J3250
HCPCS Procedure Code
HCPCS code J3250 is the #7,258 most-billed Medicaid procedure code, with $23K in payments across 3K claims from 2018–2024. The national median cost per claim is $6.17. Costs vary widely — the 90th percentile is $16.66 per claim, 2.7× the median.
Total Paid
$23K
0.00% of all spending
Total Claims
3K
Providers
23
Avg Cost/Claim
$7
National Cost Distribution
How much do providers bill per claim for J3250? Based on 11 providers billing this code nationally.
Median
$6.17
Average
$9.52
Std Dev
$10.82
Max
$38.52
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.63 and $10.86 per claim for this code.
90% bill between $0.13 and $16.66.
Top 1% bill above $36.33.
About This Procedure
HCPCS code J3250 was billed by 23 providers across 3K claims, totaling $23K in Medicaid payments from 2018–2024. This code was used for 3K 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
$6.17
Providers Billing
11
National Spending
$23K
Avg/Median Ratio
1.54×
Moderately skewed
Top Providers Billing This Code
Ranked by total Medicaid payments for J3250
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1710073390 | $15K |
| 2 | Nyu Langone Hospitals New York, NY · Clinic/Center, Oncology | $6K |
| 3 | 1821185398 | $963 |
| 4 | Kennedy University Hospital Inc. Stratford, NJ · General Acute Care Hospital | $521 |
| 5 | St Josephs University Medical Center Inc. Paterson, NJ · General Acute Care Hospital | $506 |
| 6 | The Metrohealth System Cleveland, OH · General Acute Care Hospital | $349 |
| 7 | 1396831269 | $178 |
| 8 | 1548296106 | $91 |
| 9 | The Cooper Health System Camden, NJ · General Acute Care Hospital | $72 |
| 10 | Rector & Visitors Of The University Of Virginia Charlottesville, VA · General Acute Care Hospital | $36 |
| 11 | Regents Of The University Of Michigan Ann Arbor, MI · Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | $4 |
| 12 | Temple University Hospital Inc Philadelphia, PA · General Acute Care Hospital | $0 |
| 13 | Aurora Health Care Metro, Inc. Milwaukee, WI · Internal Medicine, Hematology & Oncology | $0 |
| 14 | 1568727048 | $0 |
| 15 | 1376564088 | $0 |
| 16 | 1487865184 | $0 |
| 17 | 1588656946 | $0 |
| 18 | Henry Ford Health St. John Hospital Chicago, IL · Clinic/Center, Ambulatory Surgical | $0 |
| 19 | Trustees Of The University Of Pennsylvania Philadelphia, PA · Community/Behavioral Health | $0 |
| 20 | 1780658443 | $0 |
Showing top 20 of 23 providers billing this code