T4526
Adult-sized disposable incontinence product, medium
Adult-sized disposable incontinence product, medium is the #209 most-billed Medicaid procedure code, with $740.7M in payments across 10.1M claims from 2018–2024. The national median cost per claim is $88.94.
Total Paid
$740.7M
0.07% of all spending
Total Claims
10.1M
Providers
2K
Avg Cost/Claim
$73
National Cost Distribution
How much do providers bill per claim for T4526? Based on 2K providers billing this code nationally.
Median
$88.94
Average
$91.51
Std Dev
$41.02
Max
$640.59
Percentile Distribution (Cost per Claim)
50% of providers bill between $63.97 and $114.47 per claim for this code.
90% bill between $46.80 and $136.40.
Top 1% bill above $196.75.
About This Procedure
HCPCS code T4526 (Adult-sized disposable incontinence product, medium) was billed by 2K providers across 10.1M claims, totaling $740.7M in Medicaid payments from 2018–2024. This code was used for 9.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$88.94
Providers Billing
2K
National Spending
$740.7M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4526
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $36.1M |
| 2 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $27.2M |
| 3 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $25.0M |
| 4 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $23.1M |
| 5 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $22.8M |
| 6 | Tenderheart Health Outcomes, Inc. Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $18.3M |
| 7 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $14.4M |
| 8 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $11.5M |
| 9 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $11.5M |
| 10 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $9.3M |
| 11 | J & B Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $8.9M |
| 12 | 1124132154 | $7.5M |
| 13 | 1861576282 | $7.2M |
| 14 | 1649383084 | $6.5M |
| 15 | 1992861736 | $6.5M |
| 16 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $6.2M |
| 17 | 1619913357 | $6.0M |
| 18 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $5.5M |
| 19 | 1467467050 | $5.5M |
| 20 | 1821013590 | $5.4M |
Showing top 20 of 2K providers billing this code