J0882
Injection, darbepoetin alfa, one microgram, ESRD use
Injection, darbepoetin alfa, one microgram, ESRD use is the #833 most-billed Medicaid procedure code, with $70.4M in payments across 1.1M claims from 2018–2024. The national median cost per claim is $49.66. Costs vary widely — the 90th percentile is $209.05 per claim, 4.2× the median.
Total Paid
$70.4M
0.01% of all spending
Total Claims
1.1M
Providers
652
Avg Cost/Claim
$63
National Cost Distribution
How much do providers bill per claim for J0882? Based on 569 providers billing this code nationally.
Median
$49.66
Average
$85.82
Std Dev
$113.37
Max
$1,059.22
Percentile Distribution (Cost per Claim)
50% of providers bill between $22.35 and $109.84 per claim for this code.
90% bill between $6.59 and $209.05.
Top 1% bill above $565.81.
About This Procedure
HCPCS code J0882 (Injection, darbepoetin alfa, one microgram, ESRD use) was billed by 652 providers across 1.1M claims, totaling $70.4M in Medicaid payments from 2018–2024. This code was used for 297K 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
$49.66
Providers Billing
569
National Spending
$70.4M
Avg/Median Ratio
1.73×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J0882
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1235213463 | $2.5M |
| 2 | 1952333205 | $1.9M |
| 3 | 1134308489 | $1.4M |
| 4 | 1821069907 | $1.2M |
| 5 | 1003233180 | $1.2M |
| 6 | 1952476525 | $1.2M |
| 7 | 1063454619 | $1.1M |
| 8 | 1194930693 | $1.1M |
| 9 | 1770609711 | $1.1M |
| 10 | 1730110578 | $1.1M |
| 11 | 1386615458 | $1.1M |
| 12 | Mount Sinai Hospital New York, NY · Ambulance | $1.1M |
| 13 | 1194014191 | $987K |
| 14 | 1790960060 | $955K |
| 15 | 1871903385 | $831K |
| 16 | 1699746396 | $816K |
| 17 | 1326046467 | $811K |
| 18 | 1801128301 | $809K |
| 19 | Laurel Canyon Dialysis Llc Sun Valley, CA · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $801K |
| 20 | 1649542192 | $800K |
Showing top 20 of 652 providers billing this code