This provider's $4.2M 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 | $92.68 | $49.18 | 1.88x | $43.50 | $425.7K | 9.9K | 2.6K |
| 2015 | $88.33 | $46.20 | 1.91x | $42.13 | $407.0K | 9.5K | 2.6K |
| 2016 | $87.14 | $48.20 | 1.81x | $38.94 | $399.2K | 9.4K | 2.6K |
| 2017 | $99.23 | $50.28 | 1.97x | $48.95 | $406.5K | 9.3K | 2.6K |
| 2018 | $114.76 | $52.14 | 2.20x | $62.62 | $424.8K | 9.7K | 2.9K |
| 2019 | $110.44 | $57.45 | 1.92x | $52.99 | $456.0K | 9.8K | 2.7K |
| 2020 | $128.67 | $61.32 | 2.10x | $67.35 | $354.0K | 7.2K | 2.5K |
| 2021 | $131.71 | $67.87 | 1.94x | $63.84 | $440.8K | 8.0K | 2.3K |
| 2022 | $131.70 | $68.43 | 1.92x | $63.27 | $451.5K | 8.0K | 2.3K |
| 2023 | $134.04 | $67.05 | 2.00x | $66.99 | $468.7K | 8.5K | 2.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 35.0K | $1.4M | $40.56 | 2.36x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 30.1K | $1.3M | $43.43 | 2.19x |
| 11056 | Removal of 2 to 4 thickened skin growths | 14.5K | $886.0K | $61.03 | 1.92x |
| 11057 | Removal of more than 4 thickened skin growths | 5.4K | $366.5K | $67.85 | 1.79x |
| 11055 | Removal of single thickened skin growth | 2.3K | $124.4K | $54.15 | 1.92x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $83.2K | $71.29 | 1.78x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 784 | $45.4K | $57.94 | 1.99x |
| 97597 | Removal of tissue from wounds per session | 24 | $1.6K | $68.60 | 1.73x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. 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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