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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Scott Adams
๐Ÿฆถ
DPMIndividual

Scott Adams, DPM

NPI: 1609860709
Arroyo Grande, CA
10 years of data
Podiatry
$8.8M
Total Payments
79.9K
Beneficiaries
173.0K
Services
1.8x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$8.8M
Specialty median$90.2K

๐Ÿ“‹ Key Findings

1Billed $8.8M over 10 years
21.8x markup ratio
399th percentile in Podiatry by payments
469 services/day โ€” unusually high
5Payments surged 86% in 2016
61 procedure with >3x markup

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†’

๐Ÿ”Ž Data Analysis

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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 86% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$180.24$80.242.25x$100.00$340.0K6.9K3.2K
2015$162.55$81.142.00x$81.41$467.6K9.6K5.4K
2016$206.02$95.912.15x$110.11$868.8K17.8K8.3K
2017$173.65$84.872.05x$88.78$836.0K17.9K7.5K
2018$165.52$84.611.96x$80.91$1.1M21.9K9.2K
2019$178.40$89.382.00x$89.02$1.3M25.4K11.5K
2020$168.22$84.042.00x$84.18$1.3M23.7K11.8K
2021$145.42$90.001.62x$55.42$1.1M19.7K8.8K
2022$135.21$80.871.67x$54.34$877.0K16.9K7.9K
2023$149.53$81.991.82x$67.54$654.8K13.1K6.4K

Top Procedures (20)

99213Established patient office or other outpatient visit, typically 15 minutes
$1.4M
23.1K services$61.80/svc1.48x markup
11721Removal of tissue from 6 or more finger or toe nails
$1.3M
35.3K services$35.85/svc1.68x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$1.1M
30.0K services$36.72/svc1.67x markup
11305Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals
$485.5K
6.2K services$77.97/svc1.88x markup
11755Biopsy of finger or toe nail
$362.9K
3.8K services$96.30/svc1.82x markup
76882Ultrasound of arm or leg
$338.0K
7.7K services$43.76/svc1.71x markup
10121Removal of foreign body from tissue, accessed beneath the skin
$321.0K
1.4K services$223.25/svc1.42x markup
11308Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals
$312.4K
2.6K services$119.94/svc1.46x markup
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needleโš  3.5x markup
$286.6K
5.8K services$49.00/svc3.45x markup
99203New patient office or other outpatient visit, typically 30 minutes
$275.3K
3.5K services$79.38/svc1.81x markup
73630X-ray of foot, minimum of 3 views
$196.9K
7.7K services$25.59/svc1.76x markup
11056Removal of 2 to 4 thickened skin growths
$175.3K
2.7K services$64.74/svc1.47x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$172.0K
1.9K services$89.14/svc1.48x markup
11730Separation of nail plate from nail bed
$157.1K
2.7K services$58.45/svc2.31x markup
20550Injections of tendon sheath, ligament, or muscle membrane
$149.3K
4.0K services$37.47/svc2.31x markup
64640Destruction of peripheral nerve or branch
$147.1K
1.4K services$103.31/svc2.93x markup
97597Removal of tissue from wounds per session
$142.6K
2.0K services$69.71/svc1.44x markup
95923Testing of autonomic (sympathetic) nervous system function
$134.7K
1.2K services$112.52/svc1.60x markup
64455Injections of anesthetic and/or steroid drug into nerve of foot
$134.7K
3.6K services$37.50/svc1.97x markup
93922Ultrasound study of arteries of both arms and legs
$131.9K
1.8K services$75.36/svc1.78x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99213Established patient office or other outpatient visit, typically 15 minutes23.1K$1.4M$61.801.48x
11721Removal of tissue from 6 or more finger or toe nails35.3K$1.3M$35.851.68x
99212Established patient office or other outpatient visit, typically 10 minutes30.0K$1.1M$36.721.67x
11305Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals6.2K$485.5K$77.971.88x
11755Biopsy of finger or toe nail3.8K$362.9K$96.301.82x
76882Ultrasound of arm or leg7.7K$338.0K$43.761.71x
10121Removal of foreign body from tissue, accessed beneath the skin1.4K$321.0K$223.251.42x
11308Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals2.6K$312.4K$119.941.46x
76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle5.8K$286.6K$49.003.45x
99203New patient office or other outpatient visit, typically 30 minutes3.5K$275.3K$79.381.81x
73630X-ray of foot, minimum of 3 views7.7K$196.9K$25.591.76x
11056Removal of 2 to 4 thickened skin growths2.7K$175.3K$64.741.47x
99214Established patient office or other outpatient, visit typically 25 minutes1.9K$172.0K$89.141.48x
11730Separation of nail plate from nail bed2.7K$157.1K$58.452.31x
20550Injections of tendon sheath, ligament, or muscle membrane4.0K$149.3K$37.472.31x
64640Destruction of peripheral nerve or branch1.4K$147.1K$103.312.93x
97597Removal of tissue from wounds per session2.0K$142.6K$69.711.44x
95923Testing of autonomic (sympathetic) nervous system function1.2K$134.7K$112.521.60x
64455Injections of anesthetic and/or steroid drug into nerve of foot3.6K$134.7K$37.501.97x
93922Ultrasound study of arteries of both arms and legs1.8K$131.9K$75.361.78x

Markup Analysis

Charge-to-Payment Ratio

1.8x

This provider submits charges 1.8 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. This is lower than the national average.

Location

Arroyo Grande, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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