J1756
Injection, iron sucrose, 1 mg
Injection, iron sucrose, 1 mg is the #490 most-billed Medicaid procedure code, with $188.3M in payments across 12.4M claims from 2018–2024. The national median cost per claim is $4.58. Costs vary widely — the 90th percentile is $78.59 per claim, 17.2× the median.
Total Paid
$188.3M
0.02% of all spending
Total Claims
12.4M
Providers
4K
Avg Cost/Claim
$15
National Cost Distribution
How much do providers bill per claim for J1756? Based on 4K providers billing this code nationally.
Median
$4.58
Average
$25.16
Std Dev
$54.81
Max
$1,149.24
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.45 and $25.61 per claim for this code.
90% bill between $0.36 and $78.59.
Top 1% bill above $218.78.
About This Procedure
HCPCS code J1756 (Injection, iron sucrose, 1 mg) was billed by 4K providers across 12.4M claims, totaling $188.3M in Medicaid payments from 2018–2024. This code was used for 3.1M 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
$4.58
Providers Billing
4K
National Spending
$188.3M
Avg/Median Ratio
5.49×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1756
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003883125 | $1.7M |
| 2 | 1255308722 | $1.5M |
| 3 | 1609988450 | $1.3M |
| 4 | Renal Care Group Of The Southeast Inc. Pensacola, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $1.3M |
| 5 | 1396794574 | $1.2M |
| 6 | 1841268596 | $1.2M |
| 7 | 1437168440 | $1.1M |
| 8 | 1285690248 | $1.1M |
| 9 | Alameda Health System Oakland, CA · General Acute Care Hospital | $1.0M |
| 10 | 1942278270 | $999K |
| 11 | 1154799948 | $963K |
| 12 | 1063880854 | $949K |
| 13 | 1104856095 | $938K |
| 14 | 1376588046 | $922K |
| 15 | 1790897551 | $920K |
| 16 | 1417258245 | $916K |
| 17 | 1861749194 | $892K |
| 18 | 1104268325 | $854K |
| 19 | 1942293691 | $845K |
| 20 | 1225436199 | $844K |
Showing top 20 of 4K providers billing this code