This provider's $4.8M 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 | $90.50 | $56.26 | 1.61x | $34.24 | $443.0K | 9.3K | 3.5K |
| 2015 | $78.05 | $50.68 | 1.54x | $27.37 | $453.8K | 9.4K | 3.0K |
| 2016 | $85.62 | $55.53 | 1.54x | $30.09 | $496.0K | 10.7K | 3.2K |
| 2017 | $85.62 | $53.20 | 1.61x | $32.42 | $442.8K | 9.9K | 3.2K |
| 2018 | $91.00 | $58.49 | 1.56x | $32.51 | $582.9K | 12.2K | 3.1K |
| 2019 | $81.30 | $53.65 | 1.52x | $27.65 | $468.2K | 9.2K | 2.7K |
| 2020 | $88.21 | $57.06 | 1.55x | $31.15 | $388.0K | 7.0K | 2.5K |
| 2021 | $104.65 | $58.13 | 1.80x | $46.52 | $405.0K | 7.1K | 2.3K |
| 2022 | $118.39 | $66.68 | 1.78x | $51.71 | $555.9K | 9.5K | 2.8K |
| 2023 | $122.86 | $68.97 | 1.78x | $53.89 | $530.9K | 9.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 32.7K | $1.3M | $38.79 | 1.57x |
| 11057 | Removal of more than 4 thickened skin growths | 15.9K | $1.0M | $64.50 | 1.52x |
| 11056 | Removal of 2 to 4 thickened skin growths | 12.4K | $735.4K | $59.50 | 1.61x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 7.8K | $601.9K | $76.69 | 1.62x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 10.4K | $429.5K | $41.45 | 2.01x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 2.6K | $227.9K | $89.30 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $166.8K | $61.58 | 1.65x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 4.7K | $131.3K | $28.19 | 1.42x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 669 | $59.1K | $88.37 | 1.40x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 795 | $49.6K | $62.37 | 1.76x |
| 10061 | Drainage of multiple abscess | 119 | $20.2K | $170.09 | 1.41x |
| 10060 | Drainage of abscess | 112 | $11.2K | $99.59 | 1.51x |
| 11719 | Trimming of fingernails or toenails | 1.6K | $9.7K | $6.20 | 3.25x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 186 | $9.3K | $50.22 | 1.59x |
| 11055 | Removal of single thickened skin growth | 141 | $6.6K | $46.77 | 1.72x |
| 73630 | X-ray of foot, minimum of 3 views | 228 | $6.1K | $26.91 | 1.61x |
| J3470 | Injection, hyaluronidase, up to 150 units | 90 | $2.5K | $28.21 | 1.42x |
| 11730 | Separation of nail plate from nail bed | 27 | $2.3K | $85.19 | 1.76x |
| 29550 | Placement of strapping to toes | 63 | $1.1K | $17.04 | 2.93x |
| 99324 | New patient assisted living visit, typically 20 minutes | 21 | $988.20 | $47.06 | 2.98x |
This provider submits charges 1.62 times higher than what Medicare actually pays.
A markup ratio of 1.62x means for every $100 Medicare pays, this provider initially charges $162. 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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