J0588
HCPCS Procedure Code
HCPCS code J0588 is the #2,872 most-billed Medicaid procedure code, with $3.2M in payments across 11K claims from 2018–2024. The national median cost per claim is $234.99. Costs vary widely — the 90th percentile is $764.17 per claim, 3.3× the median.
Total Paid
$3.2M
0.00% of all spending
Total Claims
11K
Providers
18
Avg Cost/Claim
$296
National Cost Distribution
How much do providers bill per claim for J0588? Based on 17 providers billing this code nationally.
Median
$234.99
Average
$365.44
Std Dev
$303.41
Max
$910.55
Percentile Distribution (Cost per Claim)
50% of providers bill between $95.65 and $571.25 per claim for this code.
90% bill between $49.01 and $764.17.
Top 1% bill above $904.29.
About This Procedure
HCPCS code J0588 was billed by 18 providers across 11K claims, totaling $3.2M in Medicaid payments from 2018–2024. This code was used for 10K unique beneficiaries.
Fraud Risk Context
Injectable drug codes carry high per-claim costs and have been involved in drug diversion and upcoding schemes.
Source: HHS OIG Reports
Risk Assessment
Billing Statistics
Median Cost/Claim
$234.99
Providers Billing
17
National Spending
$3.2M
Avg/Median Ratio
1.56×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J0588
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1184677825 | $1.8M |
| 2 | University Of Wisconsin Hospitals And Clinics Authority Madison, WI · General Acute Care Hospital | $595K |
| 3 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $312K |
| 4 | 1225327984 | $151K |
| 5 | 1770748014 | $99K |
| 6 | Froedtert Memorial Lutheran Hospital, Inc. Milwaukee, WI · Clinic/Center, Radiology | $81K |
| 7 | 1659994739 | $48K |
| 8 | 1306824420 | $46K |
| 9 | 1548979123 | $34K |
| 10 | Mercy Health - St Vincent Medical Center Llc Toledo, OH · Ambulance, Land Transport | $30K |
| 11 | Children's Hospital Of Wisconsin, Inc. Milwaukee, WI · Dentist, Pediatric Dentistry | $18K |
| 12 | Alaska Native Tribal Health Consortium Anchorage, AK · General Acute Care Hospital | $5K |
| 13 | 1780669200 | $5K |
| 14 | 1952643512 | $4K |
| 15 | 1467488148 | $3K |
| 16 | 1750315701 | $3K |
| 17 | 1386874550 | $3K |
| 18 | 1447460977 | $0 |
Showing top 18 of 18 providers billing this code