This provider's $4.7M 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.
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 | $310.47 | $114.71 | 2.71x | $195.76 | $490.0K | 5.4K | 3.2K |
| 2015 | $175.71 | $130.17 | 1.35x | $45.54 | $464.2K | 5.0K | 3.3K |
| 2016 | $175.65 | $117.88 | 1.49x | $57.77 | $426.6K | 4.6K | 3.0K |
| 2017 | $170.58 | $95.40 | 1.79x | $75.18 | $396.5K | 4.5K | 3.0K |
| 2018 | $130.94 | $94.52 | 1.39x | $36.42 | $459.9K | 5.1K | 3.5K |
| 2019 | $131.94 | $102.27 | 1.29x | $29.67 | $478.4K | 5.0K | 3.4K |
| 2020 | $225.18 | $101.37 | 2.22x | $123.81 | $472.0K | 5.2K | 3.3K |
| 2021 | $231.95 | $105.59 | 2.20x | $126.36 | $519.7K | 5.4K | 3.4K |
| 2022 | $232.00 | $102.34 | 2.27x | $129.66 | $518.3K | 5.5K | 3.6K |
| 2023 | $231.11 | $98.63 | 2.34x | $132.48 | $479.4K | 5.5K | 3.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11765 | Removal of skin of finger or toe nail | 8.1K | $1.2M | $151.50 | 1.82x |
| 99348 | Established patient home visit, typically 25 minutes | 13.2K | $929.5K | $70.43 | 2.38x |
| 11730 | Separation of nail plate from nail bed | 9.5K | $916.7K | $96.03 | 1.76x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 3.5K | $385.7K | $111.29 | 1.73x |
| 99347 | Established patient home visit, typically 15 minutes | 7.8K | $363.3K | $46.66 | 1.72x |
| 99342 | New patient home visit, typically 30 minutes | 3.2K | $214.1K | $67.05 | 2.03x |
| 11750 | Removal of nail | 1.2K | $189.9K | $154.02 | 1.94x |
| 10060 | Drainage of abscess | 1.4K | $153.0K | $106.28 | 1.55x |
| 97597 | Removal of tissue from wounds per session | 1.5K | $130.2K | $89.16 | 1.56x |
| 99343 | New patient home visit, typically 45 minutes | 923 | $101.4K | $109.89 | 1.81x |
| 99349 | Established patient home visit, typically 40 minutes | 501 | $53.2K | $106.21 | 3.36x |
| G0181 | Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of c | 253 | $23.5K | $92.97 | 1.38x |
| 11043 | Removal of skin and/or muscle first 20 sq cm or less | 86 | $18.2K | $211.91 | 2.08x |
| 11760 | Repair of finger or toe nail bed | 13 | $2.8K | $213.43 | 1.30x |
This provider submits charges 1.91 times higher than what Medicare actually pays.
A markup ratio of 1.91x means for every $100 Medicare pays, this provider initially charges $191. 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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