#853 of 11K

J9144

HCPCS Procedure Code

HCPCS code J9144 is the #853 most-billed Medicaid procedure code, with $67.1M in payments across 22K claims from 2018–2024. The national median cost per claim is $3,253.39. Costs vary widely — the 90th percentile is $7,496.87 per claim, 2.3× the median.

Total Paid

$67.1M

0.01% of all spending

Total Claims

22K

Providers

Avg Cost/Claim

$3K

National Cost Distribution

How much do providers bill per claim for J9144? Based on 42 providers billing this code nationally.

Median

$3,253.39

Average

$3,932.01

Std Dev

$2,797.71

Max

$13,386.01

Percentile Distribution (Cost per Claim)

p10

$878.05

p25

$2,222.33

Median

$3,253.39

p75

$4,969.08

p90

$7,496.87

p95

$8,495.73

p99

$11,570.80

50% of providers bill between $2,222.33 and $4,969.08 per claim for this code.

90% bill between $878.05 and $7,496.87.

Top 1% bill above $11,570.80.

About This Procedure

HCPCS code J9144 was billed by 44 providers across 22K claims, totaling $67.1M in Medicaid payments from 2018–2024. This code was used for 13K 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

$3,253.39

Providers Billing

National Spending

$67.1M

Avg/Median Ratio

1.21×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for J9144

#	Provider	Total Paid	Cost/Claim	vs Median	Tier
1	Yale New Haven Hospital New Haven, CT · General Acute Care Hospital	$7.7M	$2,821.40	0.9× median	Below Median
2	Mount Sinai Hospital New York, NY · Ambulance	$6.3M	$4,146.59	1.3× median	Above Median
3	City Of Hope National Medical Center Duarte, CA · General Acute Care Hospital	$6.0M	$4,555.10	1.4× median	Above Median
4	Montefiore Medical Center Bronx, NY · General Acute Care Hospital	$4.8M	$4,612.36	1.4× median	Above Median
5	Boston Medical Center Corporation Boston, MA · General Acute Care Hospital	$4.4M	$2,305.35	0.7× median	Below Median
6	Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital	$4.0M	$2,441.81	0.8× median	Below Median
7	The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital	$3.9M	$4,693.34	1.4× median	Above Median
8	Arthur G James Cancer Hospital And Research Institute Columbus, OH · Special Hospital	$3.6M	$7,547.89	2.3× median	Top 10%
9	Hmh Hospitals Corporation Hackensack, NJ · Ambulance	$2.3M	$3,319.93	1.0× median	Above Median
10	Regents Of The University Of California San Diego, CA · General Acute Care Hospital	$2.1M	$3,786.43	1.2× median	Above Median
11	1437230034	$2.1M	$6,961.74	2.1× median	Above 75th
12	Long Island Jewish Medical Center New Hyde Park, NY · General Acute Care Hospital	$1.9M	$8,958.67	2.8× median	Top 10%
13	1750384079	$1.9M	$8,528.42	2.6× median	Top 10%
14	The General Hospital Corporation Boston, MA · General Acute Care Hospital	$1.4M	$991.48	0.3× median	Below Median
15	1699884858	$1.3M	$4,091.89	1.3× median	Above Median
16	Alivia Specialty Llc Guaynabo, PR · Pharmacy Specialty Pharmacy	$1.3M	$13,386.01	4.1× median	Top 1%
17	Stanford Health Care Stanford, CA · General Acute Care Hospital	$1.2M	$7,874.67	2.4× median	Top 10%
18	Banner - University Medical Center Tucson Campus Llc Tucson, AZ · Clinic/Center, Multi-Specialty	$1.1M	$7,037.75	2.2× median	Above 75th
19	1679660617	$1.0M	$865.45	0.3× median	Below Median
20	1902803315	$889K	$2,821.25	0.9× median	Below Median

Showing top 20 of 44 providers billing this code

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