This provider averages 68 services per working day
Based on 170.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Averaging 68 services per working day raises questions about billing patterns.
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 | $83.95 | $42.71 | 1.97x | $41.24 | $390.7K | 16.9K | 8.1K |
| 2015 | $83.96 | $41.31 | 2.03x | $42.65 | $408.5K | 17.7K | 8.6K |
| 2016 | $78.94 | $39.09 | 2.02x | $39.85 | $420.2K | 18.0K | 8.3K |
| 2017 | $80.57 | $41.48 | 1.94x | $39.09 | $506.6K | 18.5K | 9.8K |
| 2018 | $80.30 | $44.89 | 1.79x | $35.41 | $566.9K | 18.2K | 8.0K |
| 2019 | $101.64 | $52.99 | 1.92x | $48.65 | $592.6K | 18.4K | 8.3K |
| 2020 | $119.14 | $67.89 | 1.75x | $51.25 | $474.5K | 13.2K | 7.0K |
| 2021 | $130.63 | $75.10 | 1.74x | $55.53 | $623.1K | 16.5K | 7.9K |
| 2022 | $116.88 | $75.42 | 1.55x | $41.46 | $561.1K | 17.1K | 7.4K |
| 2023 | $98.66 | $48.78 | 2.02x | $49.88 | $506.4K | 16.0K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 84.0K | $2.4M | $29.09 | 2.42x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 59.9K | $1.2M | $19.83 | 2.02x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 11.3K | $571.6K | $50.61 | 1.96x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 7.2K | $311.0K | $43.36 | 2.07x |
| Q4169 | Artacent wound, per square centimeter | 331 | $105.2K | $317.86 | 1.33x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 627 | $61.5K | $98.04 | 1.92x |
| 10060 | Drainage of abscess | 698 | $58.0K | $83.12 | 1.45x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.5K | $47.6K | $31.98 | 2.04x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 802 | $41.8K | $52.07 | 1.70x |
| 99325 | New patient assisted living visit, typically 30 minutes | 621 | $36.0K | $58.02 | 2.93x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 293 | $35.3K | $120.46 | 1.66x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 926 | $33.8K | $36.54 | 1.65x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 517 | $31.7K | $61.36 | 2.71x |
| 11055 | Removal of single thickened skin growth | 639 | $25.8K | $40.43 | 1.49x |
| 11730 | Separation of nail plate from nail bed | 250 | $16.4K | $65.75 | 1.83x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 222 | $12.6K | $56.58 | 2.57x |
| 99342 | New patient home visit, typically 30 minutes | 179 | $10.4K | $57.99 | 2.07x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 297 | $9.7K | $32.59 | 2.75x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 158 | $5.3K | $33.59 | 2.25x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 47 | $2.8K | $59.09 | 1.84x |
This provider submits charges 2.19 times higher than what Medicare actually pays.
A markup ratio of 2.19x means for every $100 Medicare pays, this provider initially charges $219. This is higher 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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