This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 13778% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5928% in 2023
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 | $47.21 | $29.82 | 1.58x | $17.39 | $28.2K | 944 | 12 |
| 2015 | $67.12 | $35.75 | 1.88x | $31.37 | $85.4K | 2.4K | 18 |
| 2016 | $242.55 | $107.06 | 2.27x | $135.49 | $358.8K | 3.4K | 16 |
| 2017 | $248.96 | $95.15 | 2.62x | $153.81 | $398.8K | 4.2K | 17 |
| 2018 | $266.15 | $88.85 | 3.00x | $177.30 | $292.1K | 3.3K | 16 |
| 2019 | $299.66 | $108.13 | 2.77x | $191.53 | $567.1K | 5.2K | 16 |
| 2020 | $344.89 | $105.66 | 3.26x | $239.23 | $791.9K | 7.5K | 16 |
| 2021 | $236.80 | $80.69 | 2.93x | $156.11 | $80.4K | 997 | 10 |
| 2022 | $318.18 | $77.26 | 4.12x | $240.92 | $64.8K | 839 | 10 |
| 2023 | $1.6K | $718.36 | 2.28x | $920.88 | $3.9M | 5.4K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4164 | Helicoll, per square centimeter | 2.1K | $2.2M | $1.0K | 1.91x |
| Q4259 | Celera dual layer or celera dual membrane, per square centimeter | 2.0K | $1.5M | $785.89 | 2.62x |
| Q4133 | Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter | 5.7K | $628.2K | $110.02 | 3.18x |
| Q4131 | Epifix or epicord, per square centimeter | 4.5K | $581.3K | $129.79 | 1.84x |
| Q4186 | Epifix, per square centimeter | 3.1K | $386.9K | $125.67 | 2.39x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 2.3K | $222.8K | $94.92 | 3.90x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.2K | $189.3K | $58.60 | 2.92x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 1.4K | $127.5K | $94.14 | 3.66x |
| 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 | 822 | $103.2K | $125.50 | 3.28x |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 666 | $73.3K | $110.03 | 3.20x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 2.1K | $70.0K | $33.35 | 2.89x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 1.2K | $62.1K | $51.69 | 3.68x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 727 | $59.3K | $81.59 | 3.34x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 654 | $49.8K | $76.11 | 3.14x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 271 | $42.1K | $155.48 | 4.02x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 699 | $41.4K | $59.16 | 3.18x |
| 13160 | Second repair of surgical wound | 56 | $36.4K | $650.12 | 3.57x |
| 28820 | Amputation of toe at joint between forefoot and toes | 60 | $14.6K | $242.66 | 6.74x |
| 28825 | Amputation of foot | 52 | $13.7K | $263.69 | 6.57x |
| 73630 | X-ray of foot, minimum of 3 views | 594 | $13.7K | $23.08 | 3.25x |
This provider submits charges 2.51 times higher than what Medicare actually pays.
A markup ratio of 2.51x means for every $100 Medicare pays, this provider initially charges $251. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data