This provider's $8.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 2479% from 2014 to 2023.
67% of their billing comes from a single procedure code (Q4236 — Carepatch, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1869% 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 | $53.07 | $36.66 | 1.45x | $16.41 | $219.7K | 6.0K | 18 |
| 2015 | $118.00 | $43.84 | 2.69x | $74.16 | $230.2K | 5.3K | 19 |
| 2016 | $175.98 | $50.81 | 3.46x | $125.17 | $269.7K | 5.3K | 20 |
| 2017 | $179.73 | $50.70 | 3.54x | $129.03 | $290.8K | 5.7K | 20 |
| 2018 | $181.30 | $52.02 | 3.49x | $129.28 | $278.1K | 5.3K | 20 |
| 2019 | $178.56 | $52.62 | 3.39x | $125.94 | $279.9K | 5.3K | 21 |
| 2020 | $186.79 | $56.27 | 3.32x | $130.52 | $276.2K | 4.9K | 18 |
| 2021 | $250.21 | $65.09 | 3.84x | $185.12 | $325.9K | 5.0K | 16 |
| 2022 | $285.31 | $68.10 | 4.19x | $217.21 | $287.8K | 4.2K | 11 |
| 2023 | $862.82 | $603.47 | 1.43x | $259.35 | $5.7M | 9.4K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4236 | Carepatch, per square centimeter | 5.1K | $5.4M | $1.0K | 1.28x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 10.7K | $573.4K | $53.70 | 3.25x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 11.8K | $431.3K | $36.67 | 3.51x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 5.4K | $341.2K | $62.76 | 3.41x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.4K | $300.9K | $55.75 | 3.62x |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 4.2K | $250.2K | $59.32 | 3.46x |
| 99348 | Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes | 3.1K | $216.3K | $68.69 | 3.48x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.8K | $171.2K | $96.47 | 4.16x |
| 99305 | Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes | 769 | $85.0K | $110.58 | 3.49x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.1K | $53.5K | $25.65 | 1.97x |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 395 | $45.8K | $116.04 | 3.36x |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 999 | $42.1K | $42.15 | 2.58x |
| 99203 | New patient outpatient visit, total time 30-44 minutes | 436 | $35.9K | $82.44 | 3.17x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 230 | $32.4K | $140.99 | 4.30x |
| 99343 | New patient home visit, typically 45 minutes | 248 | $25.7K | $103.66 | 3.27x |
| 29581 | Application of vein wound compression bandages on lower leg, ankle, and foot | 198 | $24.0K | $121.13 | 2.67x |
| G0127 | Trimming of dystrophic nails, any number | 1.8K | $19.6K | $10.76 | 3.01x |
| 99342 | New patient home visit, typically 30 minutes | 292 | $18.3K | $62.73 | 1.57x |
| 99347 | Established patient home visit, typically 15 minutes | 391 | $17.2K | $43.95 | 4.27x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 177 | $15.2K | $86.06 | 3.22x |
This provider submits charges 2.01 times higher than what Medicare actually pays.
A markup ratio of 2.01x means for every $100 Medicare pays, this provider initially charges $201. 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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