HCPCS Q4186

Epifix, per square centimeter (CMS descriptor)

Drugs Drug code Work RVU per service none (2021 fee schedule; adds 0 work RVUs)

126
68th percentile among 6,253 codes billed · 2021
$22M
92nd percentile among 6,253 codes billed · 2021
180K
88th percentile among 6,253 codes billed · 2021
680
95th percentile among 6,253 codes billed · 2021
4,141
96th percentile among 6,253 codes billed · 2021
+0.6%
Medicare payment on the code vs 2020; billers -6.7% · 2021

Trend

Medicare payment on the code

$0$10M$20M2020: $22M paid20202021: $22M paid20212022: $21M paid20222023: $27M paid20232024: $12M paid2024$12M$0$10M$20M2020: $22M paid20202021: $22M paid20212022: $21M paid20222023: $27M paid20232024: $12M paid2024$12M$0$10M$20M2020: $22M paid20202021: $22M paid20212022: $21M paid20222023: $27M paid20232024: $12M paid2024$12M$0$10M$20M2020: $22M paid20202021: $22M paid20212022: $21M paid20222023: $27M paid20232024: $12M paid2024$12M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

Billers

01002020: 135 providers20202021: 126 providers20212022: 138 providers20222023: 122 providers20232024: 78 providers20247801002020: 135 providers20202021: 126 providers20212022: 138 providers20222023: 122 providers20232024: 78 providers20247801002020: 135 providers20202021: 126 providers20212022: 138 providers20222023: 122 providers20232024: 78 providers20247801002020: 135 providers20202021: 126 providers20212022: 138 providers20222023: 122 providers20232024: 78 providers202478

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

observed calculated calculated calculated calculated calculated reported
202478$11,584,229-57%96,3005314,4870.00
2023122$26,992,894+28%229,0316757,8430.00
2022138$21,020,477-6%172,1065785,1060.00
2021126$22,412,982+1%180,2016804,1410.00
2020135$22,283,780first year in data175,5236513,3580.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2020–2024.

By state

observed calculated calculated calculated calculated calculated
California32$8,841,47770,9981,0945,564
Florida17$3,344,05726,7445505,656
Illinois12$1,408,63311,4136522,372

Not listed: 26 states with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Providers placed by practice address. Data year 2021.

Top metro areas

observed calculated calculated calculated calculated
Chicago-Naperville-Elgin, IL-IN13$1,483,48412,007594

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). The 1 areas with the most payment among those with at least 11 billers; non-metro parts of each state are one area. Data year 2021.

Specialties billing Q4186 nationally

Podiatry accounts for 31% of payment for Q4186 nationally in 2021, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Podiatry4435%$6,987,80531%56,3661,281
Dermatology4233%$2,971,09913%23,825567

Not listed: 11 specialties with fewer than 11 billers (small cells).

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Provider-level lines (fewer than 11 beneficiaries suppressed by CMS); specialty is the provider type on claims. Data year 2021.

Top billers of Q4186 nationally

Named top billers are a Pro figure, and Pro is not available to buy, so this list is not shown to any account. The counts and totals by state, metro area and specialty on this page are free.

Original Medicare Part B fee-for-service only; CMS suppresses provider lines with fewer than 11 beneficiaries. How these figures are computed · Limitations