This provider's $6.4M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $256.66 | $107.68 | 2.38x | $148.98 | $565.3K | 11.3K | 6.3K |
| 2015 | $261.80 | $105.75 | 2.48x | $156.05 | $535.6K | 11.2K | 6.1K |
| 2016 | $314.40 | $129.10 | 2.44x | $185.30 | $635.6K | 12.1K | 6.5K |
| 2017 | $287.10 | $114.82 | 2.50x | $172.28 | $635.6K | 12.3K | 6.7K |
| 2018 | $296.90 | $130.33 | 2.28x | $166.57 | $654.3K | 12.4K | 6.8K |
| 2019 | $326.73 | $131.17 | 2.49x | $195.56 | $762.7K | 14.7K | 8.2K |
| 2020 | $303.79 | $132.19 | 2.30x | $171.60 | $696.2K | 13.3K | 7.3K |
| 2021 | $324.47 | $132.21 | 2.45x | $192.26 | $737.0K | 14.1K | 7.8K |
| 2022 | $306.44 | $130.64 | 2.35x | $175.80 | $683.7K | 12.9K | 7.2K |
| 2023 | $288.14 | $119.00 | 2.42x | $169.14 | $476.0K | 9.5K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.6K | $1.0M | $51.14 | 1.47x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 19.3K | $577.8K | $29.98 | 1.54x |
| 11056 | Removal of 2 to 4 thickened skin growths | 8.8K | $353.5K | $40.21 | 1.68x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 5.0K | $351.9K | $70.87 | 1.57x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.2K | $335.5K | $80.05 | 1.53x |
| 11730 | Separation of nail plate from nail bed | 4.2K | $270.6K | $64.09 | 1.68x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 5.1K | $268.2K | $52.65 | 1.81x |
| 73630 | X-ray of foot, minimum of 3 views | 12.3K | $262.1K | $21.35 | 1.60x |
| 28270 | Incision of joint capsule of foot and toe | 1.0K | $196.4K | $195.45 | 3.11x |
| 28124 | Partial removal of toe bone | 733 | $169.1K | $230.73 | 2.18x |
| 28232 | Incision to lengthen toe tendon, open procedure | 1.1K | $154.7K | $141.63 | 2.85x |
| 28308 | Incision to straighten toe bone | 538 | $153.0K | $284.40 | 2.08x |
| 11422 | Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals | 1.5K | $149.3K | $100.09 | 1.82x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 6.5K | $141.6K | $21.80 | 1.53x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.7K | $138.7K | $84.03 | 1.72x |
| 28080 | Removal of fibrous nerve growth from between toes | 377 | $117.2K | $310.84 | 1.72x |
| 28285 | Correction of toe joint deformity | 534 | $111.4K | $208.60 | 2.58x |
| 11750 | Removal of nail | 1.3K | $109.6K | $83.06 | 2.54x |
| 11421 | Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals | 1.3K | $106.6K | $84.32 | 1.92x |
| 97597 | Removal of tissue from wounds per session | 1.5K | $84.5K | $56.32 | 1.45x |
This provider submits charges 1.87 times higher than what Medicare actually pays.
A markup ratio of 1.87x means for every $100 Medicare pays, this provider initially charges $187. This is lower than the national average.
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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.
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