This provider's $3.8M 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.
Notable: Payments increased 53% in 2021
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $136.59 | $66.15 | 2.06x | $70.44 | $446.3K | 7.2K | 3.4K |
| 2015 | $131.92 | $61.19 | 2.16x | $70.73 | $406.6K | 6.4K | 3.1K |
| 2016 | $121.10 | $51.44 | 2.35x | $69.66 | $408.6K | 7.6K | 3.4K |
| 2017 | $116.63 | $47.34 | 2.46x | $69.29 | $338.8K | 7.5K | 4.0K |
| 2018 | $110.71 | $47.47 | 2.33x | $63.24 | $375.8K | 7.6K | 3.8K |
| 2019 | $109.24 | $51.00 | 2.14x | $58.24 | $362.0K | 8.6K | 4.0K |
| 2020 | $117.29 | $52.19 | 2.25x | $65.10 | $252.2K | 5.9K | 3.1K |
| 2021 | $136.08 | $62.17 | 2.19x | $73.91 | $385.7K | 7.7K | 3.3K |
| 2022 | $123.78 | $51.97 | 2.38x | $71.81 | $389.9K | 8.1K | 3.6K |
| 2023 | $122.44 | $50.79 | 2.41x | $71.65 | $414.4K | 8.8K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.8K | $862.5K | $62.62 | 1.74x |
| 11730 | Separation of nail plate from nail bed | 8.9K | $625.0K | $70.37 | 1.79x |
| 11056 | Removal of 2 to 4 thickened skin growths | 8.0K | $485.4K | $60.90 | 1.83x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 8.9K | $242.6K | $27.22 | 2.40x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 5.8K | $195.3K | $33.53 | 1.94x |
| 99349 | Established patient home visit, typically 40 minutes | 1.8K | $177.5K | $96.45 | 2.07x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $163.1K | $79.00 | 1.90x |
| 99350 | Established patient home visit, typically 60 minutes | 753 | $109.1K | $144.84 | 1.38x |
| 17111 | Destruction of 15 or more skin growths | 809 | $89.9K | $111.12 | 1.80x |
| 11055 | Removal of single thickened skin growth | 1.8K | $84.8K | $46.93 | 1.78x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.2K | $77.4K | $35.07 | 1.71x |
| G0127 | Trimming of dystrophic nails, any number | 7.2K | $76.5K | $10.61 | 4.71x |
| 17110 | Destruction of up to 14 skin growths | 812 | $76.5K | $94.19 | 2.10x |
| 10061 | Drainage of multiple abscess | 344 | $59.9K | $174.19 | 2.00x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 1.8K | $57.9K | $31.31 | 6.29x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 424 | $43.5K | $102.53 | 1.50x |
| 10140 | Drainage of blood or fluid accumulation | 292 | $39.6K | $135.65 | 1.66x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 402 | $38.1K | $94.65 | 1.65x |
| 10060 | Drainage of abscess | 352 | $31.5K | $89.60 | 1.63x |
| 29515 | Application of short leg splint (calf to foot) | 583 | $27.0K | $46.23 | 2.74x |
This provider submits charges 2.04 times higher than what Medicare actually pays.
A markup ratio of 2.04x means for every $100 Medicare pays, this provider initially charges $204. 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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