This provider's $6.6M 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 | $181.88 | $98.35 | 1.85x | $83.53 | $623.9K | 11.0K | 6.9K |
| 2015 | $193.00 | $100.59 | 1.92x | $92.41 | $588.1K | 9.7K | 6.5K |
| 2016 | $169.20 | $85.83 | 1.97x | $83.37 | $632.1K | 11.6K | 7.1K |
| 2017 | $159.66 | $80.93 | 1.97x | $78.73 | $596.5K | 11.7K | 7.9K |
| 2018 | $136.76 | $70.25 | 1.95x | $66.51 | $673.6K | 13.1K | 7.9K |
| 2019 | $139.07 | $74.95 | 1.86x | $64.12 | $728.0K | 13.9K | 8.3K |
| 2020 | $145.05 | $79.06 | 1.83x | $65.99 | $625.8K | 11.3K | 7.0K |
| 2021 | $141.97 | $78.19 | 1.82x | $63.78 | $691.8K | 11.4K | 6.9K |
| 2022 | $122.81 | $69.68 | 1.76x | $53.13 | $688.3K | 11.3K | 6.6K |
| 2023 | $124.61 | $71.80 | 1.74x | $52.81 | $748.2K | 12.6K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.1K | $947.4K | $59.03 | 1.67x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 4.3K | $538.7K | $123.96 | 1.30x |
| 11765 | Removal of skin of finger or toe nail | 5.7K | $537.6K | $94.15 | 1.46x |
| 11730 | Separation of nail plate from nail bed | 6.9K | $527.0K | $76.27 | 1.89x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 6.0K | $526.7K | $87.37 | 1.98x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 12.4K | $410.6K | $33.13 | 1.55x |
| 93922 | Ultrasound study of arteries of both arms and legs | 6.2K | $350.7K | $56.87 | 2.20x |
| 73630 | X-ray of foot, minimum of 3 views | 12.0K | $309.0K | $25.70 | 2.34x |
| 76881 | Ultrasound of leg or arm | 2.2K | $192.6K | $89.32 | 1.68x |
| 11750 | Removal of nail | 1.7K | $188.4K | $107.91 | 2.42x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 1.8K | $181.3K | $99.53 | 1.41x |
| 11732 | Separation of nail plate from nail bed | 6.6K | $174.8K | $26.42 | 1.89x |
| 11055 | Removal of single thickened skin growth | 5.4K | $168.9K | $31.14 | 2.39x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 6.5K | $163.1K | $25.21 | 2.02x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.0K | $149.9K | $75.44 | 1.99x |
| 28150 | Removal of toe | 482 | $143.0K | $296.59 | 1.46x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.6K | $138.2K | $88.74 | 1.60x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 1.8K | $114.6K | $63.66 | 1.86x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 1.5K | $113.8K | $76.32 | 1.45x |
| 64640 | Destruction of peripheral nerve or branch | 880 | $101.2K | $115.04 | 2.09x |
This provider submits charges 1.82 times higher than what Medicare actually pays.
A markup ratio of 1.82x means for every $100 Medicare pays, this provider initially charges $182. 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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