This provider's $5.5M 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 | $118.73 | $67.93 | 1.75x | $50.80 | $865.6K | 19.7K | 8.0K |
| 2015 | $167.97 | $54.08 | 3.11x | $113.89 | $389.8K | 9.6K | 4.6K |
| 2016 | $152.73 | $53.76 | 2.84x | $98.97 | $459.6K | 12.2K | 4.6K |
| 2017 | $123.36 | $48.84 | 2.53x | $74.52 | $488.9K | 12.8K | 4.5K |
| 2018 | $125.80 | $51.58 | 2.44x | $74.22 | $529.0K | 13.1K | 4.9K |
| 2019 | $132.57 | $58.09 | 2.28x | $74.48 | $553.7K | 12.6K | 4.6K |
| 2020 | $138.54 | $56.95 | 2.43x | $81.59 | $496.4K | 10.7K | 4.1K |
| 2021 | $142.46 | $60.83 | 2.34x | $81.63 | $588.8K | 11.4K | 3.8K |
| 2022 | $146.60 | $61.49 | 2.38x | $85.11 | $574.9K | 11.5K | 3.8K |
| 2023 | $173.41 | $60.93 | 2.85x | $112.48 | $533.5K | 10.7K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 21.5K | $1.2M | $57.08 | 1.62x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 24.6K | $1.0M | $40.94 | 3.21x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 14.1K | $967.0K | $68.75 | 2.74x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 21.3K | $837.3K | $39.38 | 1.92x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 13.9K | $402.9K | $29.07 | 2.14x |
| 93923 | Ultrasound study of arteries of both arms and legs | 2.5K | $300.7K | $120.00 | 3.24x |
| 11055 | Removal of single thickened skin growth | 3.5K | $203.7K | $58.00 | 2.04x |
| 11057 | Removal of more than 4 thickened skin growths | 1.6K | $112.0K | $67.92 | 1.54x |
| 11719 | Trimming of fingernails or toenails | 13.8K | $98.3K | $7.13 | 4.55x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 913 | $85.7K | $93.82 | 2.37x |
| 10060 | Drainage of abscess | 581 | $61.6K | $105.97 | 1.66x |
| 29540 | Strapping of ankle and/or foot | 3.5K | $51.8K | $14.68 | 4.06x |
| 93965 | Ultrasound study of veins of both arms or legs including assessment of functional maneuvers | 368 | $39.6K | $107.55 | 5.58x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 761 | $36.5K | $47.98 | 2.40x |
| 97597 | Removal of tissue from wounds per session | 293 | $19.9K | $68.01 | 1.86x |
| 29550 | Strapping of toes | 701 | $8.6K | $12.20 | 4.07x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 86 | $5.0K | $58.50 | 1.65x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 45 | $4.8K | $105.70 | 1.43x |
| 11730 | Separation of nail plate from nail bed | 48 | $4.4K | $92.35 | 1.43x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 11 | $2.4K | $215.65 | 2.09x |
This provider submits charges 2.42 times higher than what Medicare actually pays.
A markup ratio of 2.42x means for every $100 Medicare pays, this provider initially charges $242. 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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