This provider's $7.3M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 1790% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 418% in 2022
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 | $115.02 | $40.93 | 2.81x | $74.09 | $191.0K | 4.7K | 19 |
| 2015 | $132.59 | $42.72 | 3.10x | $89.87 | $142.2K | 3.3K | 21 |
| 2016 | $95.10 | $38.80 | 2.45x | $56.30 | $160.0K | 4.1K | 22 |
| 2017 | $109.92 | $41.22 | 2.67x | $68.70 | $296.0K | 7.2K | 26 |
| 2018 | $102.56 | $38.88 | 2.64x | $63.68 | $302.8K | 7.8K | 25 |
| 2019 | $94.33 | $40.60 | 2.32x | $53.73 | $346.0K | 8.5K | 27 |
| 2020 | $101.57 | $48.96 | 2.07x | $52.61 | $315.5K | 6.4K | 23 |
| 2021 | $95.33 | $46.91 | 2.03x | $48.42 | $318.4K | 6.8K | 20 |
| 2022 | $265.27 | $186.43 | 1.42x | $78.84 | $1.7M | 8.9K | 22 |
| 2023 | $490.19 | $363.39 | 1.35x | $126.80 | $3.6M | 9.9K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 2.4K | $2.5M | $1.1K | 1.28x |
| Q4253 | Zenith amniotic membrane, per square centimeter | 2.1K | $1.6M | $767.09 | 1.29x |
| Q4173 | Palingen or palingen xplus, per square centimeter | 1.3K | $509.5K | $398.06 | 1.28x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 8.2K | $384.4K | $46.66 | 1.82x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 4.0K | $367.0K | $91.36 | 2.13x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 4.3K | $320.6K | $74.38 | 2.51x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 4.4K | $247.7K | $55.71 | 2.64x |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 3.9K | $208.9K | $54.01 | 1.61x |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 8.5K | $200.2K | $23.67 | 1.71x |
| 76881 | Complete ultrasound scan of joint | 2.3K | $140.9K | $60.93 | 3.27x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 3.2K | $105.3K | $33.41 | 1.82x |
| G0127 | Trimming of dystrophic nails, any number | 9.6K | $79.3K | $8.23 | 2.82x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 2.3K | $79.0K | $33.64 | 3.48x |
| 11755 | Biopsy of finger or toe nail | 920 | $78.1K | $84.92 | 3.20x |
| 11750 | Permanent removal fingernail or toenail | 559 | $59.3K | $106.11 | 3.28x |
| 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 | 390 | $49.2K | $126.24 | 1.74x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 26 | $41.6K | $1.6K | 1.25x |
| 17000 | Destruction of precancer skin growth, 1 growth | 887 | $41.2K | $46.50 | 2.69x |
| 20550 | Injection into tendon or ligament | 932 | $35.4K | $38.04 | 3.27x |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 781 | $32.1K | $41.05 | 1.63x |
This provider submits charges 1.68 times higher than what Medicare actually pays.
A markup ratio of 1.68x means for every $100 Medicare pays, this provider initially charges $168. 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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