This provider's $3.3M 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 | $93.11 | $38.84 | 2.40x | $54.27 | $316.6K | 11.0K | 4.1K |
| 2015 | $72.01 | $40.48 | 1.78x | $31.53 | $292.8K | 10.0K | 3.7K |
| 2016 | $72.40 | $39.05 | 1.85x | $33.35 | $293.7K | 10.6K | 4.0K |
| 2017 | $72.40 | $38.57 | 1.88x | $33.83 | $339.3K | 12.5K | 4.8K |
| 2018 | $68.33 | $39.99 | 1.71x | $28.34 | $356.2K | 12.0K | 4.5K |
| 2019 | $70.59 | $37.80 | 1.87x | $32.79 | $396.8K | 12.5K | 4.5K |
| 2020 | $71.43 | $41.04 | 1.74x | $30.39 | $260.3K | 8.2K | 4.0K |
| 2021 | $76.45 | $40.46 | 1.89x | $35.99 | $328.2K | 9.5K | 3.9K |
| 2022 | $79.00 | $42.75 | 1.85x | $36.25 | $365.4K | 10.7K | 4.1K |
| 2023 | $78.00 | $40.87 | 1.91x | $37.13 | $336.7K | 10.7K | 4.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 29.6K | $821.1K | $27.74 | 1.95x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 19.4K | $733.5K | $37.80 | 1.99x |
| G0127 | Trimming of dystrophic nails, any number | 37.2K | $657.1K | $17.65 | 3.06x |
| 11056 | Removal of 2 to 4 thickened skin growths | 6.9K | $415.3K | $60.18 | 1.47x |
| 11055 | Removal of single thickened skin growth | 8.0K | $412.8K | $51.54 | 1.51x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 5.5K | $199.4K | $36.41 | 1.95x |
| 99324 | New patient assisted living visit, typically 20 minutes | 445 | $19.9K | $44.80 | 2.25x |
| 11057 | Removal of more than 4 thickened skin growths | 141 | $7.9K | $55.82 | 1.73x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 130 | $7.3K | $56.22 | 1.94x |
| 99201 | New patient office or other outpatient visit, typically 10 minutes | 146 | $5.3K | $36.47 | 1.93x |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 125 | $4.9K | $39.31 | 2.67x |
| 11719 | Trimming of fingernails or toenails | 63 | $635.49 | $10.09 | 4.96x |
| 99202 | New patient outpatient visit, total time 15-29 minutes | 11 | $584.40 | $53.13 | 1.86x |
This provider submits charges 2.07 times higher than what Medicare actually pays.
A markup ratio of 2.07x means for every $100 Medicare pays, this provider initially charges $207. 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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