This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 100% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 331% in 2022
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 | $123.94 | $62.35 | 1.99x | $61.59 | $308.8K | 5.3K | 2.8K |
| 2015 | $129.02 | $57.10 | 2.26x | $71.92 | $297.6K | 5.3K | 3.0K |
| 2016 | $137.08 | $57.52 | 2.38x | $79.56 | $306.1K | 5.4K | 3.2K |
| 2017 | $135.02 | $58.07 | 2.33x | $76.95 | $323.8K | 4.4K | 2.3K |
| 2018 | $140.00 | $58.63 | 2.39x | $81.37 | $408.8K | 6.0K | 3.0K |
| 2019 | $128.83 | $66.27 | 1.94x | $62.56 | $452.8K | 6.7K | 3.1K |
| 2020 | $106.50 | $58.92 | 1.81x | $47.58 | $262.7K | 4.2K | 2.2K |
| 2021 | $105.57 | $69.51 | 1.52x | $36.06 | $107.7K | 1.6K | 1.2K |
| 2022 | $107.30 | $62.24 | 1.72x | $45.06 | $463.6K | 11.3K | 5.4K |
| 2023 | $100.18 | $61.40 | 1.63x | $38.78 | $618.6K | 15.8K | 8.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 5.6K | $438.6K | $77.65 | 2.00x |
| 99349 | Established patient home visit, typically 40 minutes | 3.9K | $359.5K | $91.21 | 1.95x |
| 11765 | Removal of skin of finger or toe nail | 3.1K | $343.9K | $109.42 | 2.16x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 7.3K | $244.9K | $33.37 | 1.79x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.3K | $168.9K | $51.77 | 2.12x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.4K | $143.4K | $100.73 | 1.80x |
| 99348 | Established patient home visit, typically 25 minutes | 2.3K | $136.6K | $60.35 | 1.74x |
| 87551 | Detection test by nucleic acid for mycobacteria species (bacteria), amplified probe technique | 2.8K | $130.9K | $47.43 | 2.10x |
| 11755 | Biopsy of finger or toe nail | 1.4K | $105.1K | $74.44 | 2.22x |
| 87150 | Identification of organisms by genetic analysis, amplified probe technique | 2.8K | $95.3K | $34.48 | 1.46x |
| 87481 | Detection test for candida species (yeast), amplified probe technique | 2.8K | $95.3K | $34.50 | 2.03x |
| 87798 | Detection test by nucleic acid for organism, amplified probe technique | 2.8K | $95.1K | $34.49 | 1.47x |
| 87651 | Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique | 2.8K | $95.0K | $34.50 | 2.02x |
| 87500 | Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique | 2.8K | $94.9K | $34.49 | 2.02x |
| 87640 | Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique | 2.8K | $94.9K | $34.50 | 2.02x |
| 87471 | Detection by nucleic acid bartonella henselae and bartonella quintana (bacteria), amplified probe technique | 2.8K | $94.9K | $34.50 | 2.03x |
| 87653 | Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique | 2.7K | $92.0K | $34.50 | 1.45x |
| 99343 | New patient home visit, typically 45 minutes | 920 | $85.4K | $92.78 | 1.95x |
| 11056 | Removal of 2 to 4 thickened skin growths | 1.9K | $83.0K | $42.66 | 2.01x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 848 | $71.2K | $83.91 | 2.04x |
This provider submits charges 1.97 times higher than what Medicare actually pays.
A markup ratio of 1.97x means for every $100 Medicare pays, this provider initially charges $197. This is lower 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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