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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. Q4173
  4. Cost Analysis

How Much Does Palingen or palingen xplus, per square centimeter Cost on Medicare?

Cost analysis for CPT Q4173 — Palingen or palingen xplus, per square centimeter

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Average Medicare Payment

$539.60

2023 data

Total Payments (2023)

$24.7M

Services (2023)

59.7K

Price Change (2017–2023)

+321.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2017$127.93$495.6K3.9K—
2018$130.35$1.4M10.3K+1.9%
2019$145.99$2.2M15.2K+12.0%
2020$223.18$10.8M53.1K+52.9%
2021$279.76$19.8M68.8K+25.4%
2022$361.52$34.6M96.5K+29.2%
2023$539.60$24.7M59.7K+49.3%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.2x more than the cheapest for this procedure. NV averages $735.13 vs CO at $329.76.

StateAvg PaymentTotal PaymentsServicesProviders
NV$735.13$3.7M5.0K5
TN$601.88$577.8K9601
AZ$529.11$5.9M11.2K5
DC$382.74$226.6K5921
CA$370.00$939.8K2.5K2
FL$363.87$253.3K6961
TX$338.02$13.0M38.5K3
CO$329.76$93.7K2841

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
David JensonPodiatryTX$12.8M38.0K$337.55
Flor FimbresNurse PractitionerAZ$2.9M3.7K$771.96
Ulrike PasternakNurse PractitionerNV$1.2M1.7K$715.96
Duc PhamPlastic and Reconstructive SurgeryAZ$1.2M4.7K$245.43
Maria RainesNurse PractitionerNV$1.0M1.3K$776.62
Mark LinamPodiatryCA$860.8K2.3K$371.02
Myrna-Leticia RivasNurse PractitionerAZ$840.6K1.1K$761.42
Christopher BowlinPodiatryTN$577.8K960$601.88
Christopher DwigginsPhysician AssistantAZ$545.8K732$745.67
Adam BakerPhysician AssistantNV$504.8K718$703.02
Kelsey ReslerNurse PractitionerAZ$490.8K870$564.15
Hadon MonaghanNurse PractitionerNV$479.9K638$752.22
Myles Angelo FerrerNurse PractitionerNV$391.0K546$716.17
Radu PurtucPodiatryFL$253.3K696$363.87
Jonathan JohnsonGeneral SurgeryDC$226.6K592$382.74
Jason RedwineNurse PractitionerTX$137.4K380$361.71
Ty ShettronNurse PractitionerCO$93.7K284$329.76
Kevin HoPodiatryCA$79.0K220$359.21
Nicole LeeNurse PractitionerTX$63.5K162$392.11

🤔 Is Palingen or palingen xplus, per square centimeter Overpriced?

The data suggests significant pricing inconsistencies for CPT Q4173. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.

Costs have risen 321.8% since 2017, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.