This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 9213% from 2019 to 2023.
76% of their billing comes from a single procedure code (Q4244 — Procenta, per 200 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 771% in 2023
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 |
|---|---|---|---|---|---|---|---|
| 2019 | $56.99 | $37.22 | 1.53x | $19.77 | $31.9K | 858 | 6 |
| 2020 | $55.99 | $30.29 | 1.85x | $25.70 | $58.0K | 1.9K | 7 |
| 2021 | $193.15 | $96.63 | 2.00x | $96.52 | $350.9K | 3.6K | 17 |
| 2022 | $262.30 | $102.57 | 2.56x | $159.73 | $341.3K | 3.3K | 14 |
| 2023 | $3.0K | $2.3K | 1.31x | $702.68 | $3.0M | 1.3K | 6 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| Q4244 | Procenta, per 200 mg | 349 | $2.9M | $8.2K | 1.28x |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 993 | $175.2K | $176.45 | 2.25x |
| 27603 | Drainage of deep abscess or blood accumulation of leg or ankle | 294 | $111.1K | $377.79 | 2.39x |
| 11721 | Removal of fingernails or toenails, 6 or more nails | 2.6K | $85.5K | $33.51 | 1.75x |
| 28002 | Drainage of fluid filled sac below connective tissue in foot joint | 322 | $76.4K | $237.21 | 2.94x |
| 97597 | Removal of tissue from wound, 20.0 sq cm or less | 796 | $68.2K | $85.62 | 1.87x |
| 99349 | Established patient home visit, typically 40 minutes | 620 | $67.1K | $108.19 | 1.79x |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 814 | $57.3K | $70.42 | 3.30x |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 329 | $40.8K | $123.94 | 1.45x |
| 11056 | Removal of noncancer thickened skin growth, 2-4 growths | 487 | $31.3K | $64.32 | 1.89x |
| 99347 | Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 624 | $26.8K | $43.00 | 2.14x |
| 11000 | Removal of inflamed or infected skin, up to 10% of body surface | 760 | $26.7K | $35.09 | 2.60x |
| 15275 | Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less | 203 | $26.6K | $131.13 | 2.29x |
| 99343 | New patient home visit, typically 45 minutes | 233 | $24.1K | $103.42 | 1.83x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 605 | $18.0K | $29.76 | 1.85x |
| 11046 | Removal of muscle and/or tissue, each additional 20.0 sq cm or less | 215 | $14.1K | $65.60 | 1.92x |
| 99348 | Established patient home visit, typically 25 minutes | 179 | $12.4K | $69.51 | 1.81x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 178 | $10.9K | $61.17 | 2.23x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 144 | $4.9K | $34.22 | 2.16x |
| 29580 | Strapping, unna boot | 89 | $3.6K | $40.80 | 2.77x |
This provider submits charges 1.5 times higher than what Medicare actually pays.
A markup ratio of 1.5x means for every $100 Medicare pays, this provider initially charges $150. 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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