This provider's $5.5M 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 | $236.18 | $124.31 | 1.90x | $111.87 | $698.7K | 12.9K | 5.7K |
| 2015 | $205.67 | $115.82 | 1.78x | $89.85 | $660.2K | 13.2K | 6.1K |
| 2016 | $199.94 | $108.86 | 1.84x | $91.08 | $576.8K | 12.5K | 5.9K |
| 2017 | $159.15 | $94.00 | 1.69x | $65.15 | $500.3K | 11.1K | 5.0K |
| 2018 | $138.43 | $83.07 | 1.67x | $55.36 | $569.3K | 13.2K | 5.7K |
| 2019 | $159.92 | $91.41 | 1.75x | $68.51 | $584.8K | 12.5K | 6.0K |
| 2020 | $118.64 | $74.22 | 1.60x | $44.42 | $519.5K | 11.0K | 5.2K |
| 2021 | $151.18 | $84.04 | 1.80x | $67.14 | $515.5K | 10.9K | 4.9K |
| 2022 | $137.43 | $72.70 | 1.89x | $64.73 | $446.5K | 9.5K | 4.3K |
| 2023 | $217.30 | $81.53 | 2.67x | $135.77 | $445.6K | 9.5K | 4.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11042 | Removal of skin and tissue first 20 sq cm or less | 4.9K | $477.6K | $96.75 | 1.61x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 12.1K | $421.6K | $34.99 | 1.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.5K | $272.7K | $60.83 | 1.77x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 5.1K | $258.9K | $50.92 | 3.36x |
| 29540 | Strapping of ankle and/or foot | 14.7K | $256.2K | $17.41 | 3.08x |
| 73630 | X-ray of foot, minimum of 3 views | 9.0K | $254.1K | $28.24 | 1.73x |
| 76881 | Ultrasound of leg or arm | 2.8K | $236.0K | $83.09 | 1.63x |
| 93922 | Ultrasound study of arteries of both arms and legs | 3.7K | $232.1K | $63.56 | 2.02x |
| 76882 | Ultrasound of arm or leg | 5.6K | $219.5K | $38.92 | 1.80x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 2.9K | $186.7K | $65.17 | 1.93x |
| 29580 | Strapping, Unna boot | 4.8K | $181.2K | $37.74 | 2.35x |
| 20604 | Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance | 3.3K | $178.7K | $53.73 | 1.81x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $170.0K | $82.39 | 1.88x |
| 73720 | MRI scan of leg before and after contrast | 497 | $159.3K | $320.60 | 1.86x |
| 97597 | Removal of tissue from wounds per session | 2.2K | $155.2K | $69.83 | 1.68x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 812 | $154.1K | $189.72 | 1.86x |
| 11730 | Separation of nail plate from nail bed | 1.8K | $145.5K | $81.31 | 1.70x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 1.1K | $110.2K | $97.24 | 1.68x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 2.7K | $108.7K | $39.90 | 1.87x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 809 | $102.7K | $126.93 | 2.72x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. 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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