This provider's $4.3M 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 | $88.92 | $58.30 | 1.53x | $30.62 | $438.3K | 9.5K | 4.8K |
| 2015 | $81.99 | $51.82 | 1.58x | $30.17 | $378.9K | 8.3K | 4.1K |
| 2016 | $81.68 | $53.99 | 1.51x | $27.69 | $373.8K | 8.1K | 4.2K |
| 2017 | $83.43 | $55.98 | 1.49x | $27.45 | $428.9K | 9.0K | 4.4K |
| 2018 | $92.38 | $61.30 | 1.51x | $31.08 | $471.2K | 10.0K | 4.7K |
| 2019 | $93.69 | $63.28 | 1.48x | $30.41 | $469.3K | 9.5K | 4.3K |
| 2020 | $94.03 | $63.73 | 1.48x | $30.30 | $444.3K | 8.5K | 4.5K |
| 2021 | $98.52 | $70.75 | 1.39x | $27.77 | $457.4K | 8.4K | 4.0K |
| 2022 | $144.30 | $80.38 | 1.80x | $63.92 | $450.1K | 7.2K | 3.8K |
| 2023 | $213.36 | $77.51 | 2.75x | $135.85 | $414.2K | 6.5K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 24.2K | $1.3M | $54.07 | 1.64x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 30.1K | $1.1M | $37.44 | 1.61x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.2K | $355.8K | $57.78 | 1.53x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 3.0K | $329.6K | $110.24 | 1.53x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 1.1K | $165.3K | $144.86 | 1.46x |
| 11055 | Removal of single thickened skin growth | 3.9K | $162.8K | $42.24 | 1.64x |
| 11057 | Removal of more than 4 thickened skin growths | 2.4K | $150.4K | $62.53 | 1.61x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $121.0K | $96.29 | 1.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $113.2K | $68.29 | 1.67x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $90.4K | $41.07 | 1.71x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.9K | $68.0K | $36.29 | 1.57x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.0K | $53.7K | $26.88 | 1.59x |
| 99347 | Established patient home visit, typically 15 minutes | 847 | $37.5K | $44.23 | 2.15x |
| 99348 | Established patient home visit, typically 25 minutes | 494 | $34.3K | $69.40 | 2.01x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 460 | $24.4K | $53.11 | 1.43x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 142 | $21.0K | $147.64 | 2.22x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 222 | $18.8K | $84.73 | 1.41x |
| 11730 | Separation of nail plate from nail bed | 215 | $18.4K | $85.74 | 1.77x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 250 | $18.0K | $71.86 | 1.74x |
| 99343 | New patient home visit, typically 45 minutes | 135 | $13.9K | $103.08 | 1.60x |
This provider submits charges 1.63 times higher than what Medicare actually pays.
A markup ratio of 1.63x means for every $100 Medicare pays, this provider initially charges $163. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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