This provider's $5.6M 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 | $109.48 | $56.74 | 1.93x | $52.74 | $321.1K | 6.5K | 3.4K |
| 2015 | $108.00 | $57.33 | 1.88x | $50.67 | $335.8K | 6.6K | 3.5K |
| 2016 | $109.46 | $55.67 | 1.97x | $53.79 | $497.4K | 10.2K | 5.1K |
| 2017 | $110.59 | $50.70 | 2.18x | $59.89 | $660.9K | 14.2K | 6.8K |
| 2018 | $110.75 | $53.54 | 2.07x | $57.21 | $741.9K | 15.3K | 6.7K |
| 2019 | $110.80 | $56.31 | 1.97x | $54.49 | $1.0M | 18.8K | 9.1K |
| 2020 | $118.60 | $60.81 | 1.95x | $57.79 | $662.0K | 11.9K | 6.5K |
| 2021 | $110.83 | $60.43 | 1.83x | $50.40 | $512.7K | 8.1K | 4.7K |
| 2022 | $110.81 | $58.88 | 1.88x | $51.93 | $423.9K | 6.9K | 4.5K |
| 2023 | $110.64 | $59.31 | 1.87x | $51.33 | $437.2K | 7.3K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 33.2K | $2.1M | $63.69 | 1.96x |
| 11056 | Removal of 2 to 4 thickened skin growths | 34.3K | $1.9M | $55.28 | 1.45x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 28.8K | $1.1M | $37.58 | 2.13x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.5K | $386.0K | $85.78 | 2.10x |
| 29540 | Strapping of ankle and/or foot | 3.7K | $46.9K | $12.54 | 4.79x |
| 10061 | Drainage of multiple abscess | 307 | $41.7K | $135.74 | 1.33x |
| 11730 | Separation of nail plate from nail bed | 167 | $12.5K | $74.75 | 1.34x |
| 73630 | X-ray of foot, minimum of 3 views | 427 | $11.3K | $26.42 | 4.73x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 202 | $5.3K | $26.45 | 2.11x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 117 | $3.5K | $29.62 | 3.40x |
| 10060 | Drainage of abscess | 12 | $925.12 | $77.09 | 1.28x |
This provider submits charges 1.85 times higher than what Medicare actually pays.
A markup ratio of 1.85x means for every $100 Medicare pays, this provider initially charges $185. 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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