Medicare procedure market data by CPT code & state

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Market snapshot

Nationwide CY2024

Medicare Part B FFS · CY2024 · as published by CMS

Q4290 Membrane wrap-hydro, per square centimeter HCPCS · Medical/Surgical Supplies dme

Classification DME › Medical/Surgical Supplies › Skin Allograft (CMS RBCS)

First observed 2024

National scale 33,873 services · 563 beneficiaries (CY2024, Medicare FFS)

Medicare paid $51.5M · $1519.35 avg / service, national

CMS descriptor · RBCS classification · Medicare Part B physician/supplier claims, 12-year window

Billing groups

Named groups billing this code

Named-group FFS services

19,304

Attributable volume · fee-for-service

FFS of Medicare

49%

Payer-mix frame

Services YoY

—

Estimated all-Medicare volume estimate

FFS + estimated MA

~39,202 services

19,304 observed fee-for-service (49%) · ~19,898 estimated Medicare Advantage.

Scaled from the observed floor by each state’s fee-for-service share (FFS share as of 2024) — scaled estimate — assumes MA utilization mirrors FFS; not an observation. How we scale

Top states — Q4290 (CY2024)

CA 19,377 MS 5,054 FL 4,387 TX 1,865 NC 1,671

Disclosed Medicare fee-for-service services by billing state; open a bar for that state's ranked market.

Billed → allowed → paid

Named-group submitted charges

$38.2M

Named-group allowed amount

$37.1M

Named-group Medicare payments

$29.5M

Avg charge / svc

$1,977

Avg allowed / svc

$1,921

Avg payment / svc

$1,530

Totals are named-group (attributable) sums. Allowed is Medicare’s fee-schedule recognized price — what CMS recognizes, before the 80% Medicare pays.

Average charge per group

$1,937–1,944

$1,944–1,951

$1,951–1,958

$1,958–1,966

$1,966–1,973

$1,973–1,980

$1,980–1,987

$1,987+

$1,937 9 groups · avg submitted charge / service $2,000

Market analyticsPlatform Methods →

Search a single state to see that market's full analytics — the free tier previews every panel, gated.

Or just look at it: nuclear heart imaging (78452) in Arizona is open as a live example — the full paid view, real data.

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Data year: CY2024 CY2023 CY2022 CY2021 CY2020

Physician groups ranked by Q4290 services, highest first, CY2024
#	Physician group activate to sort	City activate to sort	St activate to sort	Specialty activate to sort	Providers activate to sort	Q4290 svcs sorted descending — activate to reverse	Submitted charges activate to sort	Avg charge activate to sort	Medicare $ locked column	Share* activate to sort	Phone
1	LA CANADA MEDICAL GROUP INC	LA CANADA FLINTRIDGE	CA	FAMILY PRACTICE	2	13,331	$26,467,350	$1,985	premium	68.8%	(818) 369-7848
2	WOUND MANAGEMENT SPECIALISTS LLC	JACKSON	MS	NURSE PRACTITIONER	157	2,012	$3,923,400	$1,950	premium	39.8%	(769) 243-6141
3	SPENCER J HARDENBROOK MD PC	PLANTATION	FL	NURSE PRACTITIONER	98	1,286	$2,521,846	$1,961	premium	29.3%	(800) 640-3451
4	FRONTIER FOOT AND ANKLE SPECIALISTS LLC	BANDON	TX	PODIATRY	3	854	$1,674,694	$1,961	premium	45.8%	(541) 329-2555
5	HEALTHCARE PLUS LIMITED LIABILITY COMPANY	METAIRIE	LA	NURSE PRACTITIONER	64	480	$936,000	$1,950	premium	100.0%	(769) 243-6141
6	POST-ACUTE PHYSICIANS OF FLORIDA, PLLC	MIAMI	FL	PHYSICAL MEDICINE AND REHABILITATION	33	422	$827,542	$1,961	premium	9.6%	(877) 749-7428
7	PLAID EAGLE MEDICAL PLLC	AURORA	WA	NURSE PRACTITIONER	35	368	$721,648	$1,961	premium	100.0%	(800) 640-3451
8	BRYAN D FRIEDMAN DO LLC	PAYSON	AZ	OTOLARYNGOLOGY	3	357	$714,000	$2,000	premium	64.8%	(480) 664-0125
9	ALLIANCE DERMATOLOGY AND MOHS CENTER PC	PHOENIX	AZ	PHYSICIAN ASSISTANT	10	194	$375,784	$1,937	premium	35.2%	6029710268205

*Share of the state's disclosed Medicare-FFS services for the primary code, counted once per clinician. "St" is the state the volume was billed from: a group appears in each state where its clinicians bill Medicare, with that state's volume and share ("City" is the group's registered location). Group figures sum clinicians affiliated with exactly one group; clinicians in several groups are listed in each group's drill-down but not volume-attributed to any single group, so shares reflect attributable volume. See Methods.

Comparing against an all-payer estimate?

These are exact counts from Medicare fee-for-service claims — roughly a third to half of most procedure markets, depending on payer mix. Modeled all-payer databases project the remainder statistically; we publish the audited floor and label it as such. Same market, different denominator. How the numbers reconcile →