This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 1507% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 134% in 2015
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 | $145.55 | $63.64 | 2.29x | $81.91 | $32.3K | 512 | 83 |
| 2015 | $237.13 | $83.38 | 2.84x | $153.75 | $75.4K | 967 | 149 |
| 2016 | $279.18 | $83.08 | 3.36x | $196.10 | $122.8K | 1.3K | 162 |
| 2017 | $257.42 | $83.06 | 3.10x | $174.36 | $166.7K | 1.7K | 157 |
| 2018 | $288.15 | $87.23 | 3.30x | $200.92 | $338.1K | 3.0K | 153 |
| 2019 | $180.21 | $69.39 | 2.60x | $110.82 | $446.4K | 6.0K | 155 |
| 2020 | $144.17 | $69.76 | 2.07x | $74.41 | $702.9K | 9.8K | 150 |
| 2021 | $148.00 | $71.49 | 2.07x | $76.51 | $616.3K | 8.3K | 156 |
| 2022 | $135.00 | $69.91 | 1.93x | $65.09 | $739.5K | 10.2K | 210 |
| 2023 | $135.00 | $69.28 | 1.95x | $65.72 | $518.6K | 7.3K | 121 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11042 | Removal of skin and tissue first 20 sq cm or less | 12.8K | $1.4M | $106.56 | 2.02x |
| 97597 | Removal of tissue from wounds per session | 10.1K | $901.5K | $89.66 | 1.66x |
| 11045 | Removal of skin and tissue | 10.3K | $374.6K | $36.26 | 1.79x |
| 97598 | Removal of tissue from wounds per session | 9.4K | $358.5K | $38.27 | 1.57x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 1.2K | $286.7K | $244.22 | 3.46x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 1.7K | $243.2K | $144.68 | 4.15x |
| 11047 | Removal of skin and bone | 864 | $86.5K | $100.11 | 1.77x |
| 11046 | Removal of skin and/or muscle | 709 | $44.8K | $63.24 | 1.50x |
| 11730 | Separation of nail plate from nail bed | 682 | $43.6K | $63.87 | 2.97x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 465 | $17.5K | $37.54 | 3.73x |
| 99348 | Established patient home visit, typically 25 minutes | 252 | $17.2K | $68.35 | 2.27x |
| 11732 | Separation of nail plate from nail bed | 569 | $16.0K | $28.07 | 3.19x |
| 99342 | New patient home visit, typically 30 minutes | 51 | $3.3K | $65.08 | 3.18x |
| 99347 | Established patient home visit, typically 15 minutes | 52 | $2.4K | $46.46 | 2.11x |
This provider submits charges 2.13 times higher than what Medicare actually pays.
A markup ratio of 2.13x means for every $100 Medicare pays, this provider initially charges $213. 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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