T4530
HCPCS Procedure Code
HCPCS code T4530 is the #598 most-billed Medicaid procedure code, with $134.1M in payments across 1.7M claims from 2018–2024. The national median cost per claim is $83.90.
Total Paid
$134.1M
0.01% of all spending
Total Claims
1.7M
Providers
395
Avg Cost/Claim
$78
National Cost Distribution
How much do providers bill per claim for T4530? Based on 390 providers billing this code nationally.
Median
$83.90
Average
$86.83
Std Dev
$38.28
Max
$333.76
Percentile Distribution (Cost per Claim)
50% of providers bill between $64.69 and $101.93 per claim for this code.
90% bill between $46.88 and $126.78.
Top 1% bill above $191.63.
About This Procedure
HCPCS code T4530 was billed by 395 providers across 1.7M claims, totaling $134.1M in Medicaid payments from 2018–2024. This code was used for 1.6M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$83.90
Providers Billing
390
National Spending
$134.1M
Avg/Median Ratio
1.03×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4530
| # | Provider | Total Paid |
|---|---|---|
| 1 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $14.2M |
| 2 | Aeroflow Inc Arden, NC · Durable Medical Equipment & Medical Supplies | $7.4M |
| 3 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $5.4M |
| 4 | Activstyle, Llc Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $5.1M |
| 5 | Personal Touch Home Care Of Ky, Inc. Fort Thomas, KY · Home Health | $4.2M |
| 6 | Medco Respiratory Instruments, Inc. Houston, TX · Durable Medical Equipment & Medical Supplies | $3.1M |
| 7 | 1902863434 | $2.8M |
| 8 | 1811089782 | $2.8M |
| 9 | 1992975700 | $2.8M |
| 10 | 1467467050 | $2.5M |
| 11 | Pediatric Home Respiratory Services Llc Roseville, MN · Home Health | $2.2M |
| 12 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $2.1M |
| 13 | 1588760870 | $2.1M |
| 14 | 1992736425 | $2.1M |
| 15 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $1.9M |
| 16 | 1386688414 | $1.8M |
| 17 | 1124132154 | $1.7M |
| 18 | Byram Healthcare Centers, Inc. Portland, OR · Durable Medical Equipment & Medical Supplies | $1.6M |
| 19 | Binson's Hospital Supplies, Inc. Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment | $1.6M |
| 20 | Option 1 Nutrition Solutions Llc Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | $1.6M |
Showing top 20 of 395 providers billing this code