This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 461% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 222% in 2019
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 | $83.90 | $47.01 | 1.78x | $36.89 | $135.1K | 3.1K | 1.3K |
| 2015 | $82.40 | $44.95 | 1.83x | $37.45 | $154.1K | 3.6K | 1.2K |
| 2016 | $112.02 | $66.59 | 1.68x | $45.43 | $143.0K | 2.5K | 957 |
| 2017 | $101.13 | $54.90 | 1.84x | $46.23 | $201.2K | 4.1K | 958 |
| 2018 | $102.06 | $57.36 | 1.78x | $44.70 | $107.4K | 2.2K | 710 |
| 2019 | $100.45 | $59.04 | 1.70x | $41.41 | $346.0K | 7.7K | 868 |
| 2020 | $114.78 | $72.76 | 1.58x | $42.02 | $424.5K | 9.0K | 993 |
| 2021 | $106.79 | $65.95 | 1.62x | $40.84 | $611.7K | 12.8K | 856 |
| 2022 | $83.04 | $49.97 | 1.66x | $33.07 | $518.6K | 11.0K | 589 |
| 2023 | $83.03 | $47.56 | 1.75x | $35.47 | $757.8K | 17.4K | 485 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99348 | Established patient home visit, typically 25 minutes | 19.0K | $1.4M | $74.62 | 1.47x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 17.0K | $933.8K | $54.86 | 1.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.2K | $400.2K | $77.53 | 1.43x |
| 20605 | Aspiration and/or injection of medium joint or joint capsule | 3.7K | $185.0K | $50.28 | 1.99x |
| 11057 | Removal of more than 4 thickened skin growths | 2.1K | $148.7K | $70.93 | 1.52x |
| 99347 | Established patient home visit, typically 15 minutes | 1.4K | $71.3K | $49.54 | 2.02x |
| 11730 | Separation of nail plate from nail bed | 626 | $61.6K | $98.34 | 1.42x |
| 11750 | Removal of nail | 313 | $47.5K | $151.75 | 1.81x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 1.0K | $43.1K | $41.42 | 1.81x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 735 | $22.4K | $30.44 | 1.64x |
| 11056 | Removal of 2 to 4 thickened skin growths | 404 | $22.3K | $55.17 | 1.40x |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 20.4K | $21.7K | $1.07 | 11.75x |
| 11719 | Trimming of fingernails or toenails | 1.4K | $12.2K | $8.59 | 5.82x |
| 99345 | New patient home visit, typically 75 minutes | 33 | $6.6K | $198.80 | 1.38x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 114 | $4.6K | $40.16 | 2.49x |
This provider submits charges 1.7 times higher than what Medicare actually pays.
A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. 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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