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)
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
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1861538209 | $14.2M |
| 2 | Providence Health & Services - Washington Seattle, WA · Hospice Care Community Based | $8.6M |
| 3 | Vitas Healthcare Corporation Of California Sacramento, CA · Hospice Care Community Based | $8.0M |
| 4 | Optimal Hospice Inc. Fresno, CA · Hospice Care Community Based | $7.5M |
| 5 | Visiting Nurse Service Of New York Hospice Care New York, NY · Hospice Care Community Based | $6.9M |
| 6 | 1609922707 | $6.8M |
| 7 | Mjhs Hospice And Palliative Care Inc. New York, NY · Hospice Care Community Based | $6.7M |
| 8 | 1033328232 | $6.6M |
| 9 | Franciscan Health System University Place, WA · Internal Medicine | $6.4M |
| 10 | 1033144464 | $6.1M |
| 11 | Gilchrist Hospice Care Inc. Towson, MD · Hospice, Inpatient | $6.1M |
| 12 | Ambercare Hospice Inc. Albuquerque, NM · Hospice Care Community Based | $6.0M |
| 13 | 1619015393 | $5.8M |
| 14 | 1619028313 | $5.4M |
| 15 | 1568485894 | $5.3M |
| 16 | 1891718649 | $4.9M |
| 17 | 1669548053 | $4.4M |
| 18 | 1124028204 | $4.0M |
| 19 | 1619238698 | $3.9M |
| 20 | 1790755932 | $3.8M |
Showing top 20 of 3K providers billing this code