This provider's $4.2M 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 | $79.81 | $55.08 | 1.45x | $24.73 | $381.2K | 8.7K | 3.5K |
| 2015 | $80.85 | $53.88 | 1.50x | $26.97 | $364.4K | 8.0K | 3.6K |
| 2016 | $83.60 | $54.57 | 1.53x | $29.03 | $381.9K | 8.3K | 3.5K |
| 2017 | $87.44 | $58.15 | 1.50x | $29.29 | $392.0K | 8.4K | 3.6K |
| 2018 | $86.46 | $59.21 | 1.46x | $27.25 | $394.4K | 8.2K | 3.6K |
| 2019 | $91.13 | $61.43 | 1.48x | $29.70 | $433.7K | 8.5K | 3.8K |
| 2020 | $90.61 | $61.30 | 1.48x | $29.31 | $414.0K | 7.5K | 4.1K |
| 2021 | $103.51 | $65.41 | 1.58x | $38.10 | $474.3K | 8.2K | 4.1K |
| 2022 | $95.44 | $57.61 | 1.66x | $37.83 | $457.6K | 8.2K | 4.1K |
| 2023 | $103.54 | $60.76 | 1.70x | $42.78 | $457.6K | 8.5K | 4.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 11721 | Removal of tissue from 6 or more finger or toe nails | 41.6K | $1.7M | $40.58 | 1.42x |
| 99304 | Initial nursing facility visit, typically 25 minutes per day | 7.0K | $576.3K | $82.03 | 1.39x |
| 11056 | Removal of 2 to 4 thickened skin growths | 6.8K | $432.0K | $63.23 | 1.41x |
| 11055 | Removal of single thickened skin growth | 6.0K | $321.1K | $53.07 | 1.40x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 3.7K | $235.8K | $64.15 | 1.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.7K | $190.5K | $69.88 | 1.45x |
| 97597 | Removal of tissue from wounds per session | 1.6K | $130.3K | $79.94 | 1.39x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.2K | $129.6K | $40.17 | 1.44x |
| 99307 | Subsequent nursing facility visit, typically 10 minutes per day | 2.4K | $97.1K | $40.04 | 1.40x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 538 | $64.0K | $118.96 | 1.36x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 643 | $57.9K | $90.00 | 1.54x |
| 11720 | Removal of tissue from 1 to 5 finger or toe nails | 1.5K | $44.9K | $30.22 | 1.38x |
| 11057 | Removal of more than 4 thickened skin growths | 556 | $39.4K | $70.87 | 1.39x |
| 17110 | Destruction of up to 14 skin growths | 365 | $36.0K | $98.73 | 1.41x |
| 73620 | X-ray of foot, 2 views | 768 | $18.4K | $23.96 | 1.48x |
| 11042 | Removal of skin and tissue first 20 sq cm or less | 152 | $15.7K | $103.32 | 1.41x |
| 20600 | Aspiration and/or injection of small joint or joint capsule | 345 | $15.3K | $44.21 | 1.48x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 110 | $13.5K | $123.00 | 1.34x |
| 97022 | Application of whirlpool therapy to 1 or more areas | 605 | $12.2K | $20.21 | 1.40x |
| 11719 | Trimming of fingernails or toenails | 974 | $10.9K | $11.23 | 1.74x |
This provider submits charges 1.43 times higher than what Medicare actually pays.
A markup ratio of 1.43x means for every $100 Medicare pays, this provider initially charges $143. This is lower 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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