T4536
Adult disposable incontinence product, pull-on, large
Adult disposable incontinence product, pull-on, large is the #1,767 most-billed Medicaid procedure code, with $14.3M in payments across 1.2M claims from 2018–2024. The national median cost per claim is $11.57.
Total Paid
$14.3M
0.00% of all spending
Total Claims
1.2M
Providers
114
Avg Cost/Claim
$12
National Cost Distribution
How much do providers bill per claim for T4536? Based on 106 providers billing this code nationally.
Median
$11.57
Average
$15.86
Std Dev
$19.13
Max
$119.87
Percentile Distribution (Cost per Claim)
50% of providers bill between $10.23 and $12.55 per claim for this code.
90% bill between $7.61 and $19.25.
Top 1% bill above $113.90.
About This Procedure
HCPCS code T4536 (Adult disposable incontinence product, pull-on, large) was billed by 114 providers across 1.2M claims, totaling $14.3M in Medicaid payments from 2018–2024. This code was used for 1.2M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$11.57
Providers Billing
106
National Spending
$14.3M
Avg/Median Ratio
1.37×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4536
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1467471342 | $1.3M |
| 2 | 1134305972 | $1.1M |
| 3 | 1558466763 | $814K |
| 4 | 1962738468 | $716K |
| 5 | 1922071034 | $559K |
| 6 | 1861472672 | $498K |
| 7 | 1205976438 | $454K |
| 8 | 1437154713 | $449K |
| 9 | 1104174838 | $443K |
| 10 | 1497704548 | $442K |
| 11 | 1891840039 | $424K |
| 12 | 1386699221 | $397K |
| 13 | 1730592098 | $394K |
| 14 | 1063710986 | $386K |
| 15 | 1083607212 | $378K |
| 16 | 1124162748 | $377K |
| 17 | 1215087333 | $371K |
| 18 | 1639231483 | $353K |
| 19 | 1013169762 | $297K |
| 20 | 1790966760 | $229K |
Showing top 20 of 114 providers billing this code