This provider's $5.9M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 276% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 235% 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 | $182.61 | $53.29 | 3.43x | $129.32 | $177.8K | 3.3K | 2.0K |
| 2015 | $153.22 | $33.67 | 4.55x | $119.55 | $594.7K | 11.5K | 5.2K |
| 2016 | $178.03 | $40.67 | 4.38x | $137.36 | $714.9K | 14.6K | 6.7K |
| 2017 | $171.66 | $39.57 | 4.34x | $132.09 | $510.6K | 11.1K | 5.4K |
| 2018 | $192.59 | $44.84 | 4.30x | $147.75 | $611.1K | 13.4K | 4.9K |
| 2019 | $186.54 | $42.03 | 4.44x | $144.51 | $655.2K | 13.0K | 4.5K |
| 2020 | $235.24 | $53.87 | 4.37x | $181.37 | $566.5K | 10.4K | 3.9K |
| 2021 | $245.89 | $61.72 | 3.98x | $184.17 | $750.9K | 12.0K | 3.9K |
| 2022 | $220.35 | $51.17 | 4.31x | $169.18 | $677.8K | 10.5K | 3.4K |
| 2023 | $237.35 | $61.35 | 3.87x | $176.00 | $667.8K | 9.9K | 3.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 33.8K | $2.4M | $70.55 | 2.01x |
| 11056 | Removal of 2 to 4 thickened skin growths | 23.0K | $1.4M | $62.23 | 4.51x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 26.4K | $1.1M | $40.36 | 6.06x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $219.7K | $97.51 | 2.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.5K | $173.4K | $38.47 | 1.54x |
| 17110 | Destruction of up to 14 skin growths | 1.3K | $131.4K | $104.18 | 3.36x |
| 11055 | Removal of single thickened skin growth | 2.1K | $111.0K | $52.20 | 3.40x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 1.8K | $82.9K | $46.52 | 4.30x |
| 11730 | Separation of nail plate from nail bed | 845 | $76.7K | $90.79 | 5.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 516 | $58.7K | $113.78 | 1.76x |
| 29540 | Strapping of ankle and/or foot | 2.8K | $51.3K | $18.12 | 18.18x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1.1K | $32.6K | $28.80 | 2.94x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 275 | $30.1K | $109.51 | 3.13x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 518 | $13.2K | $25.39 | 1.97x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 258 | $11.0K | $42.71 | 5.18x |
| 29550 | Strapping of toes | 1.1K | $10.7K | $10.13 | 29.11x |
| 97124 | Therapeutic massage to 1 or more areas, each 15 minutes | 495 | $9.9K | $19.97 | 2.00x |
| 10120 | Removal of foreign body from tissue, accessed beneath the skin | 56 | $8.0K | $142.68 | 3.15x |
| 29580 | Strapping, Unna boot | 133 | $6.2K | $46.60 | 6.40x |
| 76882 | Ultrasound of arm or leg | 145 | $5.1K | $35.09 | 7.12x |
This provider submits charges 3.72 times higher than what Medicare actually pays.
A markup ratio of 3.72x means for every $100 Medicare pays, this provider initially charges $372. 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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