This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $101.04 | $71.23 | 1.42x | $29.81 | $594.2K | 10.1K | 5.8K |
| 2015 | $97.18 | $68.49 | 1.42x | $28.69 | $653.5K | 11.5K | 6.3K |
| 2016 | $97.14 | $67.45 | 1.44x | $29.69 | $634.1K | 11.1K | 5.9K |
| 2017 | $98.06 | $68.07 | 1.44x | $29.99 | $578.7K | 9.8K | 5.0K |
| 2018 | $96.98 | $65.45 | 1.48x | $31.53 | $614.6K | 10.2K | 5.4K |
| 2019 | $101.87 | $72.64 | 1.40x | $29.23 | $630.8K | 9.8K | 5.1K |
| 2020 | $104.69 | $75.37 | 1.39x | $29.32 | $597.5K | 9.1K | 4.8K |
| 2021 | $122.01 | $85.85 | 1.42x | $36.16 | $623.7K | 8.6K | 4.2K |
| 2022 | $98.31 | $68.50 | 1.44x | $29.81 | $699.3K | 9.7K | 5.1K |
| 2023 | $93.93 | $64.42 | 1.46x | $29.51 | $647.0K | 10.2K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 27.6K | $1.8M | $64.30 | 1.38x |
| 99335 | Established patient assisted living visit, typically 25 minutes | 6.4K | $494.5K | $77.54 | 1.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 11.4K | $429.6K | $37.70 | 1.37x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 3.4K | $340.1K | $100.57 | 1.37x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 5.2K | $298.1K | $56.93 | 1.37x |
| 99348 | Established patient home visit, typically 25 minutes | 4.4K | $280.2K | $63.90 | 1.41x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 7.4K | $249.8K | $33.56 | 1.50x |
| 97597 | Removal of tissue from wounds per session | 3.0K | $246.1K | $81.40 | 1.40x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 2.3K | $245.6K | $105.68 | 1.41x |
| 10061 | Drainage of multiple abscess | 1.3K | $224.4K | $170.40 | 1.34x |
| 10060 | Drainage of abscess | 1.9K | $188.6K | $96.88 | 1.37x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 2.5K | $154.9K | $60.95 | 1.39x |
| 11730 | Separation of nail plate from nail bed | 1.3K | $111.9K | $85.02 | 1.43x |
| 99325 | New patient assisted living visit, typically 30 minutes | 1.7K | $108.6K | $65.23 | 1.41x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 1.4K | $106.0K | $75.25 | 1.36x |
| 10140 | Drainage of blood or fluid accumulation | 757 | $103.3K | $136.49 | 1.36x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 2.4K | $97.8K | $40.70 | 1.51x |
| 99336 | Established patient assisted living visit, typically 40 minutes | 852 | $93.2K | $109.35 | 1.39x |
| 11750 | Removal of nail | 572 | $85.3K | $149.18 | 1.45x |
| 73620 | X-ray of foot, 2 views | 3.4K | $75.1K | $22.16 | 1.44x |
This provider submits charges 1.39 times higher than what Medicare actually pays.
A markup ratio of 1.39x means for every $100 Medicare pays, this provider initially charges $139. 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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