This provider averages 56 services per working day
Based on 140.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.2M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Averaging 56 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 | $156.25 | $68.04 | 2.30x | $88.21 | $575.4K | 12.4K | 5.8K |
| 2015 | $179.05 | $68.62 | 2.61x | $110.43 | $593.0K | 11.8K | 6.7K |
| 2016 | $183.94 | $67.33 | 2.73x | $116.61 | $547.5K | 11.4K | 5.8K |
| 2017 | $198.39 | $72.76 | 2.73x | $125.63 | $616.4K | 12.7K | 6.5K |
| 2018 | $205.95 | $79.00 | 2.61x | $126.95 | $692.7K | 13.3K | 6.8K |
| 2019 | $175.95 | $66.60 | 2.64x | $109.35 | $623.8K | 12.1K | 6.4K |
| 2020 | $164.12 | $64.24 | 2.55x | $99.88 | $618.1K | 16.1K | 8.3K |
| 2021 | $173.34 | $69.96 | 2.48x | $103.38 | $619.6K | 16.2K | 7.6K |
| 2022 | $175.97 | $69.62 | 2.53x | $106.35 | $646.7K | 17.3K | 8.2K |
| 2023 | $175.92 | $70.99 | 2.48x | $104.93 | $669.4K | 17.4K | 8.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 38.8K | $1.5M | $38.26 | 2.67x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 10.1K | $1.1M | $110.60 | 2.46x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 24.3K | $705.2K | $28.97 | 2.42x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 16.3K | $609.1K | $37.29 | 2.61x |
| G0127 | Trimming of dystrophic nails, any number | 23.0K | $438.9K | $19.12 | 2.88x |
| 11056 | Removal of 2 to 4 thickened skin growths | 5.4K | $322.0K | $59.67 | 2.22x |
| 11055 | Removal of single thickened skin growth | 6.3K | $321.6K | $51.32 | 2.21x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.9K | $227.7K | $59.13 | 2.47x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 2.5K | $191.4K | $75.63 | 2.49x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $163.3K | $59.63 | 2.73x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 1.3K | $152.8K | $115.30 | 2.42x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.9K | $114.7K | $60.97 | 2.46x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 301 | $49.8K | $165.48 | 2.52x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 349 | $49.0K | $140.33 | 3.02x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 346 | $29.8K | $86.02 | 2.42x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 679 | $26.2K | $38.64 | 2.27x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 229 | $25.5K | $111.35 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 278 | $25.3K | $91.00 | 2.71x |
| 10060 | Drainage of abscess | 231 | $23.9K | $103.36 | 1.79x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 303 | $23.6K | $78.05 | 3.31x |
This provider submits charges 2.53 times higher than what Medicare actually pays.
A markup ratio of 2.53x means for every $100 Medicare pays, this provider initially charges $253. 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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