$62.4M in total Medicare payments across 1 years
Procedure Q4281 (Barrera sl or barrera dl, per square centimeter) received $62.4M in total Medicare payments.
Across 51.2K services, the average Medicare payment was $1.2K 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 65% of all payments.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2023 | $62.4M | 51.2K | — |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Aaron Jeng | Internal Medicine | CA | $13.4M | 11.0K | $1.2K |
| 2 | David Casper | Dermatology | FL | $6.4M | 5.2K | $1.3K |
| 3 | Richard Park | Internal Medicine | CA | $4.8M | 4.0K | $1.2K |
| 4 | Daniel Gutstein | Family Practice | IL | $2.7M | 2.3K | $1.2K |
| 5 | Brooke Heying | Physician Assistant | CA | $2.7M | 2.2K | $1.2K |
| 6 | Nyrie Austin | Nurse Practitioner | NJ | $2.5M | 2.2K | $1.2K |
| 7 | Laxmi Deshabathini | Nurse Practitioner | IL | $2.5M | 2.1K | $1.2K |
| 8 | Patrick Black | Physical Therapist in Private Practice | CA | $2.3M | 1.9K | $1.2K |
| 9 | Sara Rosado | Physician Assistant | TX | $2.2M | 1.8K | $1.2K |
| 10 | Deborah Dugan | Nurse Practitioner | AZ | $1.8M | 1.5K | $1.2K |
| 11 | Cindy Hong | Nurse Practitioner | CA | $1.7M | 1.4K | $1.2K |
| 12 | Okwudiri Echegi | Physician Assistant | CA | $1.6M | 1.3K | $1.2K |
| 13 | Tiffany Vo | Physician Assistant | CA | $1.5M | 1.3K | $1.2K |
| 14 | Nnaemeka Nnaji | Physical Therapist in Private Practice | CA | $1.5M | 1.3K | $1.2K |
| 15 | Kristen Sosa | Nurse Practitioner | TX | $1.5M | 1.2K | $1.3K |
| 16 | Brian Montgomery | Physician Assistant | CA | $1.5M | 1.2K | $1.2K |
| 17 | Maria Conrica Dawis | Nurse Practitioner | CA | $1.5M | 1.2K | $1.2K |
| 18 | Nadezhda Protasovitskaya | Nurse Practitioner | CA | $1.1M | 944 | $1.2K |
| 19 | Carly Ann Millan | Nurse Practitioner | CA | $1.1M | 878 | $1.2K |
| 20 | Kathy O'kelley | Nurse Practitioner | CA | $1.1M | 874 | $1.2K |
| 21 | Jordan The | Physical Therapist in Private Practice | CA | $794.7K | 654 | $1.2K |
| 22 | Mark Collazo | Nurse Practitioner | TX | $737.0K | 590 | $1.2K |
| 23 | Wei Wu | Physician Assistant | CA | $726.7K | 598 | $1.2K |
| 24 | Shanna Rucker | Nurse Practitioner | CA | $719.4K | 592 | $1.2K |
| 25 | Valerie Allen | General Surgery | TX | $655.9K | 524 | $1.3K |
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.