Cost analysis for CPT Q4234 — Xcellerate, per square centimeter
Average Medicare Payment
$724.91
2023 data
Total Payments (2023)
$21.1M
Services (2023)
34.6K
Price Change (2021–2023)
+181.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2021 | $257.52 | $255.2K | 988 | — |
| 2022 | $601.87 | $4.2M | 8.4K | +133.7% |
| 2023 | $724.91 | $21.1M | 34.6K | +20.4% |
The most expensive state pays 1.4x more than the cheapest for this procedure. FL averages $800.12 vs WA at $570.99.
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Catherine Lee | Dermatology | CA | $8.2M | 14.5K | $563.84 |
| Mark Tran | Dermatology | CA | $2.2M | 3.4K | $636.45 |
| Lynn Dimino | Dermatology | CA | $1.5M | 2.7K | $536.98 |
| Jeffrey Fley | Podiatry | OH | $1.2M | 2.1K | $579.50 |
| Babak Baharloo | Podiatry | TX | $1.2M | 1.9K | $633.66 |
| Tyler Yerkes | Physician Assistant | DE | $1.1M | 1.5K | $695.10 |
| Justin Rubin | Dermatology | FL | $863.1K | 1.1K | $793.31 |
| Bryan Gray | Dermatology | OH | $745.8K | 1.1K | $687.99 |
| Vladimir Urbin | Family Practice | IL | $691.1K | 1.1K | $603.04 |
| Eva Hurst | Dermatology | IL | $570.1K | 920 | $619.62 |
| Felipe Ruiz | Podiatry | CA | $519.4K | 554 | $937.46 |
| April Lopez | Nurse Practitioner | TX | $415.6K | 412 | $1008.86 |
| Shaun Simmons | Podiatry | AZ | $389.0K | 460 | $845.72 |
| Aaron Utterback | Podiatry | WA | $338.5K | 582 | $581.56 |
| Sarah Ducharme | General Surgery | AZ | $301.5K | 482 | $625.46 |
| Ted Van Acker | Dermatology | IL | $214.4K | 332 | $645.70 |
| Daniel Saunders | Podiatry | AZ | $212.7K | 345 | $616.40 |
| Jerod Stanley | Podiatry | WA | $157.2K | 286 | $549.49 |
| Kelly Jerstad | Dermatology | SD | $125.1K | 212 | $590.16 |
| Amanda Sipovac | Physician Assistant | CA | $123.4K | 288 | $428.51 |
Based on the data, CPT Q4234 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 181.5% since 2021. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.