This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 64% from 2014 to 2023.
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 | $99.19 | $58.21 | 1.70x | $40.98 | $291.6K | 7.1K | 2.5K |
| 2015 | $96.41 | $52.16 | 1.85x | $44.25 | $305.8K | 7.1K | 2.3K |
| 2016 | $98.90 | $41.61 | 2.38x | $57.29 | $296.5K | 7.1K | 2.2K |
| 2017 | $121.14 | $54.55 | 2.22x | $66.59 | $340.0K | 7.9K | 2.5K |
| 2018 | $118.74 | $58.47 | 2.03x | $60.27 | $385.3K | 8.0K | 2.5K |
| 2019 | $115.03 | $61.30 | 1.88x | $53.73 | $391.2K | 7.9K | 2.4K |
| 2020 | $113.47 | $56.64 | 2.00x | $56.83 | $349.0K | 6.3K | 2.3K |
| 2021 | $117.70 | $60.87 | 1.93x | $56.83 | $445.8K | 7.2K | 2.6K |
| 2022 | $121.52 | $72.79 | 1.67x | $48.73 | $466.0K | 7.4K | 2.5K |
| 2023 | $122.36 | $55.33 | 2.21x | $67.03 | $478.5K | 7.8K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 30.6K | $1.9M | $63.66 | 1.69x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 22.8K | $694.0K | $30.41 | 2.77x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.1K | $397.6K | $77.39 | 1.59x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 5.3K | $218.2K | $41.35 | 2.03x |
| 11730 | Separation of nail plate from nail bed | 1.8K | $182.1K | $98.53 | 1.39x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $133.4K | $100.24 | 1.83x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $52.3K | $41.45 | 1.97x |
| 11055 | Removal of single thickened skin growth | 1.2K | $49.9K | $42.95 | 2.13x |
| G0127 | Trimming of dystrophic nails, any number | 3.5K | $38.7K | $11.11 | 3.09x |
| 10060 | Drainage of abscess | 93 | $10.4K | $112.21 | 1.71x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 64 | $4.2K | $65.82 | 1.45x |
| 29540 | Strapping of ankle and/or foot | 127 | $3.4K | $27.01 | 5.50x |
| 11719 | Trimming of fingernails or toenails | 525 | $3.3K | $6.21 | 9.81x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 27 | $2.8K | $104.28 | 1.34x |
| 93922 | Ultrasound study of arteries of both arms and legs | 34 | $2.7K | $79.54 | 1.82x |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 20 | $1.8K | $88.63 | 1.86x |
| 11420 | Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals | 15 | $1.5K | $99.97 | 1.54x |
| 29550 | Strapping of toes | 66 | $1.4K | $21.49 | 3.64x |
| 97597 | Removal of tissue from wounds per session | 19 | $1.4K | $71.66 | 1.93x |
| 11100 | Biopsy of single growth of skin and/or tissue | 11 | $1.0K | $91.13 | 1.53x |
This provider submits charges 1.92 times higher than what Medicare actually pays.
A markup ratio of 1.92x means for every $100 Medicare pays, this provider initially charges $192. 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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