |
| 14 | 1104811629 | $6.8M |
| 15 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $6.3M |
| 16 | 1043512114 | $6.0M |
| 17 | 1538254461 | $5.6M |
| 18 | 1639151103 | $5.4M |
| 19 | 1134137730 | $5.3M |
| 20 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $5.0M |
Showing top 20 of 2K providers billing this code