This provider averages 70 services per working day
Based on 175.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $11.3M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Their average markup ratio of 7.76x is significantly above the specialty median of 2.3x.
Averaging 70 services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 85% 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 | $712.15 | $128.98 | 5.52x | $583.17 | $681.3K | 13.8K | 2.4K |
| 2015 | $868.57 | $111.45 | 7.79x | $757.12 | $1.3M | 22.9K | 3.4K |
| 2016 | $1.7K | $115.19 | 15.13x | $1.6K | $1.3M | 25.0K | 3.7K |
| 2017 | $1.4K | $117.91 | 12.16x | $1.3K | $1.3M | 26.2K | 4.0K |
| 2018 | $442.94 | $138.18 | 3.21x | $304.76 | $1.7M | 22.1K | 4.2K |
| 2019 | $258.20 | $94.99 | 2.72x | $163.21 | $1.3M | 17.3K | 3.3K |
| 2020 | $244.39 | $92.05 | 2.65x | $152.34 | $962.6K | 12.2K | 2.5K |
| 2021 | $277.00 | $91.75 | 3.02x | $185.25 | $1.1M | 13.9K | 2.8K |
| 2022 | $231.25 | $88.33 | 2.62x | $142.92 | $967.2K | 12.3K | 2.6K |
| 2023 | $196.25 | $62.18 | 3.16x | $134.07 | $690.3K | 10.2K | 3.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11042 | Removal of skin and tissue first 20 sq cm or less | 27.5K | $2.4M | $88.73 | 3.90x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 35.8K | $2.3M | $63.61 | 7.13x |
| 29581 | Application of vein wound compression system lower leg below knee including ankle and foot | 46.2K | $1.7M | $36.96 | 7.47x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 22.7K | $1.6M | $68.91 | 15.49x |
| 15275 | Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) | 12.7K | $1.1M | $88.92 | 13.11x |
| Q4131 | Epifix or epicord, per square centimeter | 3.3K | $423.7K | $127.44 | 3.92x |
| 11045 | Removal of skin and tissue | 10.1K | $360.0K | $35.76 | 2.96x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.2K | $251.7K | $113.98 | 5.04x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.3K | $214.9K | $92.04 | 3.93x |
| 93923 | Ultrasound study of arteries of both arms and legs | 1.3K | $162.8K | $124.48 | 6.64x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 817 | $110.7K | $135.55 | 8.25x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 2.7K | $106.4K | $38.70 | 2.89x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.4K | $86.1K | $61.89 | 4.32x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 542 | $80.8K | $149.09 | 5.77x |
| 13160 | Second repair of surgical wound | 79 | $54.4K | $688.46 | 7.05x |
| 28820 | Amputation of foot | 175 | $48.1K | $274.76 | 9.85x |
| Q4133 | Grafix prime, per square centimeter | 445 | $43.7K | $98.10 | 5.02x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1.4K | $41.9K | $29.01 | 3.35x |
| 28313 | Reconstruction of soft tissue angular deformity of toe | 110 | $41.5K | $376.88 | 4.41x |
| 11056 | Removal of 2 to 4 thickened skin growths | 690 | $41.4K | $60.05 | 2.73x |
This provider submits charges 7.76 times higher than what Medicare actually pays.
A markup ratio of 7.76x means for every $100 Medicare pays, this provider initially charges $776. This is higher 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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