This provider's $91.6M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 259564% from 2014 to 2023.
91% of their billing comes from a single procedure code (Q4262 — Dual layer impax membrane, per square centimeter).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 136458% 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 — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $127.57 | $23.42 | 5.45x | $104.15 | $35.1K | 1.5K | 7 |
| 2015 | $140.41 | $27.36 | 5.13x | $113.05 | $41.7K | 1.5K | 6 |
| 2016 | $135.67 | $28.74 | 4.72x | $106.93 | $38.0K | 1.3K | 6 |
| 2017 | $76.05 | $22.88 | 3.32x | $53.17 | $21.3K | 930 | 6 |
| 2018 | $103.93 | $35.35 | 2.94x | $68.58 | $6.3K | 179 | 5 |
| 2019 | $69.23 | $26.97 | 2.57x | $42.26 | $13.2K | 491 | 5 |
| 2020 | $121.03 | $40.76 | 2.97x | $80.27 | $40.6K | 996 | 10 |
| 2021 | $136.27 | $66.31 | 2.06x | $69.96 | $97.7K | 1.5K | 9 |
| 2022 | $115.34 | $61.82 | 1.87x | $53.52 | $66.8K | 1.1K | 7 |
| 2023 | $1.1K | $857.57 | 1.29x | $252.53 | $91.3M | 106.4K | 11 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4262 | Dual layer impax membrane, per square centimeter | 97.9K | $83.7M | $854.23 | 1.30x |
| Q4276 | Orion, per square centimeter | 6.6K | $7.5M | $1.1K | 1.28x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.9K | $132.2K | $46.24 | 3.00x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 1.3K | $111.3K | $82.52 | 2.91x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 3.8K | $83.9K | $21.92 | 3.78x |
| 15274 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 672 | $42.5K | $63.31 | 1.40x |
| 15273 | Skin substitute graft to wound 100.0 sq cm or more of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 134 | $25.5K | $190.34 | 1.40x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 189 | $22.4K | $118.46 | 2.10x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 203 | $18.1K | $89.33 | 2.36x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 231 | $17.3K | $74.84 | 1.64x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 374 | $10.8K | $28.98 | 2.33x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 69 | $7.9K | $115.09 | 1.41x |
| 99203 | New patient outpatient visit, total time 30-44 minutes | 59 | $4.8K | $81.20 | 2.06x |
| 15272 | Application of skin substitute graft to wound of trunk, arms, or legs, each additional 25.0 sq cm of wound 100.0 sq cm or less | 132 | $2.5K | $18.63 | 1.39x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 70 | $2.4K | $34.00 | 5.53x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 68 | $2.2K | $32.71 | 6.34x |
| G0127 | Trimming of dystrophic nails, any number | 105 | $1.8K | $17.10 | 2.92x |
| 73630 | X-ray of foot, minimum of 3 views | 62 | $1.6K | $25.39 | 3.65x |
| 11750 | Removal of nail | 12 | $1.5K | $122.19 | 2.13x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 175 | $1.2K | $6.90 | 13.90x |
This provider submits charges 1.3 times higher than what Medicare actually pays.
A markup ratio of 1.3x means for every $100 Medicare pays, this provider initially charges $130. 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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