This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Medicare payments to this provider grew 945% from 2016 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 227% in 2017
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $91.29 | $60.94 | 1.50x | $30.35 | $94.7K | 1.8K | 1.5K |
| 2017 | $81.57 | $52.58 | 1.55x | $28.99 | $310.0K | 6.2K | 3.9K |
| 2018 | $91.24 | $57.66 | 1.58x | $33.58 | $541.4K | 11.0K | 5.7K |
| 2019 | $95.23 | $61.56 | 1.55x | $33.67 | $660.9K | 12.8K | 6.7K |
| 2020 | $102.38 | $66.65 | 1.54x | $35.73 | $563.0K | 9.3K | 5.4K |
| 2021 | $115.96 | $85.75 | 1.35x | $30.21 | $944.1K | 13.8K | 5.5K |
| 2022 | $165.44 | $75.48 | 2.19x | $89.96 | $1.0M | 15.1K | 6.1K |
| 2023 | $168.39 | $68.68 | 2.45x | $99.71 | $990.3K | 15.4K | 8.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 17.9K | $1.3M | $71.35 | 1.85x |
| 11056 | Removal of 2 to 4 thickened skin growths | 23.1K | $1.2M | $53.19 | 1.87x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 24.7K | $943.7K | $38.14 | 1.74x |
| 11755 | Biopsy of finger or toe nail | 5.7K | $628.1K | $110.46 | 1.69x |
| 93923 | Ultrasound study of arteries of both arms and legs | 4.0K | $480.5K | $120.36 | 1.62x |
| 11765 | Removal of skin of finger or toe nail | 998 | $143.4K | $143.69 | 1.62x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $117.0K | $87.95 | 1.72x |
| 11055 | Removal of noncancer thickened skin growth, 1 growth | 1.9K | $113.6K | $61.27 | 2.37x |
| 99347 | Established patient home visit, typically 15 minutes | 1.1K | $45.9K | $42.31 | 1.86x |
| 11730 | Separation of nail plate from nail bed | 266 | $23.7K | $88.95 | 1.64x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 840 | $22.6K | $26.93 | 2.04x |
| 99348 | Established patient home visit, typically 25 minutes | 314 | $18.7K | $59.55 | 1.49x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 164 | $18.1K | $110.44 | 2.17x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 351 | $13.2K | $37.60 | 2.52x |
| 99342 | New patient home visit, typically 30 minutes | 192 | $11.8K | $61.20 | 1.48x |
| 29550 | Strapping of toes | 1.3K | $11.0K | $8.40 | 3.54x |
| 99334 | Established patient assisted living visit, typically 15 minutes | 207 | $9.8K | $47.38 | 1.58x |
| 11057 | Removal of noncancer thickened skin growth, more than 4 growths | 123 | $8.8K | $71.39 | 2.52x |
| 99341 | New patient home visit, typically 20 minutes | 129 | $5.6K | $43.18 | 2.00x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 168 | $4.8K | $28.71 | 1.74x |
This provider submits charges 1.8 times higher than what Medicare actually pays.
A markup ratio of 1.8x means for every $100 Medicare pays, this provider initially charges $180. 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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