This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 218% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 160% in 2015
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 | $68.80 | $42.67 | 1.61x | $26.13 | $128.2K | 3.5K | 2.0K |
| 2015 | $83.33 | $47.86 | 1.74x | $35.47 | $333.3K | 8.5K | 4.8K |
| 2016 | $82.62 | $48.36 | 1.71x | $34.26 | $342.9K | 9.1K | 4.4K |
| 2017 | $79.41 | $50.24 | 1.58x | $29.17 | $337.8K | 8.5K | 4.1K |
| 2018 | $76.91 | $52.57 | 1.46x | $24.34 | $354.8K | 8.7K | 3.8K |
| 2019 | $72.20 | $49.78 | 1.45x | $22.42 | $345.6K | 8.5K | 3.7K |
| 2020 | $81.55 | $54.38 | 1.50x | $27.17 | $254.1K | 6.0K | 3.2K |
| 2021 | $76.54 | $46.21 | 1.66x | $30.33 | $378.7K | 9.0K | 4.8K |
| 2022 | $83.91 | $49.42 | 1.70x | $34.49 | $414.4K | 11.5K | 5.2K |
| 2023 | $84.08 | $43.32 | 1.94x | $40.76 | $407.9K | 11.4K | 6.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 26.6K | $907.3K | $34.17 | 1.61x |
| 11055 | Removal of single thickened skin growth | 16.0K | $675.1K | $42.14 | 1.66x |
| 11056 | Removal of 2 to 4 thickened skin growths | 11.7K | $626.8K | $53.39 | 1.57x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 4.8K | $267.7K | $55.97 | 1.69x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 9.8K | $256.0K | $26.19 | 1.67x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 4.2K | $138.0K | $33.21 | 1.54x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 1.8K | $128.5K | $72.44 | 1.48x |
| G0127 | Trimming of dystrophic nails, any number | 6.5K | $81.2K | $12.53 | 3.90x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 601 | $65.5K | $109.00 | 1.52x |
| 11057 | Removal of more than 4 thickened skin growths | 819 | $50.1K | $61.20 | 1.59x |
| 11730 | Separation of nail plate from nail bed | 377 | $23.6K | $62.58 | 1.79x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 525 | $18.5K | $35.31 | 1.66x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 243 | $12.1K | $49.99 | 1.47x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 188 | $11.5K | $61.23 | 1.44x |
| 17250 | Application of chemical agent to excessive wound tissue | 99 | $6.8K | $69.13 | 1.51x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 72 | $6.6K | $91.60 | 1.63x |
| 10060 | Drainage of abscess | 50 | $4.2K | $83.81 | 1.68x |
| 99324 | New patient assisted living visit, typically 20 minutes | 79 | $3.6K | $45.88 | 1.42x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 51 | $3.3K | $64.94 | 1.41x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 46 | $2.8K | $60.67 | 1.32x |
This provider submits charges 1.67 times higher than what Medicare actually pays.
A markup ratio of 1.67x means for every $100 Medicare pays, this provider initially charges $167. This is lower 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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