Top billers · Skin Substitutes

Who bills skin substitutes, state by state.

Skin substitute products (the Q41xx HCPCS family: Epifix, Puraply, Helicoll, Restorigin and the rest) plus the CPT application codes 15271–15278 for graft placement. In 2024, 2,116 providers billed Medicare for it nationally: 1,142,324 services, an estimated $665.4M paid. Pick a state for the ranked list.

By state

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States with fewer than 8 providers in the public 2024 data aren't listed; CMS suppression hides low-volume billers. The app tracks every state, every year.

Alabama31 providers Arizona83 providers Arkansas17 providers California319 providers Colorado27 providers Connecticut15 providers Florida316 providers Georgia66 providers Idaho11 providers Illinois86 providers Indiana44 providers Kansas37 providers Kentucky24 providers Louisiana33 providers Maryland26 providers Massachusetts33 providers Michigan38 providers Minnesota15 providers Mississippi40 providers Missouri33 providers Montana9 providers Nebraska10 providers Nevada52 providers New Hampshire13 providers New Jersey48 providers New Mexico9 providers New York73 providers North Carolina35 providers Ohio42 providers Oklahoma49 providers Oregon21 providers Pennsylvania31 providers South Carolina46 providers Tennessee43 providers Texas196 providers Utah18 providers Virginia48 providers Washington21 providers West Virginia12 providers Wisconsin12 providers

The codes

Top codes in the family, nationally.

Q4191Restorigin, per square centimeter262,597

Q4164Helicoll, per square centimeter207,296

15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less167,595

Q4197Puraply xt, per square centimeter100,567

Q4186Epifix, per square centimeter96,300

15275Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less78,974

Q4194Novachor, per square centimeter30,226

Q4196Puraply am, per square centimeter28,895

Where these numbers come from. Everything on this page is computed from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year CMS has released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage). CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment multiplied by its service count, summed. For per-square-centimeter products (most of the Q41xx family), one service equals one square centimeter billed. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

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