This provider's $11.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 2932% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 234% in 2017
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 | $72.38 | $38.28 | 1.89x | $34.10 | $133.4K | 3.5K | 18 |
| 2015 | $326.82 | $96.50 | 3.39x | $230.32 | $69.5K | 720 | 15 |
| 2016 | $239.79 | $70.08 | 3.42x | $169.71 | $54.6K | 779 | 7 |
| 2017 | $236.67 | $70.01 | 3.38x | $166.66 | $182.5K | 2.6K | 22 |
| 2018 | $174.04 | $58.11 | 3.00x | $115.93 | $508.4K | 8.7K | 26 |
| 2019 | $189.40 | $63.60 | 2.98x | $125.80 | $556.0K | 8.7K | 33 |
| 2020 | $196.17 | $91.30 | 2.15x | $104.87 | $1.5M | 16.0K | 31 |
| 2021 | $344.54 | $108.73 | 3.17x | $235.81 | $1.7M | 15.6K | 34 |
| 2022 | $395.26 | $157.11 | 2.52x | $238.15 | $2.4M | 15.6K | 36 |
| 2023 | $499.96 | $327.12 | 1.53x | $172.84 | $4.0M | 12.4K | 36 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 20.8K | $2.3M | $108.28 | 3.39x |
| Q4205 | Membrane graft or membrane wrap, per square centimeter | 1.7K | $1.9M | $1.2K | 1.29x |
| Q4234 | Xcellerate, per square centimeter | 1.3K | $1.2M | $925.23 | 1.30x |
| Q4236 | Carepatch, per square centimeter | 977 | $992.6K | $1.0K | 1.28x |
| Q4158 | Kerecis omega3, per square centimeter | 1.9K | $988.9K | $521.58 | 1.38x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 6.6K | $402.3K | $60.52 | 2.63x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 5.5K | $379.5K | $68.75 | 3.37x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 2.6K | $376.6K | $142.10 | 3.12x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 6.7K | $366.1K | $54.61 | 2.14x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 3.3K | $335.9K | $100.34 | 3.35x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 2.7K | $211.7K | $77.03 | 2.59x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 5.2K | $177.8K | $34.25 | 2.91x |
| Q4186 | Epifix, per square centimeter | 1.4K | $165.6K | $122.42 | 2.57x |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 552 | $118.5K | $214.65 | 3.63x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 701 | $111.6K | $159.16 | 2.35x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.2K | $107.1K | $87.17 | 2.63x |
| 28003 | Drainage of fluid filled sacs beneath connective tissue in multiple foot joints | 286 | $105.8K | $370.04 | 3.68x |
| 97597 | Removal of tissue from wounds per session | 1.3K | $92.9K | $69.82 | 2.50x |
| Q4161 | Bio-connekt wound matrix, per square centimeter | 727 | $76.0K | $104.60 | 2.60x |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 2.8K | $70.0K | $25.40 | 2.99x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. 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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