This provider's $5.3M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 220% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $268.82 | $69.75 | 3.85x | $199.07 | $318.0K | 5.6K | 3.1K |
| 2015 | $240.88 | $63.87 | 3.77x | $177.01 | $311.7K | 5.6K | 2.9K |
| 2016 | $253.16 | $64.20 | 3.94x | $188.96 | $435.0K | 7.5K | 3.4K |
| 2017 | $296.84 | $76.20 | 3.90x | $220.64 | $558.0K | 9.0K | 3.7K |
| 2018 | $304.33 | $81.50 | 3.73x | $222.83 | $496.2K | 7.7K | 3.5K |
| 2019 | $300.43 | $76.84 | 3.91x | $223.59 | $430.7K | 7.1K | 3.7K |
| 2020 | $290.66 | $74.47 | 3.90x | $216.19 | $430.4K | 7.3K | 3.9K |
| 2021 | $257.83 | $64.65 | 3.99x | $193.18 | $530.3K | 8.4K | 4.6K |
| 2022 | $241.16 | $62.06 | 3.89x | $179.10 | $743.3K | 12.6K | 6.2K |
| 2023 | $343.02 | $83.32 | 4.12x | $259.70 | $1.0M | 15.6K | 7.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 20.0K | $1.1M | $57.44 | 3.39x |
| 97597 | Removal of tissue from wounds per session | 9.0K | $600.1K | $66.33 | 2.41x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 6.6K | $575.1K | $86.62 | 2.89x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $199.4K | $73.39 | 3.75x |
| 96921 | Laser treatment (250 to 500 sq centimeters) for inflammatory skin disease | 1.5K | $194.7K | $126.85 | 2.76x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 5.4K | $181.0K | $33.24 | 3.01x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 806 | $132.8K | $164.76 | 3.03x |
| 36475 | Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance | 138 | $113.4K | $821.50 | 5.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 981 | $113.3K | $115.54 | 3.03x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.2K | $106.5K | $88.95 | 5.90x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $105.9K | $89.79 | 2.73x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 843 | $96.5K | $114.45 | 3.06x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.7K | $93.8K | $34.46 | 4.21x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 1.1K | $92.9K | $83.25 | 3.00x |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 88 | $87.8K | $998.28 | 4.51x |
| 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 1.9K | $85.6K | $44.67 | 9.38x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 1.6K | $83.7K | $51.29 | 3.66x |
| 11750 | Removal of nail | 661 | $79.7K | $120.60 | 3.82x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 2.0K | $78.5K | $39.89 | 4.26x |
| 11730 | Separation of nail plate from nail bed | 1.0K | $74.9K | $73.65 | 2.92x |
This provider submits charges 3.44 times higher than what Medicare actually pays.
A markup ratio of 3.44x means for every $100 Medicare pays, this provider initially charges $344. 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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