Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#883 of 11K

T4533

Adult disposable incontinence product, youth or small

Adult disposable incontinence product, youth or small is the #883 most-billed Medicaid procedure code, with $63.4M in payments across 844K claims from 2018–2024. The national median cost per claim is $87.25.

Total Paid

$63.4M

0.01% of all spending

Total Claims

844K

Providers

257

Avg Cost/Claim

$75

National Cost Distribution

How much do providers bill per claim for T4533? Based on 254 providers billing this code nationally.

Median

$87.25

Average

$88.91

Std Dev

$36.71

Max

$261.29

Percentile Distribution (Cost per Claim)

p10
$50.06
p25
$69.38
Median
$87.25
p75
$105.05
p90
$128.39
p95
$149.84
p99
$192.31

50% of providers bill between $69.38 and $105.05 per claim for this code.

90% bill between $50.06 and $128.39.

Top 1% bill above $192.31.

About This Procedure

HCPCS code T4533 (Adult disposable incontinence product, youth or small) was billed by 257 providers across 844K claims, totaling $63.4M in Medicaid payments from 2018–2024. This code was used for 770K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$87.25

Providers Billing

254

National Spending

$63.4M

Avg/Median Ratio

1.02×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4533

#ProviderTotal Paid
1J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$12.4M
2Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$9.4M
3Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$2.1M
41447474010$1.6M
51649383084$1.3M
6J & B Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$1.3M
7Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$1.2M
81386688414$1.1M
91639375835$1.1M
101619988284$1.0M
11Integra Partners Llc

Troy, MI · Orthotic Fitter

$946K
121104811629$924K
131821108820$907K
141073692794$791K
15Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$697K
161023063641$695K
171326140138$644K
18Apple Homecare Medical Supply Llc

Richardson, TX · Durable Medical Equipment & Medical Supplies, Customized Equipment

$593K
191275074056$579K
20Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$563K

Showing top 20 of 257 providers billing this code