This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 77% from 2014 to 2023.
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 | $198.33 | $65.08 | 3.05x | $133.25 | $319.3K | 7.8K | 3.6K |
| 2015 | $203.01 | $66.40 | 3.06x | $136.61 | $335.9K | 8.2K | 3.5K |
| 2016 | $204.48 | $64.89 | 3.15x | $139.59 | $318.7K | 8.9K | 3.8K |
| 2017 | $185.23 | $57.51 | 3.22x | $127.72 | $302.8K | 9.2K | 3.5K |
| 2018 | $199.20 | $64.23 | 3.10x | $134.97 | $343.9K | 9.9K | 3.9K |
| 2019 | $296.78 | $95.42 | 3.11x | $201.36 | $414.5K | 10.3K | 4.1K |
| 2020 | $206.30 | $74.14 | 2.78x | $132.16 | $480.2K | 11.3K | 4.6K |
| 2021 | $209.35 | $78.89 | 2.65x | $130.46 | $503.1K | 11.2K | 4.3K |
| 2022 | $185.00 | $72.30 | 2.56x | $112.70 | $508.4K | 11.2K | 4.3K |
| 2023 | $288.81 | $95.52 | 3.02x | $193.29 | $565.0K | 12.2K | 4.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 31.3K | $898.2K | $28.69 | 2.79x |
| 11056 | Removal of 2 to 4 thickened skin growths | 11.8K | $749.7K | $63.29 | 2.45x |
| 11055 | Removal of single thickened skin growth | 12.1K | $641.4K | $52.84 | 2.37x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.4K | $512.1K | $69.01 | 2.03x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $168.3K | $93.98 | 2.23x |
| 11719 | Trimming of fingernails or toenails | 20.5K | $150.0K | $7.32 | 7.52x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $133.9K | $40.50 | 2.10x |
| 97597 | Removal of tissue from wounds per session | 1.2K | $106.0K | $87.42 | 1.83x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 2.8K | $105.0K | $37.85 | 3.17x |
| 99343 | New patient home visit, typically 45 minutes | 855 | $92.0K | $107.64 | 3.25x |
| 17110 | Destruction of up to 14 skin growths | 804 | $79.8K | $99.19 | 3.53x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 690 | $73.7K | $106.81 | 1.87x |
| 99348 | Established patient home visit, typically 25 minutes | 890 | $60.8K | $68.30 | 2.27x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 268 | $53.7K | $200.41 | 3.44x |
| 93922 | Ultrasound study of arteries of both arms and legs | 526 | $41.7K | $79.29 | 5.05x |
| 11730 | Separation of nail plate from nail bed | 308 | $27.9K | $90.55 | 2.82x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 488 | $23.6K | $48.30 | 3.11x |
| 99342 | New patient home visit, typically 30 minutes | 369 | $23.0K | $62.30 | 2.97x |
| 73620 | X-ray of foot, 2 views | 788 | $18.7K | $23.74 | 6.32x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 269 | $17.4K | $64.52 | 2.25x |
This provider submits charges 2.73 times higher than what Medicare actually pays.
A markup ratio of 2.73x means for every $100 Medicare pays, this provider initially charges $273. 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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