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#206 of 11K

T4541

Pediatric-sized disposable incontinence product, large

Pediatric-sized disposable incontinence product, large is the #206 most-billed Medicaid procedure code, with $757.4M in payments across 18.5M claims from 2018–2024. The national median cost per claim is $41.28.

Total Paid

$757.4M

0.07% of all spending

Total Claims

18.5M

Providers

1K

Avg Cost/Claim

$41

National Cost Distribution

How much do providers bill per claim for T4541? Based on 1K providers billing this code nationally.

Median

$41.28

Average

$44.01

Std Dev

$26.99

Max

$427.92

Percentile Distribution (Cost per Claim)

p10
$19.58
p25
$29.06
Median
$41.28
p75
$54.95
p90
$67.24
p95
$74.06
p99
$118.49

50% of providers bill between $29.06 and $54.95 per claim for this code.

90% bill between $19.58 and $67.24.

Top 1% bill above $118.49.

About This Procedure

HCPCS code T4541 (Pediatric-sized disposable incontinence product, large) was billed by 1K providers across 18.5M claims, totaling $757.4M in Medicaid payments from 2018–2024. This code was used for 17.7M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$41.28

Providers Billing

1K

National Spending

$757.4M

Avg/Median Ratio

1.07×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for T4541

#ProviderTotal Paid
1Shield California Health Care Center Inc

Valencia, CA · Durable Medical Equipment & Medical Supplies

$93.5M
2Personal Touch Home Care Of Ky, Inc.

Fort Thomas, KY · Home Health

$43.3M
3Aeroflow Inc

Arden, NC · Durable Medical Equipment & Medical Supplies

$29.7M
4Activstyle, Llc

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

$22.3M
5J&b Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$19.0M
6Byram Healthcare Centers, Inc.

Torrance, CA · Durable Medical Equipment & Medical Supplies

$16.4M
71124132154$16.2M
81275647299$14.3M
9Medline Industries, Lp

Grayslake, IL · Durable Medical Equipment & Medical Supplies

$11.8M
10J & B Medical Supply Co Inc

Wixom, MI · Durable Medical Equipment & Medical Supplies

$10.1M
111992975700$9.9M
12Home Care Delivered, Inc.

Richmond, VA · Durable Medical Equipment & Medical Supplies

$9.1M
13H & H Drug Stores, Inc

Glendale, CA · Durable Medical Equipment & Medical Supplies

$7.9M
141023271822$7.6M
151134305972$7.5M
161023017647$7.5M
171649383084$7.1M
181467471342$6.8M
19Rgh Enterprises, Llc

Twinsburg, OH · Prosthetic/Orthotic Supplier

$6.7M
201164493003$6.4M

Showing top 20 of 1K providers billing this code