This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 2149% from 2014 to 2023.
76% of their billing comes from a single procedure code (Q4217 — Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 3459% in 2023
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 | $168.65 | $43.23 | 3.90x | $125.42 | $209.0K | 4.8K | 25 |
| 2015 | $158.76 | $39.71 | 4.00x | $119.05 | $174.5K | 4.4K | 21 |
| 2016 | $161.22 | $39.77 | 4.05x | $121.45 | $184.6K | 4.6K | 27 |
| 2017 | $152.67 | $37.06 | 4.12x | $115.61 | $157.7K | 4.3K | 22 |
| 2018 | $145.58 | $35.87 | 4.06x | $109.71 | $136.8K | 3.8K | 22 |
| 2019 | $151.71 | $40.87 | 3.71x | $110.84 | $144.8K | 3.5K | 20 |
| 2020 | $154.52 | $43.49 | 3.55x | $111.03 | $105.9K | 2.4K | 15 |
| 2021 | $150.14 | $46.13 | 3.25x | $104.01 | $133.7K | 2.9K | 18 |
| 2022 | $139.52 | $44.69 | 3.12x | $94.83 | $132.1K | 3.0K | 16 |
| 2023 | $961.23 | $683.73 | 1.41x | $277.50 | $4.7M | 6.9K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 4.4K | $4.6M | $1.0K | 1.36x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 7.9K | $415.7K | $52.71 | 3.25x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 14.7K | $373.7K | $25.42 | 4.25x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.5K | $182.4K | $73.42 | 3.56x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.0K | $112.4K | $108.27 | 3.61x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 1.2K | $102.0K | $83.50 | 3.12x |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 1.6K | $43.5K | $27.95 | 3.80x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 1.1K | $39.9K | $35.40 | 4.10x |
| 11750 | Permanent removal fingernail or toenail | 279 | $32.5K | $116.39 | 4.41x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 350 | $29.1K | $83.23 | 3.88x |
| 99304 | Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 366 | $22.2K | $60.64 | 3.50x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 423 | $21.7K | $51.41 | 3.07x |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 740 | $20.3K | $27.41 | 4.58x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 668 | $18.5K | $27.75 | 3.75x |
| 20605 | Aspiration and/or injection of fluid from medium joint | 363 | $12.5K | $34.39 | 4.12x |
| 11730 | Separation of nail plate from nail bed | 141 | $9.2K | $65.02 | 3.64x |
| 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 | 66 | $7.5K | $114.04 | 3.79x |
| 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 | 66 | $7.4K | $112.05 | 3.86x |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 334 | $7.2K | $21.46 | 3.54x |
| 73630 | X-ray of foot, minimum of 3 views | 992 | $6.3K | $6.37 | 12.72x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower 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.
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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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