J1750
HCPCS Procedure Code
HCPCS code J1750 is the #2,540 most-billed Medicaid procedure code, with $5.1M in payments across 65K claims from 2018–2024. The national median cost per claim is $97.22. Costs vary widely — the 90th percentile is $258.81 per claim, 2.7× the median.
Total Paid
$5.1M
0.00% of all spending
Total Claims
65K
Providers
168
Avg Cost/Claim
$78
National Cost Distribution
How much do providers bill per claim for J1750? Based on 150 providers billing this code nationally.
Median
$97.22
Average
$115.82
Std Dev
$100.94
Max
$487.92
Percentile Distribution (Cost per Claim)
50% of providers bill between $26.92 and $183.33 per claim for this code.
90% bill between $15.76 and $258.81.
Top 1% bill above $378.00.
About This Procedure
HCPCS code J1750 was billed by 168 providers across 65K claims, totaling $5.1M in Medicaid payments from 2018–2024. This code was used for 36K 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
$97.22
Providers Billing
150
National Spending
$5.1M
Avg/Median Ratio
1.19×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1750
| # | Provider | Total Paid |
|---|---|---|
| 1 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $401K |
| 2 | 1770690695 | $372K |
| 3 | Bakersfield Memorial Hospital Bakersfield, CA · General Acute Care Hospital | $318K |
| 4 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $287K |
| 5 | 1992703540 | $258K |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $238K |
| 7 | Henry Ford Health System Detroit, MI · General Acute Care Hospital | $201K |
| 8 | Presbyterian Healthcare Services Albuquerque, NM · Emergency Medicine | $148K |
| 9 | 1124300983 | $132K |
| 10 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $120K |
| 11 | Ohio State University Hospitals Columbus, OH · General Acute Care Hospital | $114K |
| 12 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $100K |
| 13 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $98K |
| 14 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $88K |
| 15 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $86K |
| 16 | Reading Hospital West Reading, PA · Surgery | $82K |
| 17 | 1265628226 | $80K |
| 18 | Oregon Health & Science University Portland, OR · General Practice | $78K |
| 19 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $78K |
| 20 | 1235139312 | $74K |
Showing top 20 of 168 providers billing this code