This provider's $3.5M 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.
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 | $185.42 | $84.19 | 2.20x | $101.23 | $376.8K | 6.2K | 3.0K |
| 2015 | $171.08 | $81.38 | 2.10x | $89.70 | $338.8K | 5.8K | 2.9K |
| 2016 | $166.42 | $71.35 | 2.33x | $95.07 | $336.2K | 6.0K | 3.3K |
| 2017 | $160.84 | $67.85 | 2.37x | $92.99 | $341.0K | 6.1K | 3.2K |
| 2018 | $231.27 | $69.33 | 3.34x | $161.94 | $326.5K | 5.5K | 3.0K |
| 2019 | $283.90 | $74.41 | 3.82x | $209.49 | $334.7K | 5.3K | 2.7K |
| 2020 | $234.32 | $78.27 | 2.99x | $156.05 | $299.7K | 4.4K | 2.3K |
| 2021 | $261.18 | $86.78 | 3.01x | $174.40 | $361.6K | 4.6K | 2.2K |
| 2022 | $394.44 | $84.69 | 4.66x | $309.75 | $378.6K | 4.9K | 2.3K |
| 2023 | $396.15 | $82.99 | 4.77x | $313.16 | $400.5K | 5.7K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 97597 | Removal of tissue from wounds per session | 6.6K | $545.1K | $82.68 | 3.16x |
| 11057 | Removal of more than 4 thickened skin growths | 6.9K | $320.9K | $46.56 | 3.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $247.4K | $70.92 | 3.65x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 5.9K | $241.4K | $40.82 | 3.30x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 4.8K | $203.7K | $42.22 | 3.78x |
| 17250 | Application of chemical agent to excessive wound tissue | 3.5K | $181.2K | $51.25 | 5.43x |
| 11306 | Shaving of 0.6 centimeters to 1.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 1.8K | $180.9K | $100.52 | 4.06x |
| 11730 | Separation of nail plate from nail bed | 1.8K | $143.1K | $78.64 | 3.06x |
| 17110 | Destruction of up to 14 skin growths | 1.5K | $134.5K | $90.30 | 2.73x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 1.3K | $133.1K | $99.09 | 2.19x |
| 11305 | Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals | 2.0K | $129.7K | $64.54 | 4.57x |
| 11755 | Biopsy of finger or toe nail | 1.2K | $122.3K | $106.02 | 2.55x |
| 17111 | Destruction of 15 or more skin growths | 1.0K | $118.7K | $116.19 | 3.75x |
| 11750 | Removal of nail | 710 | $106.7K | $150.21 | 2.60x |
| 11421 | Removal of growth (0.6 to 1.0 centimeters) of the scalp, neck, hands, feet, or genitals | 662 | $93.4K | $141.06 | 2.50x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 2.9K | $87.6K | $30.08 | 4.54x |
| 11420 | Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals | 933 | $76.9K | $82.43 | 3.79x |
| 11765 | Removal of skin of finger or toe nail | 412 | $63.4K | $153.91 | 2.09x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 594 | $58.3K | $98.19 | 2.45x |
| 11307 | Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals | 385 | $50.4K | $131.01 | 2.71x |
This provider submits charges 3.43 times higher than what Medicare actually pays.
A markup ratio of 3.43x means for every $100 Medicare pays, this provider initially charges $343. This is higher 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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