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#425 of 11K

Q5001

Injection, filgrastim-sndz, biosimilar, 1 mcg

Injection, filgrastim-sndz, biosimilar, 1 mcg is the #425 most-billed Medicaid procedure code, with $242.5M in payments across 2.8M claims from 2018–2024. The national median cost per claim is $23.43. Costs vary widely — the 90th percentile is $628.08 per claim, 26.8× the median.

Total Paid

$242.5M

0.02% of all spending

Total Claims

2.8M

Providers

3K

Avg Cost/Claim

$86

National Cost Distribution

How much do providers bill per claim for Q5001? Based on 685 providers billing this code nationally.

Median

$23.43

Average

$281.92

Std Dev

$731.08

Max

$5,483.99

Percentile Distribution (Cost per Claim)

p10
$0.00
p25
$0.01
Median
$23.43
p75
$197.01
p90
$628.08
p95
$1,751.44
p99
$3,884.55

50% of providers bill between $0.01 and $197.01 per claim for this code.

90% bill between $0.00 and $628.08.

Top 1% bill above $3,884.55.

About This Procedure

HCPCS code Q5001 (Injection, filgrastim-sndz, biosimilar, 1 mcg) was billed by 3K providers across 2.8M claims, totaling $242.5M in Medicaid payments from 2018–2024. This code was used for 1.4M unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$23.43

Providers Billing

685

National Spending

$242.5M

Avg/Median Ratio

12.03×

Highly skewed — outlier-driven

Top Providers Billing This Code

Ranked by total Medicaid payments for Q5001

#ProviderTotal Paid
11861538209$14.2M
2Providence Health & Services - Washington

Seattle, WA · Hospice Care Community Based

$8.6M
3Vitas Healthcare Corporation Of California

Sacramento, CA · Hospice Care Community Based

$8.0M
4Optimal Hospice Inc.

Fresno, CA · Hospice Care Community Based

$7.5M
5Visiting Nurse Service Of New York Hospice Care

New York, NY · Hospice Care Community Based

$6.9M
61609922707$6.8M
7Mjhs Hospice And Palliative Care Inc.

New York, NY · Hospice Care Community Based

$6.7M
81033328232$6.6M
9Franciscan Health System

University Place, WA · Internal Medicine

$6.4M
101033144464$6.1M
11Gilchrist Hospice Care Inc.

Towson, MD · Hospice, Inpatient

$6.1M
12Ambercare Hospice Inc.

Albuquerque, NM · Hospice Care Community Based

$6.0M
131619015393$5.8M
141619028313$5.4M
151568485894$5.3M
161891718649$4.9M
171669548053$4.4M
181124028204$4.0M
191619238698$3.9M
201790755932$3.8M

Showing top 20 of 3K providers billing this code