This provider's $13.4M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 138302% from 2014 to 2023.
96% of their billing comes from a single procedure code (Q4173 — Palingen or palingen xplus, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 15400% 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 | $104.53 | $47.07 | 2.22x | $57.46 | $9.5K | 201 | 3 |
| 2015 | $94.04 | $45.40 | 2.07x | $48.64 | $6.2K | 136 | 2 |
| 2016 | $267.38 | $60.66 | 4.41x | $206.72 | $31.4K | 518 | 6 |
| 2017 | $241.19 | $60.24 | 4.00x | $180.95 | $36.6K | 608 | 7 |
| 2018 | $229.59 | $58.18 | 3.95x | $171.41 | $33.9K | 582 | 9 |
| 2019 | $136.18 | $53.51 | 2.54x | $82.67 | $25.8K | 482 | 7 |
| 2020 | $135.05 | $49.77 | 2.71x | $85.28 | $40.8K | 819 | 12 |
| 2021 | $131.33 | $51.86 | 2.53x | $79.47 | $43.8K | 844 | 13 |
| 2022 | $221.25 | $56.59 | 3.91x | $164.66 | $84.5K | 1.5K | 17 |
| 2023 | $910.58 | $316.85 | 2.87x | $593.73 | $13.1M | 41.3K | 22 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4173 | Palingen or palingen xplus, per square centimeter | 38.0K | $12.8M | $337.55 | 2.85x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.8K | $102.6K | $56.87 | 2.44x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1.0K | $95.0K | $94.39 | 3.77x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 693 | $80.8K | $116.64 | 3.66x |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 121 | $36.1K | $298.36 | 3.91x |
| 64640 | Destruction of peripheral nerve or branch | 329 | $31.7K | $96.48 | 7.25x |
| 11755 | Biopsy of fingernail or toenail | 284 | $25.0K | $87.97 | 3.82x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 215 | $24.9K | $115.63 | 4.08x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 316 | $22.6K | $71.65 | 2.47x |
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 385 | $21.1K | $54.89 | 3.45x |
| 97597 | Removal of tissue from wounds per session, first 20 sq cms or less | 306 | $19.0K | $62.18 | 2.60x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 579 | $19.0K | $32.73 | 3.03x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 176 | $17.2K | $97.75 | 3.32x |
| 17110 | Destruction of skin growth, 1-14 growths | 199 | $16.2K | $81.35 | 4.05x |
| 11750 | Permanent removal fingernail or toenail | 115 | $13.7K | $119.28 | 3.37x |
| 11102 | Biopsy of related skin growth, first growth | 150 | $7.5K | $50.18 | 6.02x |
| 73620 | X-ray of foot, 2 views | 402 | $7.5K | $18.65 | 4.12x |
| 73630 | X-ray of foot, minimum of 3 views | 274 | $7.1K | $25.80 | 3.48x |
| 64455 | Injection of anesthetic and/or steroid drug into foot nerve | 197 | $6.4K | $32.59 | 3.86x |
| 28010 | Repair of toe tendon | 32 | $5.6K | $175.40 | 3.90x |
This provider submits charges 2.89 times higher than what Medicare actually pays.
A markup ratio of 2.89x means for every $100 Medicare pays, this provider initially charges $289. 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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