T4539
HCPCS Procedure Code
HCPCS code T4539 is the #1,325 most-billed Medicaid procedure code, with $27.4M in payments across 1.0M claims from 2018–2024. The national median cost per claim is $27.96.
Total Paid
$27.4M
0.00% of all spending
Total Claims
1.0M
Providers
146
Avg Cost/Claim
$26
National Cost Distribution
How much do providers bill per claim for T4539? Based on 144 providers billing this code nationally.
Median
$27.96
Average
$27.25
Std Dev
$5.54
Max
$60.00
Percentile Distribution (Cost per Claim)
50% of providers bill between $24.68 and $30.30 per claim for this code.
90% bill between $20.28 and $32.58.
Top 1% bill above $35.92.
About This Procedure
HCPCS code T4539 was billed by 146 providers across 1.0M claims, totaling $27.4M in Medicaid payments from 2018–2024. This code was used for 1.0M unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$27.96
Providers Billing
144
National Spending
$27.4M
Avg/Median Ratio
0.97×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for T4539
| # | Provider | Total Paid |
|---|---|---|
| 1 | Integra Partners Llc Troy, MI · Orthotic Fitter | $3.2M |
| 2 | 1639151103 | $2.1M |
| 3 | 1538254461 | $1.9M |
| 4 | 1013367697 | $1.3M |
| 5 | 1003247297 | $1.2M |
| 6 | 1003990664 | $920K |
| 7 | 1356370555 | $868K |
| 8 | 1669635173 | $800K |
| 9 | 1144618794 | $767K |
| 10 | 1245387943 | $756K |
| 11 | 1841273000 | $630K |
| 12 | 1750316055 | $482K |
| 13 | 1699795054 | $477K |
| 14 | 1639243611 | $465K |
| 15 | 1831364397 | $451K |
| 16 | Med Star Surgical & Breathing Equipment Inc. Bronx, NY · Prosthetic/Orthotic Supplier | $411K |
| 17 | 1750436259 | $353K |
| 18 | 1437348596 | $346K |
| 19 | 1033181532 | $340K |
| 20 | 1518423508 | $336K |
Showing top 20 of 146 providers billing this code