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#917 of 11K

Q4205

Membrane graft or membrane wrap, per sq cm

Membrane graft or membrane wrap, per sq cm is the #917 most-billed Medicaid procedure code, with $58.8M in payments across 6K claims from 2018–2024. The national median cost per claim is $6,155.05.

Total Paid

$58.8M

0.01% of all spending

Total Claims

6K

Providers

11

Avg Cost/Claim

$10K

National Cost Distribution

How much do providers bill per claim for Q4205? Based on 10 providers billing this code nationally.

Median

$6,155.05

Average

$6,386.87

Std Dev

$3,287.44

Max

$11,722.83

Percentile Distribution (Cost per Claim)

p10
$2,663.06
p25
$4,397.99
Median
$6,155.05
p75
$7,693.47
p90
$11,229.82
p95
$11,476.33
p99
$11,673.53

50% of providers bill between $4,397.99 and $7,693.47 per claim for this code.

90% bill between $2,663.06 and $11,229.82.

Top 1% bill above $11,673.53.

About This Procedure

HCPCS code Q4205 (Membrane graft or membrane wrap, per sq cm) was billed by 11 providers across 6K claims, totaling $58.8M in Medicaid payments from 2018–2024. This code was used for 2K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$6,155.05

Providers Billing

10

National Spending

$58.8M

Avg/Median Ratio

1.04×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for Q4205

#ProviderTotal Paid
11588132062$37.4M
2Foot & Wound Care Of Indio

Indio, CA

$14.0M
31609467075$2.2M
41790098218$1.9M
51508558081$1.5M
61285114157$812K
71235831132$600K
81003432204$205K
91235333972$122K
101396488623$89K
111972150084$0

Showing top 11 of 11 providers billing this code