This provider's $14.4M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 10686% from 2020 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3228% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2020 | $93.33 | $45.33 | 2.06x | $48.00 | $71.3K | 1.6K | 11 |
| 2021 | $323.12 | $231.17 | 1.40x | $91.95 | $2.4M | 10.3K | 19 |
| 2022 | $475.24 | $350.35 | 1.36x | $124.89 | $4.3M | 12.3K | 18 |
| 2023 | $1.0K | $781.79 | 1.33x | $261.44 | $7.7M | 9.8K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4253 | Zenith amniotic membrane, per square centimeter | 7.4K | $5.1M | $686.12 | 1.30x |
| Q4262 | Dual layer impax membrane, per square centimeter | 4.3K | $4.6M | $1.1K | 1.33x |
| Q4276 | Orion, per square centimeter | 1.4K | $1.6M | $1.2K | 1.30x |
| Q4159 | Affinity, per square centimeter | 1.7K | $1.4M | $847.90 | 1.30x |
| Q4169 | Artacent wound, per square centimeter | 1.4K | $477.0K | $334.96 | 1.34x |
| Q4252 | Vendaje, per square centimeter | 420 | $304.0K | $723.81 | 1.33x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 6.0K | $210.0K | $34.96 | 1.71x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.4K | $150.8K | $62.06 | 1.91x |
| Q4254 | Novafix dl, per square centimeter | 432 | $138.2K | $320.00 | 1.25x |
| 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 | 943 | $114.9K | $121.82 | 1.84x |
| 87801 | Detection test by nucleic acid for multiple organisms, amplified probe(s) technique | 1.4K | $96.9K | $69.94 | 1.71x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 2.2K | $60.4K | $27.74 | 2.20x |
| 11755 | Biopsy of fingernail or toenail | 658 | $55.5K | $84.41 | 3.23x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 567 | $40.7K | $71.79 | 2.43x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 931 | $32.6K | $34.96 | 1.71x |
| 11750 | Permanent removal fingernail or toenail | 262 | $26.0K | $99.27 | 3.60x |
| 73630 | X-ray of foot, minimum of 3 views | 580 | $14.0K | $24.22 | 2.24x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 109 | $10.0K | $92.00 | 2.64x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 49 | $8.5K | $173.52 | 2.60x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 47 | $5.9K | $126.01 | 2.77x |
This provider submits charges 1.35 times higher than what Medicare actually pays.
A markup ratio of 1.35x means for every $100 Medicare pays, this provider initially charges $135. 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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