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

#5540 of 11K

J2507

HCPCS Procedure Code

HCPCS code J2507 is the #5,540 most-billed Medicaid procedure code, with $180K in payments across 73 claims from 2018–2024. The national median cost per claim is $2,465.45.

Total Paid

$180K

0.00% of all spending

Total Claims

73

Providers

1

Avg Cost/Claim

$2K

National Cost Distribution

How much do providers bill per claim for J2507? Based on 1 providers billing this code nationally.

Median

$2,465.45

Average

$2,465.45

Std Dev

Max

$2,465.45

Percentile Distribution (Cost per Claim)

p10
$2,465.45
p25
$2,465.45
Median
$2,465.45
p75
$2,465.45
p90
$2,465.45
p95
$2,465.45
p99
$2,465.45

50% of providers bill between $2,465.45 and $2,465.45 per claim for this code.

90% bill between $2,465.45 and $2,465.45.

Top 1% bill above $2,465.45.

About This Procedure

HCPCS code J2507 was billed by 1 providers across 73 claims, totaling $180K in Medicaid payments from 2018–2024. This code was used for 49 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

$2,465.45

Providers Billing

1

National Spending

$180K

Avg/Median Ratio

1.00×

Normal distribution

Provider Coverage

We have 1 providers billing this code in our dataset. Individual provider breakdowns are available for top-spending procedure codes.