This provider's $3.7M 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 | $90.20 | $55.19 | 1.63x | $35.01 | $406.2K | 9.7K | 3.7K |
| 2015 | $89.31 | $54.97 | 1.62x | $34.34 | $388.5K | 9.6K | 4.0K |
| 2016 | $79.95 | $46.52 | 1.72x | $33.43 | $303.8K | 9.5K | 3.8K |
| 2017 | $84.00 | $48.90 | 1.72x | $35.10 | $338.8K | 10.4K | 3.8K |
| 2018 | $90.46 | $51.08 | 1.77x | $39.38 | $340.3K | 10.3K | 3.8K |
| 2019 | $80.68 | $48.60 | 1.66x | $32.08 | $399.5K | 10.8K | 3.9K |
| 2020 | $94.29 | $54.47 | 1.73x | $39.82 | $369.2K | 9.1K | 3.6K |
| 2021 | $144.45 | $55.61 | 2.60x | $88.84 | $391.5K | 9.5K | 3.7K |
| 2022 | $152.77 | $59.13 | 2.58x | $93.64 | $375.0K | 8.9K | 3.3K |
| 2023 | $179.59 | $69.16 | 2.60x | $110.43 | $395.1K | 8.9K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 19.3K | $696.1K | $36.03 | 2.07x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 19.0K | $501.1K | $26.41 | 2.39x |
| 11056 | Removal of 2 to 4 thickened skin growths | 8.9K | $481.9K | $54.11 | 2.00x |
| 11055 | Removal of single thickened skin growth | 10.3K | $465.5K | $45.29 | 2.02x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 3.3K | $338.8K | $101.38 | 1.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.5K | $164.3K | $64.98 | 2.06x |
| G0127 | Trimming of dystrophic nails, any number | 10.3K | $144.4K | $13.99 | 3.56x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.5K | $121.8K | $82.98 | 2.03x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 1.1K | $85.4K | $75.01 | 1.99x |
| 97597 | Removal of tissue from wounds per session | 1.2K | $82.8K | $71.72 | 1.78x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $79.7K | $36.31 | 1.79x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 2.1K | $78.7K | $36.67 | 1.89x |
| 11730 | Separation of nail plate from nail bed | 872 | $73.9K | $84.70 | 1.82x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 673 | $73.6K | $109.42 | 1.77x |
| 11719 | Trimming of fingernails or toenails | 8.2K | $72.6K | $8.83 | 2.84x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 806 | $38.9K | $48.31 | 1.84x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 471 | $27.1K | $57.44 | 2.08x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 185 | $18.3K | $98.91 | 2.26x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 88 | $17.5K | $198.56 | 2.08x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 155 | $17.4K | $112.16 | 2.10x |
This provider submits charges 2.11 times higher than what Medicare actually pays.
A markup ratio of 2.11x means for every $100 Medicare pays, this provider initially charges $211. 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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