J1270
Injection, doxercalciferol, 1 mcg
Injection, doxercalciferol, 1 mcg is the #409 most-billed Medicaid procedure code, with $257.6M in payments across 15.5M claims from 2018–2024. The national median cost per claim is $0.73. Costs vary widely — the 90th percentile is $89.25 per claim, 122.3× the median.
Total Paid
$257.6M
0.02% of all spending
Total Claims
15.5M
Providers
1,903
Avg Cost/Claim
$17
National Cost Distribution
How much do providers bill per claim for J1270? Based on 1,501 providers billing this code nationally.
Median
$0.73
Average
$19.83
Std Dev
$49.26
Max
$456.08
Percentile Distribution (Cost per Claim)
50% of providers bill between $0.17 and $4.98 per claim for this code.
90% bill between $0.04 and $89.25.
Top 1% bill above $241.29.
About This Procedure
HCPCS code J1270 (Injection, doxercalciferol, 1 mcg) was billed by 1,903 providers across 15.5M claims, totaling $257.6M in Medicaid payments from 2018–2024. This code was used for 1.3M 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
$0.73
Providers Billing
1,501
National Spending
$257.6M
Avg/Median Ratio
27.16×
Highly skewed — outlier-driven
Top Providers Billing This Code
Ranked by total Medicaid payments for J1270
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1003883125 | $5.8M |
| 2 | 1952333205 | $5.0M |
| 3 | Dialysis Clinic Inc Jacksonville, FL · Clinic/Center End-Stage Renal Disease (ESRD) Treatment | $4.3M |
| 4 | 1255308722 | $3.6M |
| 5 | 1841268596 | $3.5M |
| 6 | 1285690248 | $3.5M |
| 7 | 1538137799 | $3.4M |
| 8 | 1154399491 | $3.2M |
| 9 | 1942278270 | $3.2M |
| 10 | 1154799948 | $3.1M |
| 11 | 1043277015 | $3.1M |
| 12 | 1821065947 | $3.1M |
| 13 | 1942567839 | $3.1M |
| 14 | 1861749194 | $3.0M |
| 15 | 1245208057 | $2.9M |
| 16 | 1417258245 | $2.7M |
| 17 | 1518196252 | $2.7M |
| 18 | 1275771891 | $2.7M |
| 19 | 1417925025 | $2.6M |
| 20 | 1639147259 | $2.5M |
Showing top 20 of 1,903 providers billing this code