This provider's $3.2M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 135% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 | $95.41 | $65.92 | 1.45x | $29.49 | $224.4K | 3.9K | 1.9K |
| 2015 | $90.21 | $65.31 | 1.38x | $24.90 | $199.1K | 3.4K | 1.6K |
| 2016 | $87.21 | $60.92 | 1.43x | $26.29 | $185.9K | 3.3K | 1.5K |
| 2017 | $87.75 | $57.44 | 1.53x | $30.31 | $150.7K | 2.9K | 1.2K |
| 2018 | $90.72 | $59.69 | 1.52x | $31.03 | $242.6K | 4.4K | 2.3K |
| 2019 | $92.12 | $63.90 | 1.44x | $28.22 | $340.1K | 5.6K | 2.4K |
| 2020 | $95.12 | $69.61 | 1.37x | $25.51 | $307.7K | 4.3K | 2.3K |
| 2021 | $104.93 | $80.22 | 1.31x | $24.71 | $523.2K | 6.6K | 3.1K |
| 2022 | $102.74 | $77.72 | 1.32x | $25.02 | $506.9K | 6.6K | 3.2K |
| 2023 | $101.29 | $70.34 | 1.44x | $30.95 | $526.6K | 7.4K | 3.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 12.1K | $800.1K | $65.91 | 1.37x |
| 11730 | Separation of nail plate from nail bed | 4.9K | $512.2K | $103.85 | 1.38x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.2K | $470.1K | $75.51 | 1.39x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 10.9K | $451.4K | $41.28 | 1.40x |
| 97597 | Removal of tissue from wounds per session | 2.7K | $248.8K | $90.57 | 1.36x |
| 10060 | Drainage of abscess | 1.2K | $131.4K | $114.18 | 1.39x |
| 10160 | Aspiration of abscess, blood accumulation, blister, or cyst | 856 | $105.0K | $122.70 | 1.40x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 987 | $102.3K | $103.67 | 1.37x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.9K | $89.4K | $31.08 | 1.52x |
| 17110 | Destruction of up to 14 skin growths | 614 | $65.0K | $105.86 | 1.40x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 785 | $62.7K | $79.85 | 1.38x |
| 11055 | Removal of single thickened skin growth | 752 | $41.7K | $55.45 | 1.36x |
| 11057 | Removal of more than 4 thickened skin growths | 571 | $41.1K | $72.01 | 1.36x |
| 73620 | X-ray of foot, 2 views | 702 | $18.3K | $26.01 | 1.39x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 279 | $17.2K | $61.79 | 1.42x |
| 10140 | Drainage of blood or fluid accumulation | 67 | $10.3K | $153.20 | 1.37x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 201 | $9.9K | $49.19 | 1.50x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 114 | $6.1K | $53.60 | 1.42x |
| 11719 | Trimming of fingernails or toenails | 840 | $5.5K | $6.58 | 2.78x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 45 | $5.4K | $118.94 | 1.34x |
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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