This provider averages 69 services per working day
Based on 173.0K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $8.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Averaging 69 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 93% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 86% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $180.24 | $80.24 | 2.25x | $100.00 | $340.0K | 6.9K | 3.2K |
| 2015 | $162.55 | $81.14 | 2.00x | $81.41 | $467.6K | 9.6K | 5.4K |
| 2016 | $206.02 | $95.91 | 2.15x | $110.11 | $868.8K | 17.8K | 8.3K |
| 2017 | $173.65 | $84.87 | 2.05x | $88.78 | $836.0K | 17.9K | 7.5K |
| 2018 | $165.52 | $84.61 | 1.96x | $80.91 | $1.1M | 21.9K | 9.2K |
| 2019 | $178.40 | $89.38 | 2.00x | $89.02 | $1.3M | 25.4K | 11.5K |
| 2020 | $168.22 | $84.04 | 2.00x | $84.18 | $1.3M | 23.7K | 11.8K |
| 2021 | $145.42 | $90.00 | 1.62x | $55.42 | $1.1M | 19.7K | 8.8K |
| 2022 | $135.21 | $80.87 | 1.67x | $54.34 | $877.0K | 16.9K | 7.9K |
| 2023 | $149.53 | $81.99 | 1.82x | $67.54 | $654.8K | 13.1K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 23.1K | $1.4M | $61.80 | 1.48x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 35.3K | $1.3M | $35.85 | 1.68x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 30.0K | $1.1M | $36.72 | 1.67x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 6.2K | $485.5K | $77.97 | 1.88x |
| 11755 | Biopsy of finger or toe nail | 3.8K | $362.9K | $96.30 | 1.82x |
| 76882 | Ultrasound of arm or leg | 7.7K | $338.0K | $43.76 | 1.71x |
| 10121 | Removal of foreign body from tissue, accessed beneath the skin | 1.4K | $321.0K | $223.25 | 1.42x |
| 11308 | Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 2.6K | $312.4K | $119.94 | 1.46x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 5.8K | $286.6K | $49.00 | 3.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.5K | $275.3K | $79.38 | 1.81x |
| 73630 | X-ray of foot, minimum of 3 views | 7.7K | $196.9K | $25.59 | 1.76x |
| 11056 | Removal of 2 to 4 thickened skin growths | 2.7K | $175.3K | $64.74 | 1.47x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.9K | $172.0K | $89.14 | 1.48x |
| 11730 | Separation of nail plate from nail bed | 2.7K | $157.1K | $58.45 | 2.31x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 4.0K | $149.3K | $37.47 | 2.31x |
| 64640 | Destruction of peripheral nerve or branch | 1.4K | $147.1K | $103.31 | 2.93x |
| 97597 | Removal of tissue from wounds per session | 2.0K | $142.6K | $69.71 | 1.44x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.2K | $134.7K | $112.52 | 1.60x |
| 64455 | Injections of anesthetic and/or steroid drug into nerve of foot | 3.6K | $134.7K | $37.50 | 1.97x |
| 93922 | Ultrasound study of arteries of both arms and legs | 1.8K | $131.9K | $75.36 | 1.78x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. 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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