$113.2M in total Medicare payments across 5 years
Procedure Q4186 (Epifix, per square centimeter) received $113.2M in total Medicare payments.
Across 921.1K services, the average Medicare payment was $122.89 per service.
This is a skin substitute/wound care code that has been flagged by HHS OIG as particularly vulnerable to fraud.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2019 | $20.5M | 164.3K | — |
| 2020 | $22.3M | 175.5K | +8.8% |
| 2021 | $22.4M | 180.2K | +0.6% |
| 2022 | $21.0M | 172.1K | -6.2% |
| 2023 | $27.0M | 229.0K | +28.4% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Sarah Hull | Nurse Practitioner | MO | $2.5M | 21.2K | $117.84 |
| 2 | Ian Duncan | Orthopedic Surgery | CA | $1.7M | 14.6K | $117.13 |
| 3 | Andrew Jun | Otolaryngology | IL | $1.7M | 14.1K | $117.81 |
| 4 | Louis Heuser | Preventive Medicine | KY | $1.6M | 13.4K | $117.90 |
| 5 | Phillip Myers | Physician Assistant | CA | $1.3M | 10.7K | $119.03 |
| 6 | Nicole Siddons | Nurse Practitioner | MN | $947.7K | 8.0K | $118.51 |
| 7 | Judy Pauletich | Nurse Practitioner | MN | $928.9K | 7.9K | $118.28 |
| 8 | Kazi Rahman | Podiatry | CA | $905.1K | 7.6K | $118.42 |
| 9 | J. Duke | General Surgery | AL | $733.3K | 6.2K | $117.36 |
| 10 | Rebecca Haugaard | Nurse Practitioner | KS | $695.7K | 5.9K | $117.92 |
| 11 | Joshua Day | Physician Assistant | CA | $671.6K | 5.6K | $119.01 |
| 12 | Maureen Mooney | Micrographic Dermatologic Surgery | WA | $659.6K | 5.6K | $118.07 |
| 13 | Leo Fong | General Surgery | CA | $654.5K | 5.6K | $117.69 |
| 14 | Brandon Hawkins | Podiatry | CA | $573.4K | 4.9K | $118.04 |
| 15 | Matthew Feltner | Podiatry | KY | $572.4K | 4.9K | $117.71 |
| 16 | Tiffany Radke | Nurse Practitioner | MN | $442.7K | 3.8K | $118.02 |
| 17 | Melissa Hill | Nurse Practitioner | MN | $434.8K | 3.7K | $118.71 |
| 18 | Ann Marie Equio | Nurse Practitioner | MN | $394.3K | 3.3K | $118.29 |
| 19 | Martin Paukert | Plastic and Reconstructive Surgery | CA | $392.2K | 3.3K | $118.13 |
| 20 | Walter Nahm | Dermatology | CA | $377.2K | 3.2K | $118.52 |
| 21 | Haris Mirza | Infectious Disease | FL | $368.8K | 3.1K | $118.28 |
| 22 | Stefanie Spalding | Nurse Practitioner | KY | $344.1K | 2.9K | $117.60 |
| 23 | Steven Clark | Podiatry | CA | $329.1K | 2.8K | $117.49 |
| 24 | Brian O'carroll | Podiatry | CA | $291.0K | 2.5K | $117.58 |
| 25 | Brian Feinstein | Dermatology | FL | $282.0K | 2.4K | $117.97 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| CA | $8.7M | 73.6K | 27 | $322.2K |
| MN | $3.7M | 31.1K | 10 | $368.5K |
| MO | $3.1M | 25.9K | 6 | $509.5K |
| KY | $2.5M | 21.4K | 4 | $631.2K |
| IL | $2.4M | 20.3K | 11 | $217.3K |
| KS | $992.2K | 8.4K | 4 | $248.0K |
| FL | $917.2K | 7.8K | 9 | $101.9K |
| AL | $733.3K | 6.2K | 1 | $733.3K |
| WA | $717.9K | 6.1K | 2 | $359.0K |
| OH | $586.1K | 5.0K | 7 | $83.7K |
| MA | $396.1K | 3.4K | 5 | $79.2K |
| NC | $338.9K | 2.9K | 4 | $84.7K |
| OR | $291.2K | 2.5K | 7 | $41.6K |
| NH | $228.6K | 1.9K | 3 | $76.2K |
| AZ | $215.5K | 1.8K | 3 | $71.8K |
| MI | $197.2K | 1.7K | 3 | $65.7K |
| CO | $165.9K | 1.6K | 1 | $165.9K |
| IN | $160.8K | 1.4K | 2 | $80.4K |
| NE | $123.4K | 1.2K | 1 | $123.4K |
| NY | $116.4K | 986 | 2 | $58.2K |
| PA | $95.8K | 814 | 1 | $95.8K |
| GA | $87.6K | 739 | 1 | $87.6K |
| LA | $76.3K | 666 | 1 | $76.3K |
| TX | $52.0K | 440 | 2 | $26.0K |
| NV | $50.5K | 430 | 2 | $25.2K |
| NJ | $46.7K | 398 | 1 | $46.7K |
| VA | $25.6K | 215 | 1 | $25.6K |
| CT | $20.8K | 176 | 1 | $20.8K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.