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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Simon Becker
๐Ÿฆถ
DPMIndividual

Simon Becker, DPM

NPI: 1982605697
West Orange, NJ
10 years of data
Podiatry
$6.5M
Total Payments
60.7K
Beneficiaries
126.8K
Services
1.7x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$6.5M
Specialty median$90.2K

๐Ÿ“‹ Key Findings

1Billed $6.5M over 10 years
21.7x markup ratio
399th percentile in Podiatry by payments
451 services/day โ€” unusually high
51 procedure with >3x markup

This provider averages 51 services per working day

Based on 126.8K total services over 10 years (250 working days/year). Learn about impossible service volumes โ†’

๐Ÿ”Ž Data Analysis

This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Podiatry providers nationally.

Averaging 51 services per working day raises questions about billing patterns.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$94.67$57.151.66x$37.52$701.6K14.1K6.3K
2015$88.05$55.911.57x$32.14$686.5K14.1K7.5K
2016$91.02$56.711.61x$34.31$664.8K13.8K7.8K
2017$91.05$52.031.75x$39.02$703.6K14.6K7.4K
2018$80.79$45.341.78x$35.45$660.4K14.8K6.1K
2019$93.51$53.071.76x$40.44$742.9K14.2K5.9K
2020$90.46$50.501.79x$39.96$483.1K9.0K4.6K
2021$167.35$108.951.54x$58.40$697.2K9.2K4.2K
2022$98.92$53.991.83x$44.93$521.1K10.6K5.4K
2023$98.49$53.811.83x$44.68$605.4K12.4K5.6K

Top Procedures (20)

11730Separation of nail plate from nail bed
$1.1M
12.2K services$90.05/svc1.46x markup
11056Removal of 2 to 4 thickened skin growths
$640.4K
14.9K services$42.85/svc1.86x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$600.7K
15.7K services$38.38/svc1.40x markup
10060Drainage of abscess
$586.6K
5.7K services$102.65/svc1.43x markup
93923Ultrasound study of arteries of both arms and legs
$558.6K
5.4K services$103.11/svc1.49x markup
11721Removal of tissue from 6 or more finger or toe nails
$445.7K
11.6K services$38.51/svc1.38x markup
97597Removal of tissue from wounds per session
$430.7K
5.6K services$77.44/svc1.36x markup
11000Removal of inflamed or infected skin, up to 10% of body surface
$318.6K
12.3K services$25.89/svc2.54x markup
64450Injection of anesthetic agent, other peripheral nerve or branch
$308.2K
5.4K services$57.11/svc2.75x markup
20550Injections of tendon sheath, ligament, or muscle membrane
$213.8K
6.2K services$34.23/svc2.77x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$211.7K
3.3K services$64.73/svc1.40x markup
17000Destruction of skin growth
$181.5K
4.4K services$40.95/svc2.20x markup
Q4206Fluid flow or fluid gf, 1 cc
$167.3K
105 services$1.6K/svc1.26x markup
11720Removal of tissue from 1 to 5 finger or toe nails
$135.4K
4.8K services$28.09/svc1.37x markup
99203New patient office or other outpatient visit, typically 30 minutes
$124.7K
1.4K services$88.27/svc1.47x markup
20605Aspiration and/or injection of medium joint or joint capsule
$104.2K
2.7K services$38.93/svc2.93x markup
11100Biopsy of single growth of skin and/or tissue
$45.7K
553 services$82.61/svc1.44x markup
76882Ultrasound of arm or leg
$39.5K
1.0K services$38.58/svc1.62x markup
11719Trimming of fingernails or toenailsโš  3.9x markup
$30.3K
4.8K services$6.31/svc3.86x markup
99214Established patient outpatient visit, total time 30-39 minutes
$28.0K
262 services$107.00/svc1.49x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
11730Separation of nail plate from nail bed12.2K$1.1M$90.051.46x
11056Removal of 2 to 4 thickened skin growths14.9K$640.4K$42.851.86x
99212Established patient office or other outpatient visit, typically 10 minutes15.7K$600.7K$38.381.40x
10060Drainage of abscess5.7K$586.6K$102.651.43x
93923Ultrasound study of arteries of both arms and legs5.4K$558.6K$103.111.49x
11721Removal of tissue from 6 or more finger or toe nails11.6K$445.7K$38.511.38x
97597Removal of tissue from wounds per session5.6K$430.7K$77.441.36x
11000Removal of inflamed or infected skin, up to 10% of body surface12.3K$318.6K$25.892.54x
64450Injection of anesthetic agent, other peripheral nerve or branch5.4K$308.2K$57.112.75x
20550Injections of tendon sheath, ligament, or muscle membrane6.2K$213.8K$34.232.77x
99213Established patient office or other outpatient visit, typically 15 minutes3.3K$211.7K$64.731.40x
17000Destruction of skin growth4.4K$181.5K$40.952.20x
Q4206Fluid flow or fluid gf, 1 cc105$167.3K$1.6K1.26x
11720Removal of tissue from 1 to 5 finger or toe nails4.8K$135.4K$28.091.37x
99203New patient office or other outpatient visit, typically 30 minutes1.4K$124.7K$88.271.47x
20605Aspiration and/or injection of medium joint or joint capsule2.7K$104.2K$38.932.93x
11100Biopsy of single growth of skin and/or tissue553$45.7K$82.611.44x
76882Ultrasound of arm or leg1.0K$39.5K$38.581.62x
11719Trimming of fingernails or toenails4.8K$30.3K$6.313.86x
99214Established patient outpatient visit, total time 30-39 minutes262$28.0K$107.001.49x

Markup Analysis

Charge-to-Payment Ratio

1.7x

This provider submits charges 1.7 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.7x means for every $100 Medicare pays, this provider initially charges $170. This is lower than the national average.

Location

West Orange, NJ

Provider Verification

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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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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