How much does Medicare pay for HCPCS A2019?

Medicare allowed an average of $795.05 per service and paid $634.42 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $963.39, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is HCPCS code A2019?

Kerecis omega3 marigen shield, per square centimeter. It was billed 17,681 times to 541 Medicare beneficiaries by 21 providers in 2024.

Which specialty bills A2019 most?

Dermatology, with 4,201 services from 9 clinicians. Next are Pediatric Medicine, Physician Assistant, Podiatry.

HCPCS A2019

Kerecis omega3 marigen shield, per square centimeter

$795.05Medicare-allowed amount per service, averaged across 17,681 services

Providers submitted

$963.39

Asking price, not received

Medicare allowed

$795.05

The fee schedule figure

Medicare paid

$634.42

Balance is patient coinsurance

Providers submitted an average of $963.39 for this code and Medicare allowed $795.05 — 1.2× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $634.42 (80%); the rest is the patient’s coinsurance and deductible.

Services: 17,681
Beneficiaries: 541
Providers billing it: 21
Total allowed: $14,057,279

What Medicare pays for HCPCS A2019

Across 17,681 services billed by 21 providers to 541 beneficiaries, Medicare allowed an average of $795.05 per service. That is 32.7 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills A2019

Specialty	Services	Beneficiaries	Avg allowed	Providers
Dermatology	4,201	248	$589.07	9
Pediatric Medicine	3,708	54	$881.36	1
Physician Assistant	2,727	94	$1044.14	3
Podiatry	2,683	14	$621.64	1
Nurse Practitioner	1,885	80	$1221.12	4
Plastic and Reconstructive Surgery	1,468	21	$571.44	1
Emergency Medicine	824	17	$670.69	1
Micrographic Dermatologic Surgery	185	13	$572.58	1

A2019 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Kansas	7,973	$1035.13	$824.74	7
Florida	5,406	$590.39	$469.89	7
Texas	2,369	$637.01	$481.23	4
Delaware	1,468	$571.44	$455.35	1
Mississippi	329	$552.23	$428.66	1
Louisiana	136	$609.25	$454.67	1

Related codes

A2001Innovamatrix ac$1098.64

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.