This provider's $3.3M 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 | $117.06 | $75.48 | 1.55x | $41.58 | $322.3K | 4.4K | 1.9K |
| 2015 | $117.49 | $76.53 | 1.54x | $40.96 | $338.2K | 5.1K | 2.2K |
| 2016 | $102.36 | $66.55 | 1.54x | $35.81 | $340.1K | 5.0K | 2.2K |
| 2017 | $117.54 | $73.62 | 1.60x | $43.92 | $352.3K | 4.9K | 1.7K |
| 2018 | $111.26 | $70.71 | 1.57x | $40.55 | $343.7K | 4.8K | 1.7K |
| 2019 | $105.03 | $70.85 | 1.48x | $34.18 | $343.5K | 4.7K | 1.6K |
| 2020 | $124.60 | $81.11 | 1.54x | $43.49 | $284.5K | 3.8K | 1.5K |
| 2021 | $140.71 | $100.42 | 1.40x | $40.29 | $318.2K | 3.9K | 1.5K |
| 2022 | $142.58 | $99.66 | 1.43x | $42.92 | $332.3K | 4.0K | 1.5K |
| 2023 | $136.89 | $90.93 | 1.51x | $45.96 | $316.8K | 4.1K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.1K | $1.2M | $63.46 | 1.48x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 12.1K | $989.2K | $82.07 | 1.68x |
| 11730 | Separation of nail plate from nail bed | 2.8K | $251.7K | $89.12 | 1.46x |
| 99348 | Established patient home visit, typically 25 minutes | 2.7K | $181.2K | $66.76 | 1.62x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 1.5K | $147.1K | $98.57 | 1.39x |
| 12002 | Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs | 1.1K | $104.0K | $97.16 | 1.41x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 809 | $74.8K | $92.51 | 1.56x |
| 11765 | Removal of skin of finger or toe nail | 388 | $58.6K | $150.94 | 1.40x |
| 99343 | New patient home visit, typically 45 minutes | 556 | $54.8K | $98.53 | 1.34x |
| 99328 | New patient assisted living visit, typically 75 minutes | 255 | $50.0K | $196.04 | 1.61x |
| 99347 | Established patient home visit, typically 15 minutes | 1.1K | $47.1K | $41.39 | 1.32x |
| 11056 | Removal of 2 to 4 thickened skin growths | 502 | $21.3K | $42.48 | 1.32x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 516 | $16.9K | $32.79 | 1.34x |
| 99344 | Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes | 116 | $14.9K | $128.79 | 2.06x |
| 17110 | Destruction of up to 14 skin growths | 154 | $14.3K | $93.18 | 1.59x |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 120 | $11.6K | $96.63 | 1.36x |
| 73620 | X-ray of foot, 2 views | 224 | $5.3K | $23.50 | 1.65x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 85 | $5.1K | $60.31 | 1.49x |
| 10061 | Drainage of multiple abscess | 23 | $4.1K | $180.43 | 1.51x |
| 11421 | Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals | 26 | $3.7K | $143.30 | 1.55x |
This provider submits charges 1.54 times higher than what Medicare actually pays.
A markup ratio of 1.54x means for every $100 Medicare pays, this provider initially charges $154. 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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