This provider's $4.3M 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 | $58.83 | $38.24 | 1.54x | $20.59 | $496.7K | 13.5K | 7.0K |
| 2015 | $60.97 | $38.35 | 1.59x | $22.62 | $367.7K | 10.5K | 6.1K |
| 2016 | $66.15 | $39.34 | 1.68x | $26.81 | $433.9K | 12.6K | 6.5K |
| 2017 | $60.41 | $33.21 | 1.82x | $27.20 | $467.2K | 14.6K | 6.8K |
| 2018 | $65.91 | $42.39 | 1.55x | $23.52 | $479.0K | 14.0K | 6.7K |
| 2019 | $82.69 | $44.63 | 1.85x | $38.06 | $394.5K | 11.0K | 5.3K |
| 2020 | $82.86 | $47.79 | 1.73x | $35.07 | $314.8K | 8.4K | 5.2K |
| 2021 | $80.63 | $38.49 | 2.09x | $42.14 | $424.6K | 11.4K | 5.4K |
| 2022 | $83.07 | $38.68 | 2.15x | $44.39 | $470.0K | 13.3K | 6.5K |
| 2023 | $75.56 | $37.26 | 2.03x | $38.30 | $456.0K | 13.6K | 6.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 57.2K | $2.0M | $35.02 | 1.55x |
| 11055 | Removal of single thickened skin growth | 14.2K | $614.1K | $43.27 | 1.52x |
| 11056 | Removal of 2 to 4 thickened skin growths | 8.5K | $440.8K | $52.08 | 1.51x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 15.1K | $382.0K | $25.36 | 1.55x |
| G0127 | Trimming of dystrophic nails, any number | 15.2K | $238.3K | $15.64 | 1.80x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.3K | $236.8K | $55.16 | 1.57x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 3.4K | $115.9K | $34.44 | 1.69x |
| 11730 | Separation of nail plate from nail bed | 1.2K | $100.6K | $84.95 | 1.51x |
| 11740 | Removal of blood accumulation between nail and nail bed | 1.7K | $68.7K | $40.02 | 1.53x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 602 | $42.9K | $71.27 | 1.49x |
| 99347 | Established patient home visit, typically 15 minutes | 376 | $14.8K | $39.26 | 2.30x |
| 99324 | New patient assisted living visit, typically 20 minutes | 323 | $14.2K | $43.90 | 1.54x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 276 | $12.1K | $43.75 | 3.20x |
| 99342 | New patient home visit, typically 30 minutes | 96 | $5.9K | $61.17 | 1.55x |
| 11719 | Trimming of fingernails or toenails | 380 | $3.7K | $9.70 | 1.78x |
| 99341 | New patient home visit, typically 20 minutes | 90 | $3.6K | $40.27 | 1.86x |
| 99348 | Established patient home visit, typically 25 minutes | 38 | $2.4K | $64.18 | 1.64x |
| 99343 | New patient home visit, typically 45 minutes | 20 | $2.2K | $109.66 | 1.41x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 16 | $1.2K | $75.81 | 2.63x |
| 11057 | Removal of more than 4 thickened skin growths | 20 | $990.19 | $49.51 | 1.56x |
This provider submits charges 1.57 times higher than what Medicare actually pays.
A markup ratio of 1.57x means for every $100 Medicare pays, this provider initially charges $157. 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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