J1950
Injection, leuprolide acetate, per three point seven five milligrams
Injection, leuprolide acetate, per three point seven five milligrams is the #1,200 most-billed Medicaid procedure code, with $33.7M in payments across 17K claims from 2018–2024. The national median cost per claim is $1,442.37. Costs vary widely — the 90th percentile is $3,775.66 per claim, 2.6× the median.
Total Paid
$33.7M
0.00% of all spending
Total Claims
17K
Providers
68
Avg Cost/Claim
$2K
National Cost Distribution
How much do providers bill per claim for J1950? Based on 59 providers billing this code nationally.
Median
$1,442.37
Average
$1,896.14
Std Dev
$1,864.61
Max
$9,671.09
Percentile Distribution (Cost per Claim)
50% of providers bill between $887.41 and $2,084.88 per claim for this code.
90% bill between $92.83 and $3,775.66.
Top 1% bill above $8,405.24.
About This Procedure
HCPCS code J1950 (Injection, leuprolide acetate, per three point seven five milligrams) was billed by 68 providers across 17K claims, totaling $33.7M in Medicaid payments from 2018–2024. This code was used for 15K 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
$1,442.37
Providers Billing
59
National Spending
$33.7M
Avg/Median Ratio
1.31×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for J1950
| # | Provider | Total Paid |
|---|---|---|
| 1 | Procare Pharmacy Direct, Llc. Monroeville, PA · Pharmacy, Community/Retail Pharmacy | $5.1M |
| 2 | Accredo Health Group Inc Memphis, TN · Pharmacy | $3.7M |
| 3 | 1811080526 | $3.0M |
| 4 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $2.9M |
| 5 | 1780737510 | $2.3M |
| 6 | The New York And Presbyterian Hospital New York, NY · General Acute Care Hospital | $1.6M |
| 7 | Dana-farber Cancer Institute, Inc. Boston, MA · General Acute Care Hospital | $1.5M |
| 8 | 1174693592 | $1.4M |
| 9 | Boston Medical Center Corporation Boston, MA · General Acute Care Hospital | $1.3M |
| 10 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $1.2M |
| 11 | Maimonides Medical Center Brooklyn, NY · General Acute Care Hospital | $972K |
| 12 | University Of Rochester Rochester, NY · General Acute Care Hospital | $869K |
| 13 | Montefiore Medical Center Bronx, NY · General Acute Care Hospital | $800K |
| 14 | 1356412373 | $746K |
| 15 | University Medical Center, Inc Louisville, KY · Student in an Organized Health Care Education/Training Program | $604K |
| 16 | 1134100134 | $504K |
| 17 | 1437230034 | $440K |
| 18 | The General Hospital Corporation Boston, MA · General Acute Care Hospital | $440K |
| 19 | 1710057500 | $397K |
| 20 | Beth Israel Medical Center Brooklyn, NY · Psychiatric Unit | $396K |
Showing top 20 of 68 providers billing this code