T4525
HCPCS Procedure Code
HCPCS code T4525 is the #636 most-billed Medicaid procedure code, with $118.6M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $79.46.
Total Paid
$118.6M
0.01% of all spending
Total Claims
1.7M
Providers
588
Avg Cost/Claim
$68
National Cost Distribution
How much do providers bill per claim for T4525? Based on 584 providers billing this code nationally.
Median
$79.46
Average
$82.50
Std Dev
$36.64
Max
$404.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $59.77 and $100.17 per claim for this code.
90% bill between $47.01 and $118.68.
Top 1% bill above $191.58.
About This Procedure
HCPCS code T4525 was billed by 588 providers across 1.7M claims, totaling $118.6M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$79.46
Providers Billing
584
National Spending
$118.6M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4525
| # | Provider | Total Paid |
|---|---|---|
| 1 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $7.4M |
| 2 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $6.8M |
| 3 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $6.7M |
| 4 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $6.3M |
| 5 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $5.2M |
| 6 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $3.1M |
| 7 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $2.7M |
| 8 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $2.7M |
| 9 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $2.3M |
| 10 | 1104811629 | $2.0M |
| 11 | 1124132154 | $2.0M |
| 12 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $1.7M |
| 13 | Shield Denver Health Care Center Inc Aurora, CO · Durable Medical Equipment & Medical Supplies | $1.6M |
| 14 | 1467467050 | $1.5M |
| 15 | 1043512114 | $1.5M |
| 16 | 1649383084 | $1.5M |
| 17 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $1.3M |
| 18 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $1.1M |
| 19 | 1629213418 | $1.1M |
| 20 | 1427032291 | $974K |
Showing top 20 of 588 providers billing this code