Statistical flags indicate unusual patterns — not proof of fraud or wrongdoing. Read our methodology

#4829 of 11K

J2185

Injection, meropenem, one hundred milligrams

Injection, meropenem, one hundred milligrams is the #4,829 most-billed Medicaid procedure code, with $383K in payments across 1K claims from 2018–2024. The national median cost per claim is $105.00. Costs vary widely — the 90th percentile is $334.59 per claim, 3.2× the median.

Total Paid

$383K

0.00% of all spending

Total Claims

1K

Providers

12

Avg Cost/Claim

$269

National Cost Distribution

How much do providers bill per claim for J2185? Based on 9 providers billing this code nationally.

Median

$105.00

Average

$164.06

Std Dev

$173.97

Max

$565.87

Percentile Distribution (Cost per Claim)

p10
$25.68
p25
$59.79
Median
$105.00
p75
$207.46
p90
$334.59
p95
$450.23
p99
$542.74

50% of providers bill between $59.79 and $207.46 per claim for this code.

90% bill between $25.68 and $334.59.

Top 1% bill above $542.74.

About This Procedure

HCPCS code J2185 (Injection, meropenem, one hundred milligrams) was billed by 12 providers across 1K claims, totaling $383K in Medicaid payments from 2018–2024. This code was used for 611 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

$105.00

Providers Billing

9

National Spending

$383K

Avg/Median Ratio

1.56×

Moderately skewed

Top Providers Billing This Code

Ranked by total Medicaid payments for J2185

#ProviderTotal Paid
11881915031$310K
21518036458$41K
3Best Option Healthcare Puerto Rico Llc

San Juan, PR · Pharmacy Home Infusion Therapy Pharmacy

$13K
41114099488$6K
51568474716$6K
61457872632$3K
7Childrens Hospital Of Los Angeles

Los Angeles, CA · Case Manager/Care Coordinator

$2K
8Optum Infusion Services 308 Llc

Chandler, AZ · Pharmacy Home Infusion Therapy Pharmacy

$1K
91790130573$1K
10Yuma Regional Medical Center

Yuma, AZ · General Acute Care Hospital

$0
111326177544$0
121699986331$0

Showing top 12 of 12 providers billing this code