J1644
HCPCS Procedure Code
HCPCS code J1644 is the #911 most-billed Medicaid procedure code, with $59.9M in payments across 15.1M claims from 2018–2024. The national median cost per claim is $0.37. Costs vary widely — the 90th percentile is $9.02 per claim, 24.4× the median.
Total Paid
$59.9M
0.01% of all spending
Total Claims
15.1M
Providers
3K
Avg Cost/Claim
$4
National Cost Distribution
How much do providers bill per claim for J1644? Based on 2K providers billing this code nationally.
Median
$0.37
Average
$7.51
Std Dev
$46.86
Max
$1,482.90
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.06 and $2.72 per claim for this code.
90% bill between $0.01 and $9.02.
Top 1% bill above $173.98.
About This Procedure
HCPCS code J1644 was billed by 3K providers across 15.1M claims, totaling $59.9M in Medicaid payments from 2018–2024. This code was used for 2.3M 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
$0.37
Providers Billing
2K
National Spending
$59.9M
Avg/Median Ratio
20.30×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1644
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1942293691 | $6.1M |
| 2 | Central Florida Kidney Centers Inc Orlando, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $3.9M |
| 3 | 1225436199 | $2.7M |
| 4 | 1891788550 | $2.7M |
| 5 | St Petersburg Kidney Care South Llc St Petersburg, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $2.0M |
| 6 | 1104268325 | $2.0M |
| 7 | 1396283339 | $1.9M |
| 8 | 1245236876 | $1.8M |
| 9 | 1952307589 | $1.7M |
| 10 | 1538482740 | $1.6M |
| 11 | 1831182583 | $1.4M |
| 12 | 1366687055 | $1.3M |
| 13 | 1013924372 | $1.1M |
| 14 | 1871526202 | $1.1M |
| 15 | 1437261112 | $1.1M |
| 16 | 1013332014 | $1.1M |
| 17 | 1003826090 | $1.0M |
| 18 | 1346439387 | $929K |
| 19 | 1467762146 | $752K |
| 20 | 1376885228 | $660K |
Showing top 20 of 3K providers billing this code