$72.6M in total Medicare payments across 3 years
Procedure Q4188 (Amnioarmor, per square centimeter) received $72.6M in total Medicare payments.
Across 113.1K services, the average Medicare payment was $642.26 per service.
This is a skin substitute/wound care code that has been flagged by HHS OIG as particularly vulnerable to fraud.
CA leads in spending on this procedure, accounting for 47% of all payments.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2021 | $5.2M | 13.4K | — |
| 2022 | $17.6M | 32.7K | +240.9% |
| 2023 | $49.8M | 67.0K | +183.1% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Richard Park | Internal Medicine | CA | $8.1M | 10.8K | $744.17 |
| 2 | Joseph Palumbo | General Practice | WV | $3.0M | 4.0K | $744.80 |
| 3 | Michael Stickler | Dermatology | FL | $2.8M | 3.9K | $718.53 |
| 4 | Patrick Black | Physical Therapist in Private Practice | CA | $2.7M | 3.6K | $743.94 |
| 5 | Nosheen Khan | Podiatry | NY | $2.3M | 3.1K | $744.27 |
| 6 | Johnson Lee | Plastic and Reconstructive Surgery | CA | $1.7M | 2.2K | $767.68 |
| 7 | James Michail | Geriatric Medicine | CA | $1.7M | 2.2K | $779.15 |
| 8 | Alvin May | General Surgery | CA | $1.3M | 1.8K | $744.80 |
| 9 | Jack Azad | General Practice | CA | $1.2M | 1.6K | $767.99 |
| 10 | Taylor Wisner | Nurse Practitioner | CA | $1.1M | 1.5K | $744.80 |
| 11 | Jamie Kate Adoc | Nurse Practitioner | CA | $1.1M | 1.4K | $744.80 |
| 12 | Joseph Dai | Dermatology | AL | $1.1M | 1.6K | $678.33 |
| 13 | Hussayn Boumelhem | Nurse Practitioner | NV | $1.1M | 1.4K | $744.80 |
| 14 | Carly Ann Millan | Nurse Practitioner | CA | $1.0M | 1.4K | $744.80 |
| 15 | Chibuikem Okoro | Physician Assistant | CA | $977.2K | 1.3K | $744.80 |
| 16 | Jervonne Johnson | Nurse Practitioner | CA | $972.5K | 1.3K | $744.67 |
| 17 | Wei Wu | Physician Assistant | CA | $968.2K | 1.3K | $744.80 |
| 18 | Nadezhda Protasovitskaya | Nurse Practitioner | CA | $963.7K | 1.3K | $744.75 |
| 19 | Reynaldo Castillo | General Practice | CA | $892.3K | 1.2K | $744.80 |
| 20 | Gautam Bhakta | Internal Medicine | CA | $875.3K | 1.1K | $767.83 |
| 21 | Maria Conrica Dawis | Nurse Practitioner | CA | $820.8K | 1.1K | $744.80 |
| 22 | Robert Herbst | Podiatry | KY | $817.8K | 1.1K | $761.44 |
| 23 | Carlos Reyes Chouza | Nurse Practitioner | FL | $736.5K | 966 | $762.42 |
| 24 | Malaina Spain | Nurse Practitioner | WI | $720.9K | 968 | $744.78 |
| 25 | Sidney Smith | Dermatology | GA | $701.3K | 891 | $787.11 |
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.