HCPCS Q4253

Zenith amniotic membrane, per square centimeter (CMS descriptor)

Drugs Drug code Work RVU per service none (2022 fee schedule; adds 0 work RVUs)

104
66th percentile among 6,326 codes billed · 2022
$230M
99th percentile among 6,326 codes billed · 2022
320K
91st percentile among 6,326 codes billed · 2022
1,352
96th percentile among 6,326 codes billed · 2022
8,995
98th percentile among 6,326 codes billed · 2022

Trend

Medicare payment on the code

$0$100M$200M2022: $230M paid20222023: $133M paid2023$133M$0$100M$200M2022: $230M paid20222023: $133M paid2023$133M$0$100M$200M2022: $230M paid20222023: $133M paid2023$133M$0$100M$200M2022: $230M paid20222023: $133M paid2023$133M

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2023.

Billers

0501002022: 104 providers20222023: 73 providers2023730501002022: 104 providers20222023: 73 providers2023730501002022: 104 providers20222023: 73 providers2023730501002022: 104 providers20222023: 73 providers202373

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2023.

observed calculated calculated calculated calculated calculated reported
202373$133,000,439-42%207,5951,5169,7920.00
2022104$230,450,623not in the 2021 file319,9831,3528,9950.00

Source: CMS Medicare Physician & Other Practitioners public use files (Original Medicare Part B fee-for-service). Data years 2022–2023.

By state

observed calculated calculated calculated calculated calculated
Texas17$32,325,45744,8411,0068,299
Florida21$31,601,67743,5791,4126,659
Nevada11$19,671,82226,0442,2836,341

Not listed: 17 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 2022.

Top metro areas

observed calculated calculated calculated calculated
Las Vegas-Henderson-North Las Vegas, NV11$19,671,82226,0442,283

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 2022.

Specialties billing Q4253 nationally

Nurse Practitioner accounts for 31% of payment for Q4253 nationally in 2022, across 2 specialties on claims.

observed calculated calculated calculated calculated calculated
Nurse Practitioner6159%$72,150,46331%99,2351,627
Podiatry1817%$54,699,19124%80,1164,451

Not listed: 9 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 2022.

Top billers of Q4253 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