This provider averages 51 services per working day
Based on 126.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Averaging 51 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 239% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 413% in 2015
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 | $134.19 | $73.15 | 1.83x | $61.04 | $138.7K | 4.8K | 1.2K |
| 2015 | $128.75 | $64.00 | 2.01x | $64.75 | $711.0K | 13.7K | 5.3K |
| 2016 | $113.94 | $56.66 | 2.01x | $57.28 | $954.0K | 23.8K | 10.7K |
| 2017 | $129.10 | $61.66 | 2.09x | $67.44 | $887.7K | 17.4K | 9.4K |
| 2018 | $133.22 | $56.72 | 2.35x | $76.50 | $796.5K | 14.5K | 7.6K |
| 2019 | $166.72 | $55.76 | 2.99x | $110.96 | $716.0K | 13.2K | 6.9K |
| 2020 | $168.77 | $59.30 | 2.85x | $109.47 | $674.7K | 11.5K | 5.7K |
| 2021 | $180.02 | $68.63 | 2.62x | $111.39 | $756.5K | 11.7K | 5.4K |
| 2022 | $166.55 | $60.95 | 2.73x | $105.60 | $499.0K | 8.2K | 3.3K |
| 2023 | $168.96 | $60.60 | 2.79x | $108.36 | $470.9K | 7.8K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 28.4K | $1.7M | $61.30 | 2.25x |
| 11056 | Removal of 2 to 4 thickened skin growths | 22.2K | $1.2M | $54.03 | 2.21x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 21.3K | $777.7K | $36.51 | 2.31x |
| 11730 | Separation of nail plate from nail bed | 5.0K | $406.9K | $81.93 | 2.29x |
| 10140 | Drainage of blood or fluid accumulation | 1.9K | $270.5K | $142.50 | 2.30x |
| 20926 | Tissue graft | 718 | $258.0K | $359.34 | 1.46x |
| 10060 | Drainage of abscess | 1.8K | $167.7K | $94.23 | 2.27x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 8.3K | $165.7K | $20.05 | 3.12x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.1K | $164.6K | $77.08 | 2.64x |
| 11765 | Removal of skin of finger or toe nail | 1.2K | $162.9K | $132.20 | 2.29x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 8.3K | $152.3K | $18.33 | 3.40x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 4.6K | $126.6K | $27.77 | 4.05x |
| 10120 | Removal of foreign body from tissue, accessed beneath the skin | 983 | $126.0K | $128.20 | 2.30x |
| 64722 | Release of unspecified nerve | 693 | $112.8K | $162.74 | 1.61x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 3.7K | $103.9K | $28.28 | 2.32x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 1.1K | $98.7K | $91.15 | 2.28x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 1.4K | $82.7K | $57.18 | 2.04x |
| 97535 | Self-care or home management training, each 15 minutes | 2.1K | $65.7K | $30.77 | 2.50x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.7K | $60.5K | $22.54 | 2.40x |
| 11055 | Removal of single thickened skin growth | 2.5K | $56.5K | $22.59 | 3.74x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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