This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 9456% from 2017 to 2023.
63% of their billing comes from a single procedure code (Q4158 — Kerecis omega3, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 15986% in 2023
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $209.90 | $42.91 | 4.89x | $166.99 | $83.8K | 2.0K | 5 |
| 2018 | $1.4K | $58.15 | 24.77x | $1.4K | $371.8K | 6.4K | 18 |
| 2019 | $2.3K | $60.45 | 37.87x | $2.2K | $232.3K | 3.8K | 15 |
| 2022 | $1.4K | $82.74 | 16.63x | $1.3K | $49.8K | 602 | 9 |
| 2023 | $827.68 | $470.79 | 1.76x | $356.89 | $8.0M | 17.0K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4158 | Kerecis omega3, per square centimeter | 11.8K | $5.6M | $470.70 | 1.28x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.9K | $2.2M | $1.2K | 1.28x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 6.4K | $242.7K | $37.88 | 9.53x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 972 | $136.1K | $140.07 | 47.52x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 2.1K | $135.2K | $64.34 | 50.78x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1.7K | $107.7K | $62.91 | 9.94x |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 713 | $80.5K | $112.88 | 12.99x |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 736 | $56.9K | $77.30 | 9.49x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 380 | $42.3K | $111.26 | 16.07x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 658 | $37.0K | $56.28 | 15.85x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 206 | $34.7K | $168.34 | 12.92x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 247 | $27.5K | $111.51 | 11.11x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 445 | $20.5K | $46.13 | 62.25x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 225 | $19.9K | $88.58 | 7.15x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 325 | $19.3K | $59.27 | 8.53x |
| 11045 | Removal of skin and tissue, each additional 20.0 sq cm or less | 618 | $15.7K | $25.42 | 43.95x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 47 | $9.2K | $196.36 | 65.01x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 103 | $7.9K | $76.43 | 15.62x |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 170 | $6.5K | $38.52 | 10.69x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 14 | $1.5K | $109.59 | 16.58x |
This provider submits charges 3.81 times higher than what Medicare actually pays.
A markup ratio of 3.81x means for every $100 Medicare pays, this provider initially charges $381. This is higher 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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