This provider's $4.5M 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 | $96.95 | $44.55 | 2.18x | $52.40 | $476.5K | 11.7K | 5.9K |
| 2015 | $92.21 | $47.68 | 1.93x | $44.53 | $428.8K | 10.5K | 5.3K |
| 2016 | $98.26 | $49.17 | 2.00x | $49.09 | $437.0K | 10.5K | 5.3K |
| 2017 | $92.17 | $45.92 | 2.01x | $46.25 | $493.2K | 12.4K | 6.0K |
| 2018 | $99.21 | $48.58 | 2.04x | $50.63 | $494.9K | 12.5K | 5.9K |
| 2019 | $92.61 | $46.75 | 1.98x | $45.86 | $512.1K | 12.9K | 6.2K |
| 2020 | $91.53 | $46.40 | 1.97x | $45.13 | $294.0K | 7.3K | 4.9K |
| 2021 | $85.68 | $47.96 | 1.79x | $37.72 | $392.8K | 10.6K | 6.3K |
| 2022 | $86.46 | $44.89 | 1.93x | $41.57 | $498.0K | 11.7K | 6.6K |
| 2023 | $85.79 | $48.04 | 1.79x | $37.75 | $455.7K | 11.3K | 6.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 48.9K | $1.5M | $30.08 | 1.67x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 28.5K | $1.3M | $45.72 | 1.75x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 13.3K | $808.9K | $61.01 | 1.44x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.2K | $204.4K | $48.51 | 1.96x |
| 11730 | Separation of nail plate from nail bed | 1.3K | $101.7K | $75.42 | 2.06x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 2.2K | $88.7K | $41.08 | 2.14x |
| 11056 | Removal of 2 to 4 thickened skin growths | 1.8K | $81.5K | $44.88 | 1.42x |
| 99347 | Established patient home visit, typically 15 minutes | 2.5K | $81.0K | $32.90 | 2.58x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 2.4K | $73.0K | $30.47 | 2.63x |
| 97597 | Removal of tissue from wounds per session | 1.2K | $66.2K | $54.86 | 1.55x |
| 11055 | Removal of single thickened skin growth | 1.5K | $53.5K | $35.40 | 1.42x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 732 | $48.3K | $65.98 | 2.37x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1.5K | $35.2K | $22.92 | 1.68x |
| 10060 | Drainage of abscess | 397 | $30.6K | $77.06 | 2.40x |
| 99212 | Established patient outpatient visit, total time 10-19 minutes | 533 | $19.9K | $37.36 | 2.01x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 139 | $7.7K | $55.75 | 1.79x |
| 11732 | Separation of nail plate from nail bed | 109 | $2.6K | $24.10 | 3.78x |
| 11765 | Removal of skin of finger or toe nail | 26 | $2.5K | $96.63 | 1.91x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 16 | $1.5K | $94.82 | 1.58x |
| 97598 | Removal of tissue from wounds per session | 57 | $1.0K | $17.68 | 3.11x |
This provider submits charges 1.72 times higher than what Medicare actually pays.
A markup ratio of 1.72x means for every $100 Medicare pays, this provider initially charges $172. This is lower 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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