J0887
Injection, epoetin alfa, non-ESRD, 1000 units
Injection, epoetin alfa, non-ESRD, 1000 units is the #371 most-billed Medicaid procedure code, with $315.7M in payments across 3.6M claims from 2018–2024. The national median cost per claim is $30.48. Costs vary widely — the 90th percentile is $192.70 per claim, 6.3× the median.
Total Paid
$315.7M
0.03% of all spending
Total Claims
3.6M
Providers
3K
Avg Cost/Claim
$87
National Cost Distribution
How much do providers bill per claim for J0887? Based on 2K providers billing this code nationally.
Median
$30.48
Average
$82.04
Std Dev
$164.79
Max
$2,872.20
Percentile Distribution (Cost per Claim)
50% of providers bill between $9.63 and $90.74 per claim for this code.
90% bill between $1.94 and $192.70.
Top 1% bill above $686.92.
About This Procedure
HCPCS code J0887 (Injection, epoetin alfa, non-ESRD, 1000 units) was billed by 3K providers across 3.6M claims, totaling $315.7M in Medicaid payments from 2018–2024. This code was used for 2.0M 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
$30.48
Providers Billing
2K
National Spending
$315.7M
Avg/Median Ratio
2.69×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J0887
| # | Provider | Total Paid |
|---|---|---|
| 1 | Liberty Dialysis - Hawaii Llc Honolulu, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $22.1M |
| 2 | Liberty Dialysis - Hawaii Llc Waipahu, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $9.7M |
| 3 | Liberty Dialysis - Hawaii Llc Hilo, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $8.7M |
| 4 | 1427099332 | $8.1M |
| 5 | Liberty Dialysis - Hawaii Llc Wailuku, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $7.6M |
| 6 | Liberty Dialysis - Hawaii Llc Mililani, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $6.4M |
| 7 | Liberty Dialysis - Hawaii Llc Kailua Kona, HI · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $4.3M |
| 8 | 1073060638 | $3.3M |
| 9 | 1700828043 | $3.2M |
| 10 | 1609142173 | $3.0M |
| 11 | 1629344122 | $3.0M |
| 12 | 1346516812 | $2.8M |
| 13 | 1235171588 | $2.6M |
| 14 | 1568574374 | $2.4M |
| 15 | 1942312756 | $2.4M |
| 16 | 1467649038 | $2.2M |
| 17 | 1922110733 | $2.1M |
| 18 | 1710137534 | $2.1M |
| 19 | 1780796680 | $2.0M |
| 20 | 1487756656 | $1.8M |
Showing top 20 of 3K providers billing this code