This provider's $4.1M 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 | $97.51 | $65.61 | 1.49x | $31.90 | $349.4K | 6.2K | 2.0K |
| 2015 | $93.54 | $64.56 | 1.45x | $28.98 | $366.2K | 6.4K | 2.1K |
| 2016 | $88.60 | $60.88 | 1.46x | $27.72 | $396.0K | 6.9K | 2.3K |
| 2017 | $77.78 | $52.80 | 1.47x | $24.98 | $418.5K | 7.8K | 2.6K |
| 2018 | $97.93 | $66.20 | 1.48x | $31.73 | $430.0K | 8.1K | 2.7K |
| 2019 | $93.15 | $62.61 | 1.49x | $30.54 | $426.8K | 8.0K | 2.5K |
| 2020 | $88.85 | $61.65 | 1.44x | $27.20 | $414.5K | 7.7K | 2.6K |
| 2021 | $102.26 | $68.99 | 1.48x | $33.27 | $489.7K | 9.0K | 3.1K |
| 2022 | $97.99 | $62.22 | 1.57x | $35.77 | $432.2K | 8.2K | 2.7K |
| 2023 | $98.27 | $66.33 | 1.48x | $31.94 | $327.5K | 6.4K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99335 | Established patient assisted living visit, typically 25 minutes | 21.3K | $1.6M | $74.96 | 1.41x |
| 11721 | Removal of tissue from 6 or more finger or toe nails | 30.0K | $1.0M | $34.60 | 1.43x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 12.3K | $693.1K | $56.32 | 1.53x |
| 99348 | Established patient home visit, typically 25 minutes | 8.6K | $541.8K | $62.79 | 1.45x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.0K | $76.0K | $74.73 | 1.62x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 716 | $53.3K | $74.44 | 1.40x |
| 97597 | Removal of tissue from wounds per session | 347 | $21.5K | $61.84 | 1.43x |
| 99342 | Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes | 171 | $10.2K | $59.78 | 1.43x |
| 11755 | Biopsy of finger or toe nail | 86 | $8.3K | $96.52 | 1.45x |
| 10060 | Drainage of abscess | 41 | $3.7K | $90.01 | 1.40x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 30 | $3.6K | $121.56 | 1.51x |
| 73630 | X-ray of foot, minimum of 3 views | 117 | $2.4K | $20.40 | 1.70x |
| 11730 | Separation of nail plate from nail bed | 25 | $2.2K | $88.09 | 1.37x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | $859.42 | $71.62 | 1.97x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 13 | $549.25 | $42.25 | 1.40x |
This provider submits charges 1.44 times higher than what Medicare actually pays.
A markup ratio of 1.44x means for every $100 Medicare pays, this provider initially charges $144. 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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