This provider's $3.4M 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 | $115.89 | $69.47 | 1.67x | $46.42 | $309.7K | 8.5K | 4.1K |
| 2015 | $72.36 | $43.90 | 1.65x | $28.46 | $327.1K | 9.1K | 4.2K |
| 2016 | $84.60 | $48.64 | 1.74x | $35.96 | $317.6K | 7.8K | 3.3K |
| 2017 | $75.10 | $47.01 | 1.60x | $28.09 | $307.2K | 7.2K | 3.5K |
| 2018 | $121.10 | $62.85 | 1.93x | $58.25 | $319.7K | 7.8K | 3.6K |
| 2019 | $128.72 | $71.12 | 1.81x | $57.60 | $306.4K | 7.1K | 3.2K |
| 2020 | $81.14 | $53.86 | 1.51x | $27.28 | $296.5K | 6.9K | 3.1K |
| 2021 | $105.33 | $58.60 | 1.80x | $46.73 | $354.7K | 7.7K | 3.5K |
| 2022 | $87.15 | $57.38 | 1.52x | $29.77 | $384.3K | 8.3K | 4.1K |
| 2023 | $84.80 | $50.91 | 1.67x | $33.89 | $430.5K | 9.5K | 4.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 17.0K | $601.9K | $35.42 | 1.61x |
| 11055 | Removal of single thickened skin growth | 11.1K | $490.9K | $44.16 | 1.64x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.4K | $317.9K | $58.69 | 1.50x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 13.1K | $315.1K | $24.05 | 1.57x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 9.4K | $304.3K | $32.49 | 1.63x |
| 11056 | Removal of 2 to 4 thickened skin growths | 5.7K | $295.2K | $51.50 | 1.49x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.1K | $247.1K | $80.67 | 1.53x |
| 17110 | Destruction of up to 14 skin growths | 2.7K | $222.5K | $83.04 | 1.52x |
| 11750 | Removal of nail | 611 | $73.8K | $120.83 | 1.50x |
| 11730 | Separation of nail plate from nail bed | 950 | $73.4K | $77.21 | 1.54x |
| 17000 | Destruction of skin growth | 1.4K | $69.3K | $49.54 | 1.54x |
| 97597 | Removal of tissue from wounds per session | 865 | $56.5K | $65.37 | 1.57x |
| 20550 | Injections of tendon sheath, ligament, or muscle membrane | 1.2K | $50.9K | $42.52 | 1.54x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 868 | $46.4K | $53.48 | 1.60x |
| 10061 | Drainage of multiple abscess | 232 | $37.7K | $162.38 | 1.45x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 312 | $33.1K | $106.04 | 1.46x |
| 11719 | Trimming of fingernails or toenails | 2.5K | $23.6K | $9.54 | 1.82x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 345 | $20.2K | $58.53 | 1.41x |
| 73630 | X-ray of foot, minimum of 3 views | 730 | $17.0K | $23.29 | 1.69x |
| 28299 | Correction of bunion | 34 | $17.0K | $499.73 | 2.25x |
This provider submits charges 1.58 times higher than what Medicare actually pays.
A markup ratio of 1.58x means for every $100 Medicare pays, this provider initially charges $158. 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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