This provider's $6.4M 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 | $366.48 | $110.51 | 3.32x | $255.97 | $609.5K | 8.3K | 6.5K |
| 2015 | $380.30 | $124.24 | 3.06x | $256.06 | $655.3K | 9.0K | 7.0K |
| 2016 | $337.43 | $108.53 | 3.11x | $228.90 | $415.3K | 6.7K | 4.9K |
| 2017 | $383.74 | $126.47 | 3.03x | $257.27 | $484.5K | 7.8K | 5.6K |
| 2018 | $394.82 | $130.47 | 3.03x | $264.35 | $615.2K | 10.0K | 7.1K |
| 2019 | $375.44 | $122.63 | 3.06x | $252.81 | $726.9K | 11.3K | 8.0K |
| 2020 | $437.76 | $147.57 | 2.97x | $290.19 | $649.3K | 9.8K | 7.1K |
| 2021 | $498.95 | $194.26 | 2.57x | $304.69 | $810.1K | 9.6K | 6.8K |
| 2022 | $404.09 | $123.89 | 3.26x | $280.20 | $709.2K | 9.9K | 6.7K |
| 2023 | $556.69 | $145.70 | 3.82x | $410.99 | $767.3K | 10.3K | 6.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 24.4K | $1.2M | $48.94 | 1.84x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.0K | $610.3K | $76.46 | 1.44x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 7.2K | $467.8K | $64.70 | 1.85x |
| 28270 | Incision of joint capsule of foot and toe | 1.5K | $410.0K | $277.95 | 3.90x |
| 97597 | Removal of tissue from wounds per session | 5.8K | $348.4K | $60.13 | 1.83x |
| 93922 | Ultrasound study of arteries of both arms and legs | 5.2K | $293.5K | $56.49 | 2.97x |
| 11750 | Removal of nail | 2.6K | $285.0K | $111.69 | 2.92x |
| 10061 | Drainage of multiple abscess | 2.0K | $271.7K | $136.52 | 1.48x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $234.7K | $107.19 | 1.80x |
| 73700 | CT scan leg | 2.3K | $223.1K | $96.54 | 4.14x |
| 28232 | Incision to lengthen toe tendon, open procedure | 1.4K | $187.3K | $137.74 | 5.13x |
| Q4159 | Affinity, per square centimeter | 366 | $172.4K | $471.14 | 1.34x |
| 73630 | X-ray of foot, minimum of 3 views | 8.4K | $168.9K | $20.04 | 3.74x |
| 28124 | Partial removal of toe bone | 689 | $166.2K | $241.29 | 5.42x |
| Q4217 | Woundfix, biowound, woundfix plus, biowound plus, woundfix xplus or biowound xplus, per square centimeter | 247 | $157.0K | $635.69 | 1.85x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.2K | $152.8K | $130.79 | 3.03x |
| 93926 | Ultrasound study of arteries and arterial grafts of one leg or limited | 1.4K | $140.4K | $98.51 | 2.54x |
| Q4206 | Fluid flow or fluid gf, 1 cc | 80 | $131.8K | $1.6K | 1.67x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 3.5K | $130.2K | $37.28 | 3.47x |
| 73610 | X-ray of ankle, minimum of 3 views | 5.9K | $128.2K | $21.71 | 3.45x |
This provider submits charges 2.55 times higher than what Medicare actually pays.
A markup ratio of 2.55x means for every $100 Medicare pays, this provider initially charges $255. 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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