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#349 of 11K

T4534

Adult-sized disposable underpads/pads, small

Adult-sized disposable underpads/pads, small is the #349 most-billed Medicaid procedure code, with $369.6M in payments across 3.7M claims from 2018–2024. The national median cost per claim is $110.54.

Total Paid

$369.6M

0.03% of all spending

Total Claims

3.7M

Providers

595

Avg Cost/Claim

$99

National Cost Distribution

How much do providers bill per claim for T4534? Based on 588 providers billing this code nationally.

Median

$110.54

Average

$113.79

Std Dev

$51.39

Max

$726.08

Percentile Distribution (Cost per Claim)

p10
$66.04
p25
$85.82
Median
$110.54
p75
$134.30
p90
$165.57
p95
$188.69
p99
$241.50

50% of providers bill between $85.82 and $134.30 per claim for this code.

90% bill between $66.04 and $165.57.

Top 1% bill above $241.50.

About This Procedure

HCPCS code T4534 (Adult-sized disposable underpads/pads, small) was billed by 595 providers across 3.7M claims, totaling $369.6M in Medicaid payments from 2018–2024. This code was used for 3.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$110.54

Providers Billing

588

National Spending

$369.6M

Avg/Median Ratio

1.03×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4534

#ProviderTotal Paid
1Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$58.3M
2J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$24.8M
3Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$19.0M
4Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$13.5M
51992975700$10.5M
61811089782$8.1M
7Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$7.4M
8Medco Respiratory Instruments, Inc.

Houston, TX · Durable Medical Equipment & Medical Supplies

$7.2M
9Activstyle, Llc

Saint Paul, MN · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$6.9M
10Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$6.0M
11Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$5.6M
121619988284$5.4M
131467467050$5.1M
14Byram Healthcare Centers, Inc.

Portland, OR · Durable Medical Equipment & Medical Supplies

$4.3M
15Option 1 Nutrition Solutions Llc

Denver, CO · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$4.3M
161588760870$4.2M
17Tenderheart Health Outcomes, Inc.

Austin, TX · Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition

$3.9M
18Binson's Hospital Supplies, Inc.

Center Line, MI · Durable Medical Equipment & Medical Supplies, Customized Equipment

$3.8M
191043512114$3.5M
201902863434$3.5M

Showing top 20 of 595 providers billing this code