This provider's $8.7M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 75% from 2014 to 2023.
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 | $167.32 | $67.20 | 2.49x | $100.12 | $630.8K | 5.7K | 1.4K |
| 2015 | $191.84 | $81.28 | 2.36x | $110.56 | $595.1K | 5.5K | 1.4K |
| 2016 | $201.36 | $81.43 | 2.47x | $119.93 | $701.8K | 5.6K | 1.3K |
| 2017 | $196.76 | $79.50 | 2.47x | $117.26 | $730.5K | 6.0K | 1.4K |
| 2018 | $204.75 | $83.76 | 2.44x | $120.99 | $877.0K | 7.0K | 1.6K |
| 2019 | $190.82 | $79.03 | 2.41x | $111.79 | $871.4K | 7.4K | 1.7K |
| 2020 | $193.89 | $83.59 | 2.32x | $110.30 | $1.1M | 8.2K | 1.6K |
| 2021 | $187.75 | $82.14 | 2.29x | $105.61 | $1.1M | 8.2K | 1.5K |
| 2022 | $193.01 | $85.83 | 2.25x | $107.18 | $1.0M | 8.0K | 1.7K |
| 2023 | $187.09 | $79.00 | 2.37x | $108.09 | $1.1M | 8.9K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 27.0K | $4.8M | $176.75 | 2.04x |
| 11044 | Removal of skin and bone first 20 sq cm or less | 6.9K | $1.7M | $248.46 | 1.85x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 11.5K | $795.3K | $69.10 | 2.89x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 11.3K | $682.2K | $60.19 | 2.51x |
| 11046 | Removal of skin and/or muscle | 4.1K | $236.0K | $57.54 | 2.09x |
| 99183 | Management and supervision of oxygen chamber therapy per session | 2.4K | $227.5K | $95.03 | 2.11x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 2.2K | $81.1K | $37.56 | 2.26x |
| 11047 | Removal of skin and bone | 353 | $37.7K | $106.76 | 1.87x |
| 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) | 455 | $36.7K | $80.57 | 3.10x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.4K | $35.7K | $26.07 | 3.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 319 | $21.1K | $66.12 | 3.40x |
| 11045 | Removal of skin and tissue | 638 | $20.4K | $32.01 | 1.66x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 297 | $14.9K | $50.14 | 3.00x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 246 | $6.6K | $26.70 | 2.81x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 793 | $6.5K | $8.16 | 5.52x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 261 | $5.5K | $21.12 | 4.74x |
| 11055 | Removal of single thickened skin growth | 116 | $5.3K | $45.79 | 2.40x |
| G0127 | Trimming of dystrophic nails, any number | 199 | $3.6K | $18.12 | 2.76x |
| 15271 | Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) | 49 | $3.6K | $73.22 | 1.64x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 45 | $3.6K | $79.62 | 2.32x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. This is higher 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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