This provider's $4.3M 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 | $67.46 | $46.35 | 1.46x | $21.11 | $423.3K | 10.7K | 5.0K |
| 2015 | $73.71 | $51.96 | 1.42x | $21.75 | $330.6K | 8.4K | 4.3K |
| 2016 | $68.57 | $52.38 | 1.31x | $16.19 | $353.5K | 8.7K | 4.1K |
| 2017 | $80.23 | $58.93 | 1.36x | $21.30 | $399.3K | 10.1K | 4.8K |
| 2018 | $75.37 | $52.02 | 1.45x | $23.35 | $380.8K | 9.7K | 4.6K |
| 2019 | $73.35 | $49.01 | 1.50x | $24.34 | $425.7K | 10.1K | 4.8K |
| 2020 | $74.43 | $52.55 | 1.42x | $21.88 | $386.1K | 8.3K | 4.4K |
| 2021 | $73.48 | $47.95 | 1.53x | $25.53 | $491.9K | 10.5K | 4.9K |
| 2022 | $66.85 | $42.27 | 1.58x | $24.58 | $527.6K | 11.4K | 5.1K |
| 2023 | $82.38 | $54.26 | 1.52x | $28.12 | $576.7K | 11.3K | 5.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 40.1K | $1.4M | $34.50 | 1.36x |
| 11056 | Removal of 2 to 4 thickened skin growths | 24.1K | $1.2M | $50.94 | 1.39x |
| 11055 | Removal of single thickened skin growth | 15.3K | $666.3K | $43.66 | 1.39x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 9.3K | $507.6K | $54.60 | 1.32x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 2.7K | $194.3K | $72.51 | 1.36x |
| 10060 | Drainage of abscess | 1.0K | $93.6K | $92.81 | 1.36x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.8K | $71.5K | $25.32 | 1.37x |
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 499 | $49.1K | $98.47 | 1.32x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 322 | $35.2K | $109.42 | 1.34x |
| G0127 | Trimming of dystrophic nails, any number | 2.4K | $28.4K | $11.98 | 2.15x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 270 | $21.5K | $79.73 | 1.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 201 | $12.9K | $64.07 | 1.34x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 41 | $1.5K | $36.48 | 1.36x |
| 11719 | Trimming of fingernails or toenails | 77 | $809.46 | $10.51 | 1.39x |
This provider submits charges 1.37 times higher than what Medicare actually pays.
A markup ratio of 1.37x means for every $100 Medicare pays, this provider initially charges $137. 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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