This provider's $3.2M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 51% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 63% in 2019
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 | $131.79 | $46.32 | 2.85x | $85.47 | $305.1K | 6.7K | 2.5K |
| 2015 | $161.47 | $56.33 | 2.87x | $105.14 | $270.5K | 5.8K | 2.0K |
| 2016 | $117.15 | $35.06 | 3.34x | $82.09 | $161.9K | 4.3K | 2.7K |
| 2017 | $108.86 | $35.12 | 3.10x | $73.74 | $165.7K | 4.6K | 2.5K |
| 2018 | $108.86 | $35.77 | 3.04x | $73.09 | $168.6K | 4.7K | 2.5K |
| 2019 | $139.13 | $52.54 | 2.65x | $86.59 | $274.5K | 6.3K | 3.5K |
| 2020 | $139.70 | $51.54 | 2.71x | $88.16 | $392.8K | 8.6K | 4.6K |
| 2021 | $155.91 | $56.19 | 2.77x | $99.72 | $527.3K | 10.8K | 5.1K |
| 2022 | $159.20 | $55.59 | 2.86x | $103.61 | $484.1K | 10.0K | 4.8K |
| 2023 | $176.06 | $63.37 | 2.78x | $112.69 | $462.0K | 9.7K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 27.0K | $1.6M | $58.72 | 2.32x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 16.7K | $599.5K | $35.88 | 2.81x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 17.7K | $470.8K | $26.64 | 2.97x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.1K | $287.0K | $55.76 | 2.97x |
| 11055 | Removal of single thickened skin growth | 2.4K | $111.5K | $46.37 | 2.41x |
| 11057 | Removal of more than 4 thickened skin growths | 1.3K | $81.8K | $62.48 | 2.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 514 | $40.3K | $78.34 | 3.00x |
| 10060 | Drainage of abscess | 158 | $14.6K | $92.45 | 2.97x |
| 11730 | Separation of nail plate from nail bed | 145 | $13.4K | $92.48 | 3.03x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 77 | $3.3K | $42.95 | 3.81x |
| 11719 | Trimming of fingernails or toenails | 425 | $2.4K | $5.57 | 8.81x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 24 | $1.7K | $70.39 | 3.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 12 | $409.75 | $34.15 | 2.20x |
This provider submits charges 2.59 times higher than what Medicare actually pays.
A markup ratio of 2.59x means for every $100 Medicare pays, this provider initially charges $259. 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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