This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 553% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 176% in 2016
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 | $146.29 | $79.46 | 1.84x | $66.83 | $108.8K | 1.8K | 845 |
| 2015 | $139.45 | $77.19 | 1.81x | $62.26 | $191.9K | 3.4K | 949 |
| 2016 | $124.69 | $60.58 | 2.06x | $64.11 | $528.9K | 9.8K | 2.9K |
| 2017 | $117.87 | $55.85 | 2.11x | $62.02 | $531.3K | 9.7K | 2.7K |
| 2018 | $124.74 | $58.31 | 2.14x | $66.43 | $474.4K | 8.6K | 2.9K |
| 2019 | $133.83 | $69.54 | 1.92x | $64.29 | $548.7K | 9.3K | 3.1K |
| 2020 | $128.40 | $78.27 | 1.64x | $50.13 | $450.0K | 7.6K | 3.4K |
| 2021 | $113.24 | $68.97 | 1.64x | $44.27 | $726.6K | 12.4K | 4.3K |
| 2022 | $148.38 | $67.96 | 2.18x | $80.42 | $573.1K | 10.4K | 5.3K |
| 2023 | $167.28 | $54.57 | 3.07x | $112.71 | $709.6K | 16.9K | 9.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 24.1K | $973.8K | $40.35 | 2.03x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 8.4K | $722.6K | $86.02 | 1.69x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 4.5K | $514.6K | $115.12 | 1.79x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 10.7K | $388.2K | $36.34 | 2.59x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 6.3K | $376.0K | $59.33 | 1.99x |
| 99347 | Established patient home visit, typically 15 minutes | 7.1K | $344.2K | $48.47 | 1.76x |
| 11056 | Removal of 2 to 4 thickened skin growths | 5.0K | $322.4K | $64.30 | 1.68x |
| 97597 | Removal of tissue from wounds per session | 4.4K | $259.4K | $58.66 | 2.18x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 2.1K | $206.2K | $98.02 | 1.99x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 3.5K | $99.4K | $28.13 | 4.24x |
| 99348 | Established patient home visit, typically 25 minutes | 1.4K | $95.5K | $68.74 | 1.83x |
| 99304 | Initial nursing facility visit per day, typically 25 minutes | 1.4K | $87.9K | $64.36 | 4.55x |
| 11730 | Separation of nail plate from nail bed | 742 | $69.5K | $93.68 | 1.71x |
| 11055 | Removal of single thickened skin growth | 1.2K | $65.5K | $53.24 | 1.85x |
| G0127 | Trimming of dystrophic nails, any number | 3.1K | $60.6K | $19.31 | 3.76x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 1.6K | $54.6K | $34.89 | 1.69x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 342 | $41.6K | $121.60 | 1.74x |
| 99326 | New patient assisted living visit, typically 45 minutes | 311 | $38.5K | $123.64 | 1.72x |
| 99343 | New patient home visit, typically 45 minutes | 330 | $37.4K | $113.32 | 1.77x |
| 11045 | Removal of skin and tissue | 573 | $19.4K | $33.89 | 2.04x |
This provider submits charges 2.06 times higher than what Medicare actually pays.
A markup ratio of 2.06x means for every $100 Medicare pays, this provider initially charges $206. This is higher 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data