This provider's $16.4M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 2121% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 10155% 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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $183.60 | $68.73 | 2.67x | $114.87 | $598.2K | 8.7K | 21 |
| 2015 | $178.48 | $64.75 | 2.76x | $113.73 | $459.2K | 7.1K | 20 |
| 2016 | $188.77 | $79.49 | 2.37x | $109.28 | $601.8K | 7.6K | 14 |
| 2017 | $213.12 | $84.72 | 2.52x | $128.40 | $421.1K | 5.0K | 11 |
| 2018 | $167.93 | $61.57 | 2.73x | $106.36 | $183.8K | 3.0K | 13 |
| 2019 | $176.65 | $80.03 | 2.21x | $96.62 | $334.9K | 4.2K | 13 |
| 2020 | $193.69 | $64.78 | 2.99x | $128.91 | $104.5K | 1.6K | 9 |
| 2021 | $136.31 | $54.87 | 2.48x | $81.44 | $235.4K | 4.3K | 14 |
| 2022 | $145.82 | $53.68 | 2.72x | $92.14 | $129.5K | 2.4K | 15 |
| 2023 | $1.2K | $811.13 | 1.51x | $415.67 | $13.3M | 16.4K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 7.7K | $8.2M | $1.1K | 1.40x |
| Q4276 | Orion, per square centimeter | 3.6K | $4.2M | $1.2K | 1.71x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 14.1K | $883.2K | $62.52 | 2.50x |
| 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 | 1.9K | $687.2K | $364.17 | 2.63x |
| Q4169 | Artacent wound, per square centimeter | 2.0K | $649.0K | $318.31 | 1.65x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 2.8K | $382.8K | $136.56 | 2.97x |
| Q4131 | Epifix or epicord, per square centimeter | 2.7K | $356.3K | $134.15 | 1.88x |
| Q4186 | Epifix, per square centimeter | 1.5K | $157.0K | $103.29 | 1.35x |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 1.6K | $135.0K | $86.70 | 2.67x |
| Q4102 | Oasis wound matrix, per square centimeter | 11.4K | $90.2K | $7.89 | 1.83x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 990 | $89.2K | $90.05 | 3.04x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 1.5K | $85.8K | $57.54 | 2.25x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 258 | $54.2K | $210.21 | 3.50x |
| 11730 | Simple separation of fingernail or toenail from nail bed, first nail | 561 | $52.3K | $93.21 | 2.30x |
| 10060 | Simple or single drainage of skin abscess | 467 | $47.7K | $102.12 | 2.40x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 476 | $45.0K | $94.48 | 2.46x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 1.1K | $41.6K | $37.89 | 2.28x |
| 73620 | X-ray of foot, 2 views | 1.6K | $39.5K | $24.06 | 5.49x |
| 11720 | Removal of fingernails or toenails, 1-5 nails | 825 | $23.6K | $28.62 | 1.99x |
| 10061 | Drainage of multiple abscess | 79 | $15.2K | $192.18 | 2.51x |
This provider submits charges 1.71 times higher than what Medicare actually pays.
A markup ratio of 1.71x means for every $100 Medicare pays, this provider initially charges $171. 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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