Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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J1726

Injection, hydroxyprogesterone caproate, (makena), 10 mg

Medicaid paid $151.53M on code J1726 from 2018 through 2024, to 70 providers — the #548 code in the file by dollars.

28Total paid$151.53M
24GClaims137,375
Paid per claim line$1K
33Providers billing it70
Box 32 · Location

Where J1726 is billed

  1. $34M
  2. $33M
  3. $21M
  4. $19M
  5. $13M
  6. $5.3M
  7. $3.8M
  8. $3.6M
  9. $3.4M
  10. $2.0M
  11. $1.8M
  12. $1.7M

The largest of 23 states and territories, by the billing provider's address. States cover different services and set their own rates, so the same code can mean different things in different programs.

Ranked

Top providers billing J1726

#ProviderLocationClaimsPaid on J1726
1 Optum Women's and Children's Health, LLC Marietta, GA 31,233 $32.75M
2 Twelvestone Medical, INC. Murfreesboro, TN 27,741 $20.65M
3 Procare Pharmacy Direct, LLC. Monroeville, PA 6,489 $18.63M
4 Option Care Enterprises, INC. Milford, OH 8,243 $9.90M
5 Trinity Homecare LLC Ridgewood, NY 11,330 $7.85M
6 Cleveland Clinic Home Care Services Independence, OH 7,600 $6.26M
7 Optum Pharmacy 702, LLC Jeffersonville, IN 2,321 $5.32M
8 Healthy Connections Homecare Services, INC. Norwood, OH 1,776 $4.42M
9 Acro Pharmaceutical Services LLC Bartlett, TN 6,450 $4.39M
10 Caremark, L.L.C. Mt Prospect, IL 1,674 $3.77M
11 Sentara Enterprises Chesapeake, VA 1,220 $3.60M
12 Unitypoint at Home Urbandale, IA 2,554 $3.39M
13 Optum Pharmacy 706, INC. Long Island City, NY 1,101 $3.16M
14 Restore RX INC Brunswick, TN 1,299 $3.03M
15 Accredo Health Group INC Memphis, TN 1,312 $2.62M
16 Jackson-Madison County General Hospital Jackson, TN 3,554 $2.45M
17 1962514877 626 $1.87M
18 Optum Frontier Therapies II, LLC Las Vegas, NV 651 $1.69M
19 Caremark L.L.C. Raleigh, NC 499 $1.44M
20 Healthy Connections Homecare Services, INC. Houston, TX 765 $1.34M
21 1083773444 435 $1.24M
22 Americare Pharmaceutical Services,inc. Garden City, NY 1,431 $1.15M
23 1467544965 542 $1.06M
24 Caremark L.L.C. Lenexa, KS 442 $936K
25 Acariahealth Pharmacy #14, INC. Sacramento, CA 330 $877K
26 University of Arkansas for Medical Sciences Little Rock, AR 1,045 $737K
27 Yale New Haven Hospital New Haven, CT 1,199 $728K
28 Option Care Enterprises, INC. Houston, TX 814 $671K
29 1700218443 312 $562K
30 Livingston Infusion Care South Plainfield, NJ 628 $496K
31 North Mississippi Medical Center, INC. Tupelo, MS 1,211 $469K
32 Caremark, L.L.C. Bartlett, TN 240 $448K
33 Women & Infants Hospital of Rhode Island Providence, RI 642 $437K
34 The New York and Presbyterian Hospital New York, NY 1,056 $421K
35 Caremark, L.L.C. Redlands, CA 182 $384K
36 Acariahealth Pharmacy 13 INC Commerce, CA 627 $337K
37 Optum of New York, INC. Valley Stream, NY 908 $292K
38 Optum Pharmacy 705, LLC Franklin, TN 104 $283K
39 1942218748 186 $196K
40 Bridgeport Hospital Bridgeport, CT 280 $169K
41 Walgreens Specialty Pharmacy LLC Canton, MI 52 $143K
42 Unicare Pharmacy INC Van Nuys, CA 77 $138K
43 Baptist Memorial Hospital Union County, INC. New Albany, MS 378 $119K
44 Aurora Medical Group, INC. Milwaukee, WI 161 $95K
45 1295746709 456 $92K
46 North Carolina Baptist Hospital Winston Salem, NC 133 $80K
47 Perinatal Associates of Central California Medical Group INC Fresno, CA 293 $67K
48 United Health Services Hospitals, INC. Binghamton, NY 96 $50K
49 Ascension Se Wisconsin Hospital, INC Milwaukee, WI 1,181 $48K
50 Acariahealth Pharmacy 12 INC Hawthorne, NY 14 $45K
51 California Specialty Pharmacy LLC Whittier, CA 31 $42K
52 Henry Ford Health System Detroit, MI 195 $40K
53 Option Care Enterprises, INC. Eatontown, NJ 44 $34K
54 Critical Care Systems, LLC Urbandale, IA 35 $33K
55 Boston Medical Center Corporation Boston, MA 297 $25K
56 State of Mississippi - University of Mississippi Medical Center Jackson, MS 60 $16K
57 Robinson Health System, INC. Ravenna, OH 1,431 $13K
58 Brigham & Womens Hospital, INC. Boston, MA 217 $11K
59 Bronson Methodist Hospital Kalamazoo, MI 38 $9K
60 The Good Samaritan Hospital of Cincinnati, Ohio Cincinnati, OH 13 $6K
61 Umass Memorial Medical Center, INC. Worcester, MA 80 $6K
62 Tarrant County Hospital District Fort Worth, TX 115 $3K
63 Sierra Home Medical Products INC Las Vegas, NV 39 $3K
64 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 125 $3K
65 1215124797 13 $3K
66 River City Medical Group, INC. Sacramento, CA 176 $0.00
67 Columbia ST. Mary's Hospital Milwaukee, INC. Milwaukee, WI 208 $0.00
68 Ascension All Saints Hospital, INC Racine, WI 265 $0.00
69 Gaston County Gastonia, NC 67 $0.00
70 San Luis Walk-In Clinic, INC. Somerton, AZ 33 $0.00