This provider's $3.3M 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.
Notable: Payments increased 96% in 2021
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 | $50.03 | $38.80 | 1.29x | $11.23 | $433.1K | 14.6K | 8.2K |
| 2015 | $49.63 | $37.90 | 1.31x | $11.73 | $401.2K | 13.6K | 7.8K |
| 2016 | $47.08 | $31.42 | 1.50x | $15.66 | $285.4K | 9.9K | 6.0K |
| 2017 | $52.62 | $39.16 | 1.34x | $13.46 | $258.5K | 8.6K | 4.9K |
| 2018 | $46.74 | $35.26 | 1.33x | $11.48 | $332.7K | 11.1K | 5.8K |
| 2019 | $61.71 | $43.69 | 1.41x | $18.02 | $378.1K | 11.4K | 5.9K |
| 2020 | $59.08 | $46.22 | 1.28x | $12.86 | $173.2K | 4.9K | 3.3K |
| 2021 | $71.69 | $48.64 | 1.47x | $23.05 | $339.8K | 9.7K | 4.5K |
| 2022 | $69.35 | $48.83 | 1.42x | $20.52 | $347.6K | 9.9K | 4.9K |
| 2023 | $65.34 | $37.54 | 1.74x | $27.80 | $354.9K | 10.2K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 27.2K | $942.9K | $34.70 | 1.36x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 33.9K | $852.3K | $25.12 | 1.35x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 16.9K | $582.1K | $34.47 | 1.34x |
| 11055 | Removal of single thickened skin growth | 11.5K | $503.5K | $43.62 | 1.37x |
| 11056 | Removal of 2 to 4 thickened skin growths | 3.1K | $164.6K | $52.40 | 1.36x |
| G0127 | Trimming of dystrophic nails, any number | 8.3K | $127.6K | $15.40 | 1.52x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 854 | $49.1K | $57.48 | 1.40x |
| 11057 | Removal of more than 4 thickened skin growths | 441 | $27.4K | $62.24 | 1.37x |
| 11730 | Separation of nail plate from nail bed | 282 | $24.1K | $85.59 | 1.37x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 489 | $21.8K | $44.50 | 1.35x |
| 11719 | Trimming of fingernails or toenails | 731 | $6.3K | $8.64 | 1.58x |
| 99341 | Residence visit for new patient with straightforward medical decision making, per day, if using time, at least 15 minutes | 46 | $1.8K | $38.10 | 1.75x |
| 11740 | Removal of blood accumulation between nail and nail bed | 27 | $1.1K | $39.31 | 1.34x |
This provider submits charges 1.36 times higher than what Medicare actually pays.
A markup ratio of 1.36x means for every $100 Medicare pays, this provider initially charges $136. 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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