This provider's $4.6M 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 | $149.90 | $67.74 | 2.21x | $82.16 | $584.0K | 11.5K | 7.2K |
| 2015 | $186.72 | $71.73 | 2.60x | $114.99 | $336.8K | 5.7K | 4.0K |
| 2016 | $181.92 | $69.15 | 2.63x | $112.77 | $415.7K | 7.8K | 4.8K |
| 2017 | $169.30 | $67.36 | 2.51x | $101.94 | $506.4K | 9.3K | 5.7K |
| 2018 | $189.89 | $72.65 | 2.61x | $117.24 | $579.2K | 10.4K | 6.0K |
| 2019 | $186.34 | $72.80 | 2.56x | $113.54 | $505.3K | 9.2K | 5.3K |
| 2020 | $185.51 | $76.02 | 2.44x | $109.49 | $279.0K | 5.5K | 4.0K |
| 2021 | $165.00 | $67.22 | 2.45x | $97.78 | $381.5K | 9.6K | 5.3K |
| 2022 | $151.09 | $57.51 | 2.63x | $93.58 | $442.8K | 11.3K | 6.7K |
| 2023 | $143.80 | $55.91 | 2.57x | $87.89 | $587.2K | 14.7K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 11.7K | $1.3M | $110.76 | 2.51x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 30.5K | $1.2M | $38.54 | 2.50x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 8.1K | $481.0K | $59.32 | 2.41x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 14.1K | $395.6K | $28.15 | 2.49x |
| 11056 | Removal of 2 to 4 thickened skin growths | 6.2K | $344.9K | $55.61 | 2.44x |
| G0127 | Trimming of dystrophic nails, any number | 13.2K | $250.0K | $18.90 | 2.91x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 3.6K | $132.4K | $37.07 | 2.53x |
| 11055 | Removal of single thickened skin growth | 2.3K | $111.8K | $48.53 | 2.24x |
| 99306 | Initial nursing facility visit, typically 45 minutes per day | 553 | $77.6K | $140.29 | 2.40x |
| 11057 | Removal of more than 4 thickened skin growths | 871 | $51.3K | $58.88 | 2.26x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 259 | $47.2K | $182.12 | 2.54x |
| 10060 | Drainage of abscess | 435 | $45.1K | $103.64 | 1.89x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 980 | $39.7K | $40.56 | 2.28x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 473 | $32.7K | $69.14 | 2.33x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 265 | $30.9K | $116.74 | 2.43x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 270 | $20.6K | $76.33 | 2.36x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 285 | $17.8K | $62.36 | 2.63x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 143 | $14.3K | $100.01 | 2.67x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 181 | $11.1K | $61.32 | 2.47x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 121 | $11.1K | $91.53 | 2.75x |
This provider submits charges 2.49 times higher than what Medicare actually pays.
A markup ratio of 2.49x means for every $100 Medicare pays, this provider initially charges $249. 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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