J9075
HCPCS Procedure Code
HCPCS code J9075 is the #4,579 most-billed Medicaid procedure code, with $504K in payments across 3K claims from 2018–2024. The national median cost per claim is $116.46. Costs vary widely — the 90th percentile is $296.15 per claim, 2.5× the median.
Total Paid
$504K
0.00% of all spending
Total Claims
3K
Providers
19
Avg Cost/Claim
$144
National Cost Distribution
How much do providers bill per claim for J9075? Based on 18 providers billing this code nationally.
Median
$116.46
Average
$136.88
Std Dev
$93.24
Max
$335.65
Percentile Distribution (Cost per Claim)
50% of providers bill between $62.66 and $166.00 per claim for this code.
90% bill between $45.29 and $296.15.
Top 1% bill above $332.27.
About This Procedure
HCPCS code J9075 was billed by 19 providers across 3K claims, totaling $504K in Medicaid payments from 2018–2024. This code was used for 1K 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
$116.46
Providers Billing
18
National Spending
$504K
Avg/Median Ratio
1.18×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J9075
| # | Provider | Total Paid |
|---|---|---|
| 1 | Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy | $192K |
| 2 | Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital | $80K |
| 3 | City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital | $59K |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $42K |
| 5 | Stanford Health Care Stanford, CA · General Acute Care Hospital | $34K |
| 6 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $16K |
| 7 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $15K |
| 8 | Seventh-day Adventists Loma Linda University Medical Center Loma Linda, CA · General Acute Care Hospital | $14K |
| 9 | Inova Health Care Services Falls Church, VA · Clinic/Center, Rehabilitation, Substance Use Disorder | $9K |
| 10 | Memorial Hospital For Cancer And Allied Diseases New York, NY · Pharmacy | $9K |
| 11 | 1528018389 | $8K |
| 12 | Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty | $7K |
| 13 | Hmh Hospitals Corporation Hackensack, NJ · Ambulance | $7K |
| 14 | Mount Sinai Hospital New York, NY · Ambulance | $7K |
| 15 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $3K |
| 16 | Regents Of The University Of California San Diego, CA · General Acute Care Hospital | $2K |
| 17 | Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital | $2K |
| 18 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $2K |
| 19 | 1215916002 | $0 |
Showing top 19 of 19 providers billing this code