This provider's $3.8M 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 | $198.29 | $59.00 | 3.36x | $139.29 | $445.1K | 9.4K | 7.4K |
| 2015 | $74.21 | $53.54 | 1.39x | $20.67 | $544.0K | 13.5K | 8.8K |
| 2016 | $68.60 | $44.86 | 1.53x | $23.74 | $325.2K | 10.1K | 7.0K |
| 2017 | $55.72 | $39.05 | 1.43x | $16.67 | $367.4K | 11.1K | 6.6K |
| 2018 | $55.68 | $40.26 | 1.38x | $15.42 | $438.8K | 12.5K | 7.0K |
| 2019 | $55.67 | $40.23 | 1.38x | $15.44 | $401.0K | 11.2K | 6.1K |
| 2020 | $55.09 | $38.82 | 1.42x | $16.27 | $255.9K | 7.5K | 5.2K |
| 2021 | $56.40 | $41.53 | 1.36x | $14.87 | $356.2K | 9.7K | 5.5K |
| 2022 | $57.32 | $38.15 | 1.50x | $19.17 | $313.6K | 8.8K | 5.1K |
| 2023 | $63.34 | $35.36 | 1.79x | $27.98 | $319.0K | 9.0K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 55.4K | $1.8M | $31.87 | 1.47x |
| 11055 | Removal of single thickened skin growth | 10.8K | $397.9K | $36.86 | 1.42x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 7.1K | $359.5K | $50.69 | 1.37x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 7.6K | $240.4K | $31.65 | 1.45x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 3.0K | $194.1K | $65.00 | 1.57x |
| 11730 | Separation of nail plate from nail bed | 2.6K | $188.1K | $72.68 | 1.34x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 7.7K | $175.4K | $22.88 | 1.45x |
| 11765 | Removal of skin of finger or toe nail | 1.1K | $132.0K | $116.51 | 1.86x |
| 99324 | New patient assisted living visit, typically 20 minutes | 2.6K | $97.3K | $37.93 | 1.48x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 2.1K | $85.8K | $40.82 | 1.52x |
| 11056 | Removal of 2 to 4 thickened skin growths | 1.4K | $51.7K | $37.91 | 1.52x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 295 | $15.1K | $51.35 | 2.34x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 177 | $12.4K | $70.14 | 1.43x |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 212 | $7.4K | $34.73 | 3.87x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 97 | $7.2K | $73.86 | 3.05x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 170 | $5.2K | $30.49 | 2.95x |
| 99325 | New patient assisted living visit, typically 30 minutes | 75 | $4.4K | $58.60 | 1.49x |
| 28234 | Incision to release foot tendon, open procedure | 16 | $3.9K | $244.92 | 4.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 22 | $2.6K | $117.27 | 2.34x |
| 28232 | Incision to lengthen toe tendon, open procedure | 17 | $2.4K | $142.84 | 8.30x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. 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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