This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 81% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 341% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $70.78 | $40.29 | 1.76x | $30.49 | $182.2K | 4.6K | 2.7K |
| 2018 | $81.29 | $47.70 | 1.70x | $33.59 | $802.7K | 19.1K | 10.2K |
| 2019 | $73.54 | $45.11 | 1.63x | $28.43 | $732.6K | 17.0K | 7.2K |
| 2020 | $83.40 | $47.66 | 1.75x | $35.74 | $475.3K | 10.4K | 5.8K |
| 2021 | $87.41 | $48.96 | 1.79x | $38.45 | $586.2K | 12.2K | 5.4K |
| 2022 | $77.13 | $41.45 | 1.86x | $35.68 | $437.0K | 10.8K | 6.0K |
| 2023 | $77.86 | $40.79 | 1.91x | $37.07 | $329.4K | 9.3K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 34.0K | $1.3M | $38.87 | 1.80x |
| 11055 | Removal of single thickened skin growth | 15.3K | $827.1K | $53.98 | 1.43x |
| 11056 | Removal of 2 to 4 thickened skin growths | 10.1K | $609.8K | $60.64 | 1.39x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 11.9K | $441.9K | $37.02 | 1.89x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 4.8K | $133.9K | $28.03 | 1.78x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.7K | $99.6K | $58.29 | 1.84x |
| G0127 | Trimming of dystrophic nails, any number | 4.7K | $72.1K | $15.34 | 3.26x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 435 | $21.6K | $49.71 | 1.58x |
| 99324 | New patient assisted living visit, typically 20 minutes | 193 | $8.9K | $45.89 | 2.26x |
| 11057 | Removal of more than 4 thickened skin growths | 64 | $3.6K | $56.38 | 1.42x |
| 99325 | New patient assisted living visit, typically 30 minutes | 47 | $3.0K | $64.84 | 2.10x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 20 | $1.6K | $79.76 | 1.44x |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 18 | $723.78 | $40.21 | 2.61x |
| 99202 | New patient office or other outpatient visit, 15-29 minutes | 11 | $699.27 | $63.57 | 1.56x |
| 11719 | Trimming of fingernails or toenails | 21 | $192.06 | $9.15 | 5.47x |
This provider submits charges 1.68 times higher than what Medicare actually pays.
A markup ratio of 1.68x means for every $100 Medicare pays, this provider initially charges $168. 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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