This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 1544% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 656% in 2016
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 | $88.49 | $43.58 | 2.03x | $44.91 | $60.9K | 1.8K | 1.2K |
| 2016 | $89.69 | $47.81 | 1.88x | $41.88 | $460.1K | 12.2K | 3.9K |
| 2017 | $96.73 | $51.69 | 1.87x | $45.04 | $441.2K | 11.2K | 3.5K |
| 2018 | $119.70 | $54.71 | 2.19x | $64.99 | $112.5K | 2.1K | 1.1K |
| 2019 | $118.37 | $55.39 | 2.14x | $62.98 | $507.6K | 14.2K | 4.3K |
| 2020 | $129.94 | $53.72 | 2.42x | $76.22 | $151.2K | 2.8K | 1.4K |
| 2021 | $143.38 | $58.50 | 2.45x | $84.88 | $306.9K | 4.8K | 2.3K |
| 2022 | $144.46 | $63.95 | 2.26x | $80.51 | $853.7K | 13.6K | 6.7K |
| 2023 | $147.51 | $56.07 | 2.63x | $91.44 | $1.0M | 17.2K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 9.9K | $668.7K | $67.68 | 1.92x |
| 11765 | Removal of skin of finger or toe nail | 4.0K | $602.6K | $149.15 | 1.62x |
| 11056 | Removal of 2 to 4 thickened skin growths | 9.5K | $560.7K | $58.73 | 2.11x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 9.1K | $338.9K | $37.35 | 2.42x |
| 11730 | Separation of nail plate from nail bed | 3.2K | $319.8K | $99.29 | 2.13x |
| 99348 | Established patient home visit, typically 25 minutes | 2.5K | $167.6K | $65.90 | 2.43x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 6.3K | $162.2K | $25.55 | 2.42x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 6.6K | $154.4K | $23.42 | 2.64x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 6.2K | $119.5K | $19.31 | 3.84x |
| 11055 | Removal of single thickened skin growth | 1.9K | $110.7K | $58.68 | 2.21x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 1.0K | $92.0K | $89.20 | 1.68x |
| 99347 | Established patient home visit, typically 15 minutes | 1.8K | $72.9K | $40.78 | 2.69x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 785 | $68.3K | $87.01 | 2.15x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.6K | $64.0K | $40.46 | 2.21x |
| 97032 | Application of electrical stimulation to 1 or more areas, each 15 minutes | 5.4K | $58.2K | $10.73 | 4.51x |
| 99342 | New patient home visit, typically 30 minutes | 915 | $57.5K | $62.82 | 2.31x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 1.0K | $48.7K | $46.39 | 1.72x |
| 97035 | Application of ultrasound to 1 or more areas, each 15 minutes | 4.1K | $35.7K | $8.78 | 5.42x |
| 93925 | Ultrasound of leg arteries or artery grafts | 185 | $33.6K | $181.80 | 2.41x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1.0K | $29.6K | $28.29 | 2.41x |
This provider submits charges 2.22 times higher than what Medicare actually pays.
A markup ratio of 2.22x means for every $100 Medicare pays, this provider initially charges $222. 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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