This provider's $3.2M 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 | $437.58 | $108.08 | 4.05x | $329.50 | $272.4K | 5.2K | 3.4K |
| 2015 | $321.40 | $81.07 | 3.96x | $240.33 | $274.2K | 5.6K | 3.6K |
| 2016 | $293.33 | $79.86 | 3.67x | $213.47 | $288.3K | 5.7K | 3.8K |
| 2017 | $370.07 | $94.15 | 3.93x | $275.92 | $344.2K | 6.8K | 4.4K |
| 2018 | $576.03 | $96.99 | 5.94x | $479.04 | $362.8K | 7.1K | 4.7K |
| 2019 | $798.86 | $101.29 | 7.89x | $697.57 | $365.9K | 6.5K | 4.6K |
| 2020 | $888.62 | $105.30 | 8.44x | $783.32 | $325.3K | 5.9K | 4.1K |
| 2021 | $792.49 | $101.60 | 7.80x | $690.89 | $356.4K | 6.0K | 4.3K |
| 2022 | $755.67 | $100.51 | 7.52x | $655.16 | $328.4K | 5.5K | 4.0K |
| 2023 | $864.98 | $109.76 | 7.88x | $755.22 | $318.9K | 5.6K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 15.6K | $913.3K | $58.38 | 2.04x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.9K | $424.5K | $87.11 | 1.91x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 5.0K | $391.0K | $78.30 | 2.21x |
| 73630 | X-ray of foot, minimum of 3 views | 12.1K | $292.9K | $24.19 | 4.46x |
| 20680 | Removal of deep bone implant | 411 | $106.6K | $259.32 | 6.22x |
| 20604 | Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance | 1.6K | $101.6K | $64.95 | 3.53x |
| 28285 | Correction of toe joint deformity | 505 | $94.0K | $186.13 | 9.85x |
| 11750 | Removal of nail | 805 | $91.8K | $114.09 | 3.43x |
| 97597 | Removal of tissue from wounds per session | 1.1K | $76.1K | $67.63 | 2.55x |
| 28750 | Fusion of great toe | 153 | $72.7K | $475.09 | 9.39x |
| 73610 | X-ray of ankle, minimum of 3 views | 2.6K | $68.6K | $26.19 | 4.04x |
| 20606 | Aspiration and/or injection of intermediate joint or joint capsule with recording and reporting using ultrasound guidance | 966 | $65.7K | $68.05 | 3.34x |
| 28270 | Incision of joint capsule of foot and toe | 414 | $60.4K | $146.00 | 11.89x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $48.4K | $37.06 | 2.26x |
| 28308 | Incision to straighten toe bone | 257 | $47.0K | $183.04 | 6.87x |
| 20551 | Injections of tendon attachment to bone | 835 | $37.0K | $44.30 | 3.30x |
| 64455 | Injections of anesthetic and/or steroid drug into nerve of foot | 871 | $34.2K | $39.30 | 7.15x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 702 | $31.2K | $44.39 | 5.15x |
| 28292 | Correction of bunion | 85 | $30.9K | $363.05 | 7.55x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 295 | $28.3K | $96.00 | 2.88x |
This provider submits charges 3.59 times higher than what Medicare actually pays.
A markup ratio of 3.59x means for every $100 Medicare pays, this provider initially charges $359. This is higher 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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