This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 55% 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 | $135.21 | $57.50 | 2.35x | $77.71 | $307.4K | 9.1K | 3.8K |
| 2015 | $89.32 | $46.31 | 1.93x | $43.01 | $314.8K | 9.4K | 3.9K |
| 2016 | $180.50 | $76.14 | 2.37x | $104.36 | $325.2K | 9.1K | 4.0K |
| 2017 | $131.89 | $56.52 | 2.33x | $75.37 | $319.2K | 9.6K | 3.9K |
| 2018 | $243.46 | $81.60 | 2.98x | $161.86 | $382.2K | 10.2K | 4.1K |
| 2019 | $152.67 | $81.66 | 1.87x | $71.01 | $422.3K | 10.7K | 4.3K |
| 2020 | $112.45 | $64.11 | 1.75x | $48.34 | $379.9K | 9.3K | 3.8K |
| 2021 | $124.01 | $74.02 | 1.68x | $49.99 | $446.1K | 9.7K | 4.0K |
| 2022 | $134.83 | $83.72 | 1.61x | $51.11 | $470.5K | 9.5K | 3.9K |
| 2023 | $121.26 | $73.24 | 1.66x | $48.02 | $477.3K | 9.8K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 21.2K | $1.2M | $58.43 | 1.50x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 11.2K | $740.1K | $65.98 | 1.51x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 22.8K | $651.7K | $28.54 | 1.56x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $230.7K | $85.40 | 1.64x |
| 11719 | Trimming of fingernails or toenails | 22.2K | $139.9K | $6.29 | 4.02x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 3.2K | $123.6K | $38.52 | 1.66x |
| 11055 | Removal of single thickened skin growth | 2.5K | $119.3K | $48.16 | 1.52x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 932 | $93.7K | $100.55 | 1.52x |
| 17110 | Destruction of up to 14 skin growths | 743 | $73.4K | $98.74 | 1.48x |
| 11057 | Removal of more than 4 thickened skin growths | 1.0K | $68.8K | $66.01 | 1.54x |
| 11750 | Removal of nail | 361 | $53.3K | $147.51 | 1.90x |
| 73630 | X-ray of foot, minimum of 3 views | 1.6K | $45.0K | $27.53 | 1.92x |
| 97597 | Removal of tissue from wounds per session | 537 | $42.9K | $79.82 | 1.37x |
| 28285 | Correction of toe joint deformity | 134 | $37.3K | $278.47 | 3.52x |
| 73620 | X-ray of foot, 2 views | 1.3K | $30.7K | $23.60 | 2.13x |
| 28292 | Correction of bunion | 60 | $27.5K | $457.56 | 2.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 531 | $22.1K | $41.65 | 1.65x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 405 | $19.2K | $47.39 | 1.75x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 420 | $18.0K | $42.93 | 1.88x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 348 | $14.3K | $41.12 | 1.72x |
This provider submits charges 1.67 times higher than what Medicare actually pays.
A markup ratio of 1.67x means for every $100 Medicare pays, this provider initially charges $167. 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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