This provider's $5.7M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 901% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 757% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2014 | $203.69 | $51.01 | 3.99x | $152.68 | $138.3K | 2.7K | 2.2K |
| 2015 | $201.72 | $45.20 | 4.46x | $156.52 | $124.0K | 2.7K | 2.0K |
| 2016 | $59.16 | $41.25 | 1.43x | $17.91 | $27.4K | 682 | 629 |
| 2017 | $158.63 | $68.00 | 2.33x | $90.63 | $64.6K | 866 | 715 |
| 2018 | $186.55 | $82.15 | 2.27x | $104.40 | $553.7K | 8.1K | 4.5K |
| 2019 | $163.42 | $67.62 | 2.42x | $95.80 | $702.0K | 10.2K | 5.9K |
| 2020 | $247.56 | $74.65 | 3.32x | $172.91 | $729.6K | 10.2K | 5.7K |
| 2021 | $292.73 | $87.61 | 3.34x | $205.12 | $1.0M | 11.7K | 6.3K |
| 2022 | $273.36 | $79.73 | 3.43x | $193.63 | $936.7K | 11.4K | 5.8K |
| 2023 | $299.93 | $88.76 | 3.38x | $211.17 | $1.4M | 17.1K | 9.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.1K | $1.8M | $64.79 | 2.38x |
| 93922 | Ultrasound study of arteries of both arms and legs | 6.8K | $474.3K | $69.65 | 3.36x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 3.2K | $408.8K | $126.38 | 3.49x |
| 93923 | Ultrasound study of arteries of both arms and legs | 3.9K | $407.0K | $104.86 | 2.69x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.6K | $384.2K | $84.31 | 2.86x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.2K | $308.4K | $73.03 | 3.49x |
| 17110 | Destruction of up to 14 skin growths | 3.3K | $290.9K | $88.04 | 3.18x |
| 64640 | Destruction of peripheral nerve or branch | 1.9K | $278.1K | $143.80 | 3.96x |
| 11755 | Biopsy of finger or toe nail | 2.8K | $243.2K | $86.98 | 3.00x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 2.4K | $228.8K | $97.17 | 3.18x |
| 11106 | Incisional biopsy of single skin lesion | 1.1K | $141.5K | $124.37 | 3.07x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 3.4K | $116.2K | $34.07 | 2.66x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 451 | $83.8K | $185.91 | 2.25x |
| 11750 | Removal of nail | 620 | $77.1K | $124.43 | 3.32x |
| 11055 | Removal of single thickened skin growth | 1.2K | $62.5K | $51.98 | 2.92x |
| 76881 | Ultrasound of leg or arm | 822 | $60.1K | $73.14 | 1.88x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 478 | $48.9K | $102.26 | 3.73x |
| 20552 | Injections of trigger points in 1 or 2 muscles | 894 | $33.2K | $37.14 | 3.77x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 448 | $25.6K | $57.06 | 5.91x |
| 11730 | Separation of nail plate from nail bed | 336 | $24.4K | $72.68 | 3.51x |
This provider submits charges 2.95 times higher than what Medicare actually pays.
A markup ratio of 2.95x means for every $100 Medicare pays, this provider initially charges $295. 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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