This provider's $5.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 1589% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 678% 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 | $67.93 | $46.52 | 1.46x | $21.41 | $200.9K | 4.3K | 24 |
| 2015 | $80.25 | $50.41 | 1.59x | $29.84 | $215.7K | 4.3K | 16 |
| 2016 | $66.53 | $40.80 | 1.63x | $25.73 | $170.8K | 4.2K | 15 |
| 2017 | $69.22 | $43.70 | 1.58x | $25.52 | $189.0K | 4.3K | 17 |
| 2018 | $90.07 | $58.39 | 1.54x | $31.68 | $250.3K | 4.3K | 13 |
| 2019 | $101.32 | $69.05 | 1.47x | $32.27 | $323.1K | 4.7K | 15 |
| 2020 | $71.40 | $47.26 | 1.51x | $24.14 | $216.7K | 4.6K | 15 |
| 2021 | $107.76 | $71.19 | 1.51x | $36.57 | $374.2K | 5.3K | 13 |
| 2022 | $155.43 | $97.81 | 1.59x | $57.62 | $435.9K | 4.5K | 18 |
| 2023 | $573.51 | $417.14 | 1.37x | $156.37 | $3.4M | 8.1K | 17 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 2.3K | $2.0M | $871.31 | 1.28x |
| Q4234 | Xcellerate, per square centimeter | 2.1K | $1.2M | $579.50 | 1.48x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 21.4K | $643.0K | $30.03 | 1.56x |
| 20973 | Placement of bone and skin flap from big toe with connection of small blood vessels | 175 | $414.6K | $2.4K | 1.32x |
| 11044 | Removal of bone, 20.0 sq cm or less | 1.7K | $380.4K | $228.35 | 1.38x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.1K | $296.3K | $57.85 | 1.49x |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 2.4K | $109.6K | $45.31 | 1.67x |
| 17111 | Destruction of skin growth, 15 or more growths | 1.3K | $107.2K | $83.69 | 1.62x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 1.2K | $88.3K | $71.96 | 1.65x |
| 17110 | Destruction of skin growth, 1-14 growths | 1.1K | $85.4K | $75.28 | 1.54x |
| 11750 | Permanent removal fingernail or toenail | 491 | $55.6K | $113.24 | 1.58x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 955 | $46.9K | $49.14 | 1.66x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 577 | $46.9K | $81.31 | 1.65x |
| 20605 | Aspiration and/or injection of fluid from medium joint | 1.9K | $44.1K | $23.33 | 2.45x |
| 27616 | Extensive removal of growth of leg or ankle, 5.0 cm or more | 78 | $39.2K | $503.04 | 2.57x |
| 29580 | Strapping, unna boot | 928 | $21.4K | $23.02 | 2.88x |
| 11740 | Removal of blood accumulation under fingernail or toenail | 575 | $20.3K | $35.37 | 1.63x |
| 99306 | Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 151 | $19.5K | $129.31 | 1.58x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 466 | $14.1K | $30.25 | 1.49x |
| 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 | 94 | $11.3K | $119.89 | 1.28x |
This provider submits charges 1.44 times higher than what Medicare actually pays.
A markup ratio of 1.44x means for every $100 Medicare pays, this provider initially charges $144. 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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