J2182
Injection, mepolizumab, one milligram
Injection, mepolizumab, one milligram is the #1,644 most-billed Medicaid procedure code, with $17.0M in payments across 8K claims from 2018–2024. The national median cost per claim is $1,614.23.
Total Paid
$17.0M
0.00% of all spending
Total Claims
8K
Providers
25
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J2182? Based on 24 providers billing this code nationally.
Median
$1,614.23
Average
$1,671.51
Std Dev
$1,136.80
Max
$4,634.06
Percentile Distribution (Cost per Claim)
50% of providers bill between $799.96 and $2,394.46 per claim for this code.
90% bill between $272.04 and $3,059.62.
Top 1% bill above $4,292.92.
About This Procedure
HCPCS code J2182 (Injection, mepolizumab, one milligram) was billed by 25 providers across 8K claims, totaling $17.0M in Medicaid payments from 2018–2024. This code was used for 7K 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
$1,614.23
Providers Billing
24
National Spending
$17.0M
Avg/Median Ratio
1.04×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J2182
| # | Provider | Total Paid |
|---|---|---|
| 1 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $5.5M |
| 2 | 1083045140 | $2.0M |
| 3 | Accredo Health Group Inc Memphis, TN · Pharmacy | $1.9M |
| 4 | 1235125717 | $1.4M |
| 5 | 1134100134 | $1.3M |
| 6 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $1.1M |
| 7 | 1265462659 | $1.0M |
| 8 | Alameda Health System Oakland, CA · General Acute Care Hospital | $969K |
| 9 | University Of Washington Seattle, WA · Clinic/Center, Dental | $493K |
| 10 | 1760601389 | $351K |
| 11 | Brigham & Womens Hospital Inc. Boston, MA · General Acute Care Hospital | $223K |
| 12 | St. Barnabas Hospital Bronx, NY · General Acute Care Hospital | $186K |
| 13 | 1720364532 | $147K |
| 14 | 1902882251 | $121K |
| 15 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $82K |
| 16 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $61K |
| 17 | 1750399192 | $54K |
| 18 | 1598875460 | $49K |
| 19 | 1295842615 | $40K |
| 20 | Baystate Medical Center Inc Springfield, MA · General Acute Care Hospital | $22K |
Showing top 20 of 25 providers billing this code