This provider averages 177 services per working day
Based on 443.3K total services over 10 years (250 working days/year). Learn about impossible service volumes โ
This provider's $16.0M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.
Averaging 177 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 166% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 52% in 2018
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $181.94 | $78.55 | 2.32x | $103.39 | $858.2K | 20.4K | 6.7K |
| 2015 | $181.26 | $73.13 | 2.48x | $108.13 | $1.2M | 29.8K | 8.2K |
| 2016 | $205.74 | $77.19 | 2.67x | $128.55 | $1.2M | 30.9K | 8.3K |
| 2017 | $228.54 | $78.21 | 2.92x | $150.33 | $972.1K | 25.8K | 9.3K |
| 2018 | $223.87 | $72.26 | 3.10x | $151.61 | $1.5M | 41.1K | 13.2K |
| 2019 | $246.06 | $87.91 | 2.80x | $158.15 | $1.8M | 48.0K | 16.5K |
| 2020 | $273.18 | $102.87 | 2.66x | $170.31 | $2.1M | 59.2K | 20.8K |
| 2021 | $282.03 | $95.03 | 2.97x | $187.00 | $2.0M | 62.8K | 19.3K |
| 2022 | $270.18 | $97.04 | 2.78x | $173.14 | $2.2M | 66.7K | 19.6K |
| 2023 | $279.91 | $90.39 | 3.10x | $189.52 | $2.3M | 58.7K | 18.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11056 | Removal of 2 to 4 thickened skin growths | 32.8K | $1.7M | $51.70 | 1.66x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 65.9K | $1.3M | $19.95 | 2.40x |
| 93923 | Ultrasound study of arteries of both arms and legs | 11.3K | $1.3M | $111.57 | 2.24x |
| 97597 | Removal of tissue from wounds per session | 17.3K | $1.2M | $67.95 | 1.41x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 9.5K | $890.3K | $93.43 | 1.87x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 13.9K | $817.7K | $58.94 | 1.74x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 19.2K | $669.3K | $34.77 | 1.73x |
| 97022 | Application of whirlpool therapy to 1 or more areas | 47.2K | $560.2K | $11.86 | 2.11x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 14.7K | $508.3K | $34.53 | 1.45x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 20.2K | $504.5K | $25.01 | 1.45x |
| 11760 | Repair of finger or toe nail bed | 3.7K | $456.8K | $122.82 | 2.04x |
| 11057 | Removal of more than 4 thickened skin growths | 7.3K | $418.8K | $57.75 | 2.01x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 14.5K | $399.3K | $27.44 | 1.82x |
| 11730 | Separation of nail plate from nail bed | 4.4K | $358.8K | $82.42 | 1.82x |
| 76881 | Ultrasound of leg or arm | 4.8K | $352.5K | $72.77 | 2.75x |
| 15770 | Creation of skin, fat and muscle graft | 609 | $328.8K | $539.90 | 2.22x |
| G0127 | Trimming of dystrophic nails, any number | 29.3K | $307.0K | $10.49 | 4.77x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 15.8K | $305.6K | $19.32 | 2.59x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 3.8K | $289.1K | $76.05 | 3.29x |
| 11755 | Biopsy of finger or toe nail | 3.0K | $242.5K | $79.87 | 2.50x |
This provider submits charges 2.26 times higher than what Medicare actually pays.
A markup ratio of 2.26x means for every $100 Medicare pays, this provider initially charges $226. 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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