This provider's $6.5M 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.
Notable: Payments increased 64% in 2017
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 | $256.34 | $105.06 | 2.44x | $151.28 | $523.7K | 10.5K | 5.2K |
| 2015 | $222.54 | $106.78 | 2.08x | $115.76 | $502.7K | 9.8K | 4.8K |
| 2016 | $199.22 | $86.98 | 2.29x | $112.24 | $355.7K | 7.1K | 3.7K |
| 2017 | $204.88 | $91.04 | 2.25x | $113.84 | $582.7K | 10.7K | 5.0K |
| 2018 | $181.22 | $88.48 | 2.05x | $92.74 | $625.5K | 11.8K | 6.3K |
| 2019 | $148.34 | $76.70 | 1.93x | $71.64 | $773.4K | 14.0K | 8.3K |
| 2020 | $173.33 | $96.22 | 1.80x | $77.11 | $765.3K | 12.1K | 6.7K |
| 2021 | $175.06 | $89.67 | 1.95x | $85.39 | $898.1K | 13.8K | 8.1K |
| 2022 | $137.78 | $67.68 | 2.04x | $70.10 | $766.4K | 12.4K | 7.1K |
| 2023 | $163.73 | $78.31 | 2.09x | $85.42 | $699.6K | 11.1K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 23.6K | $1.1M | $45.84 | 1.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.9K | $949.8K | $59.86 | 2.06x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 6.2K | $739.3K | $118.70 | 1.69x |
| 11755 | Biopsy of finger or toe nail | 4.9K | $404.2K | $83.32 | 1.99x |
| Q4186 | Epifix, per square centimeter | 2.4K | $295.5K | $122.92 | 2.19x |
| Q4131 | Epifix, per square centimeter | 2.2K | $291.5K | $132.94 | 1.65x |
| 88381 | Preparation of specimen, manual | 1.5K | $222.1K | $149.36 | 1.40x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 1.1K | $210.3K | $185.12 | 1.73x |
| G0127 | Trimming of dystrophic nails, any number | 22.1K | $198.2K | $8.99 | 3.89x |
| 88312 | Special stained specimen slides to identify organisms including interpretation and report | 2.0K | $169.3K | $85.45 | 1.58x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 1.7K | $160.7K | $92.23 | 1.85x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 947 | $132.9K | $140.36 | 1.83x |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 2.0K | $122.4K | $61.80 | 1.54x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 3.6K | $116.6K | $31.97 | 2.50x |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 2.0K | $112.6K | $56.85 | 2.02x |
| 28003 | Drainage of multiple fluid-filled sacs (bursa) of foot | 302 | $111.3K | $368.67 | 2.27x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $102.2K | $82.04 | 1.73x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 548 | $96.4K | $175.94 | 1.99x |
| 97597 | Removal of tissue from wounds per session | 1.2K | $83.6K | $70.95 | 1.52x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 2.0K | $68.9K | $33.88 | 3.41x |
This provider submits charges 1.94 times higher than what Medicare actually pays.
A markup ratio of 1.94x means for every $100 Medicare pays, this provider initially charges $194. 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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