Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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J9395

Injection, fulvestrant, 25 mg

Medicaid paid $12.45M on code J9395 from 2018 through 2024, to 48 providers — the #1,869 code in the file by dollars. 29% of it was billed in California.

28Total paid$12.45M
24GClaims25,668
Paid per claim line$485.06
33Providers billing it48
Box 32 · Location

Where J9395 is billed

  1. $3.6M
  2. $3.6M
  3. $1.8M
  4. $700K
  5. $685K
  6. $458K
  7. $384K
  8. $238K
  9. $205K
  10. $197K
  11. $188K
  12. $163K

The largest of 17 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 J9395

#ProviderLocationClaimsPaid on J9395
1 Northern California Cancer Center Modesto, CA 1,963 $2.34M
2 Farmacia Doral, INC. San Juan, PR 1,191 $1.97M
3 Dana-Farber Cancer Institute, INC. Boston, MA 2,254 $1.41M
4 Special Care Pharmacy Services, LLC San Juan, PR 476 $713K
5 Yale New Haven Hospital New Haven, CT 2,892 $666K
6 Best Option Healthcare Puerto Rico LLC San Juan, PR 311 $482K
7 Alivia Specialty, LLC Guaynabo, PR 1,019 $442K
8 The General Hospital Corporation Boston, MA 857 $401K
9 Regents of the University of California San Diego, CA 559 $386K
10 City of Hope National Medical Center Duarte, CA 1,587 $374K
11 Memorial Hospital for Cancer and Allied Diseases New York, NY 442 $365K
12 University of California Irvine Orange, CA 938 $340K
13 HMH Hospitals Corporation Hackensack, NJ 490 $325K
14 Englewood Hospital and Medical Center Englewood, NJ 310 $291K
15 Fred Hutchinson Cancer Center Seattle, WA 1,417 $273K
16 University Health Shreveport LLC Shreveport, LA 303 $197K
17 Cancer & Hematology Centers of Western Mi, P.C. Grand Rapids, MI 239 $190K
18 Swedish Health Services Seattle, WA 635 $185K
19 Honorhealth Phoenix, AZ 398 $166K
20 Arthur G James Cancer Hospital and Research Institute Columbus, OH 400 $110K
21 Stanford Health Care Stanford, CA 175 $86K
22 Trustees of the University of Pennsylvania Philadelphia, PA 145 $83K
23 Upmc Magee-Womens Hospital Pittsburgh, PA 1,051 $74K
24 Baptist Hospital of Miami INC Miami, FL 1,324 $71K
25 County of Ventura Ventura, CA 191 $70K
26 Adventist Health System-Sunbelt, INC Orlando, FL 351 $65K
27 University of Miami Hospital and Clinics Miami, FL 1,393 $65K
28 The Cooper Health System Camden, NJ 110 $40K
29 County of Santa Clara San Jose, CA 827 $39K
30 H. Lee Moffitt Cancer Center and Research Institute Hospital, INC. Tampa, FL 154 $37K
31 Saint Francis Hospital and Medical Center Hartford, CT 133 $32K
32 Holy Name Medical Center INC. Teaneck, NJ 29 $29K
33 Banner - University Medical Center Tucson Campus LLC Tucson, AZ 27 $22K
34 The West Clinic, PLLC Germantown, TN 16 $19K
35 Long Island Jewish Medical Center New Hyde Park, NY 46 $19K
36 Michigan Healthcare Professionals PC Farmington Hills, MI 102 $15K
37 University Hospitals Cleveland Medical Center Cleveland, OH 157 $15K
38 City of Hope Medical Foundation Duarte, CA 154 $14K
39 The Cleveland Clinic Foundation Cleveland, OH 99 $10K
40 Lehigh Valley Hospital Allentown, PA 12 $6K
41 Aurora Health Care Metro, INC. Milwaukee, WI 40 $3K
42 Hartford Hospital Hartford, CT 31 $2K
43 Riverside Hospital INC Newport News, VA 13 $2K
44 Froedtert Memorial Lutheran Hospital, INC. Milwaukee, WI 35 $456.45
45 Los Angeles Hematology-Oncology Medical Group Los Angeles, CA 26 $320.96
46 County of Los Angeles Los Angeles, CA 303 $0.00
47 Bon Secours ST. Francis Xavier Hospital INC. Charleston, SC 18 $0.00
48 Thomas Jefferson University Hospitals INC Philadelphia, PA 25 $0.00