This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 128% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 177% in 2019
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 | $81.44 | $55.03 | 1.48x | $26.41 | $230.3K | 4.4K | 2.7K |
| 2015 | $80.90 | $55.12 | 1.47x | $25.78 | $312.3K | 5.9K | 3.0K |
| 2016 | $84.37 | $51.98 | 1.62x | $32.39 | $415.2K | 8.8K | 4.3K |
| 2017 | $81.62 | $52.17 | 1.56x | $29.45 | $243.4K | 4.9K | 3.5K |
| 2018 | $102.63 | $42.79 | 2.40x | $59.84 | $138.8K | 3.0K | 2.4K |
| 2019 | $138.67 | $56.99 | 2.43x | $81.68 | $384.5K | 6.8K | 4.4K |
| 2020 | $135.43 | $59.57 | 2.27x | $75.86 | $431.1K | 7.1K | 3.7K |
| 2021 | $129.73 | $59.88 | 2.17x | $69.85 | $461.6K | 7.0K | 3.8K |
| 2022 | $139.55 | $66.03 | 2.11x | $73.52 | $486.8K | 7.1K | 3.5K |
| 2023 | $94.06 | $65.08 | 1.45x | $28.98 | $526.3K | 8.0K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.1K | $1.1M | $70.09 | 1.79x |
| 11056 | Removal of 2 to 4 thickened skin growths | 16.5K | $1.0M | $61.49 | 1.67x |
| 11057 | Removal of more than 4 thickened skin growths | 6.9K | $441.6K | $64.33 | 2.03x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 9.0K | $343.6K | $38.28 | 1.66x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.1K | $275.0K | $89.64 | 1.85x |
| 11730 | Separation of nail plate from nail bed | 1.9K | $159.9K | $85.57 | 1.49x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.1K | $90.2K | $42.21 | 2.38x |
| 97022 | Application of whirlpool therapy to 1 or more areas | 5.4K | $85.6K | $15.89 | 2.20x |
| 11055 | Removal of single thickened skin growth | 886 | $44.0K | $49.62 | 1.94x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 888 | $24.7K | $27.87 | 1.84x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 325 | $19.0K | $58.51 | 1.53x |
| G0127 | Trimming of dystrophic nails, any number | 15 | $161.25 | $10.75 | 5.30x |
This provider submits charges 1.79 times higher than what Medicare actually pays.
A markup ratio of 1.79x means for every $100 Medicare pays, this provider initially charges $179. 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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