This provider's $4.5M 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.
Notable: Payments increased 77% 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 | $79.84 | $53.13 | 1.50x | $26.71 | $323.8K | 6.5K | 2.5K |
| 2015 | $107.62 | $74.49 | 1.44x | $33.13 | $573.0K | 11.2K | 4.4K |
| 2016 | $128.58 | $70.30 | 1.83x | $58.28 | $673.8K | 12.9K | 4.7K |
| 2017 | $98.20 | $53.99 | 1.82x | $44.21 | $459.0K | 10.2K | 4.3K |
| 2018 | $92.23 | $51.85 | 1.78x | $40.38 | $325.1K | 6.9K | 3.4K |
| 2019 | $99.44 | $60.45 | 1.64x | $38.99 | $453.0K | 8.0K | 3.9K |
| 2020 | $115.42 | $72.91 | 1.58x | $42.51 | $419.3K | 7.0K | 3.5K |
| 2021 | $114.22 | $71.97 | 1.59x | $42.25 | $460.0K | 7.2K | 3.4K |
| 2022 | $112.13 | $71.53 | 1.57x | $40.60 | $443.2K | 7.1K | 3.3K |
| 2023 | $282.01 | $66.89 | 4.22x | $215.12 | $378.5K | 6.4K | 2.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 24.9K | $1.4M | $57.18 | 1.67x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 26.4K | $1.0M | $38.69 | 1.57x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.9K | $859.4K | $66.84 | 1.60x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 3.6K | $362.8K | $99.60 | 1.68x |
| 93922 | Ultrasound study of arteries of both arms and legs | 2.8K | $235.0K | $82.87 | 1.65x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.7K | $146.3K | $84.93 | 1.66x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 1.9K | $73.0K | $38.67 | 2.18x |
| 11057 | Removal of more than 4 thickened skin growths | 721 | $46.6K | $64.68 | 1.48x |
| 11750 | Removal of nail | 284 | $44.9K | $158.09 | 1.79x |
| 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) | 248 | $34.6K | $139.39 | 1.79x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 510 | $30.6K | $59.92 | 1.94x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 261 | $29.4K | $112.48 | 1.36x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 721 | $26.9K | $37.31 | 1.53x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 107 | $20.8K | $194.35 | 1.87x |
| 29580 | Strapping, Unna boot | 461 | $20.7K | $44.98 | 2.01x |
| Q4038 | Cast supplies, short leg cast, adult (11 years +), fiberglass | 519 | $16.9K | $32.53 | 1.54x |
| Q4186 | Epifix, per square centimeter | 133 | $16.6K | $124.53 | 1.83x |
| 73630 | X-ray of foot, minimum of 3 views | 548 | $15.8K | $28.76 | 1.53x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 518 | $14.6K | $28.27 | 1.47x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 81 | $8.7K | $108.01 | 3.84x |
This provider submits charges 1.65 times higher than what Medicare actually pays.
A markup ratio of 1.65x means for every $100 Medicare pays, this provider initially charges $165. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
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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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