This provider's $13.7M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 21540% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 549% in 2020
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $207.29 | $59.67 | 3.47x | $147.62 | $42.1K | 706 | 6 |
| 2015 | $181.80 | $55.50 | 3.28x | $126.30 | $34.6K | 623 | 6 |
| 2016 | $165.62 | $54.88 | 3.02x | $110.74 | $33.4K | 609 | 4 |
| 2017 | $186.00 | $52.64 | 3.53x | $133.36 | $41.0K | 779 | 7 |
| 2018 | $212.40 | $59.29 | 3.58x | $153.11 | $56.0K | 945 | 8 |
| 2019 | $176.65 | $59.29 | 2.98x | $117.36 | $71.9K | 1.2K | 12 |
| 2020 | $171.15 | $77.97 | 2.20x | $93.18 | $466.9K | 6.0K | 22 |
| 2021 | $371.84 | $182.00 | 2.04x | $189.84 | $2.3M | 12.7K | 24 |
| 2022 | $485.56 | $346.72 | 1.40x | $138.84 | $1.6M | 4.5K | 14 |
| 2023 | $1.1K | $811.41 | 1.32x | $262.85 | $9.1M | 11.2K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4204 | Xwrap, per square centimeter | 3.7K | $4.0M | $1.1K | 1.28x |
| Q4250 | Amnioamp-mp, per square centimeter | 2.7K | $3.2M | $1.2K | 1.29x |
| Q4248 | Dermacyte amniotic membrane allograft, per square centimeter | 2.9K | $2.3M | $784.62 | 1.34x |
| Q4215 | Axolotl ambient or axolotl cryo, 0.1 mg | 3.1K | $1.2M | $377.14 | 1.56x |
| Q4177 | Floweramnioflo, 0.1 cc | 6.8K | $979.9K | $144.31 | 2.49x |
| Q4188 | Amnioarmor, per square centimeter | 942 | $478.7K | $508.19 | 1.28x |
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 470 | $367.5K | $781.91 | 1.28x |
| Q4196 | Puraply am, per square centimeter | 3.1K | $274.7K | $87.83 | 1.72x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.7K | $190.4K | $51.57 | 2.76x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.1K | $157.7K | $74.41 | 2.61x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 777 | $86.4K | $111.14 | 2.57x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 537 | $57.7K | $107.49 | 2.86x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 845 | $48.3K | $57.12 | 4.48x |
| 64455 | Injection of anesthetic and/or steroid drug into foot nerve | 1.0K | $36.8K | $35.88 | 3.41x |
| 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 | 279 | $31.5K | $113.06 | 3.96x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 663 | $30.5K | $45.99 | 2.99x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 462 | $30.5K | $65.98 | 2.92x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 847 | $29.6K | $34.90 | 2.01x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 151 | $27.5K | $182.14 | 2.85x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 575 | $26.7K | $46.40 | 2.79x |
This provider submits charges 1.52 times higher than what Medicare actually pays.
A markup ratio of 1.52x means for every $100 Medicare pays, this provider initially charges $152. 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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