Medicare pays 40% of your bills. Do you know what that actually costs you?
Podiatry runs on tight margins with heavy Medicare exposure. We track the numbers that keep those margins alive: wound care economics, DME profitability, and per-visit costs.
A 4-minute test your accountant hopes you skip.
At a glance
Is This Right for You?
This service is for podiatry practice owners who recognize these problems:
Need strategic financial leadership? Our Fractional CFO service for podiatry practices may be a better fit.
What's Included
How We Work With Podiatry Practices
Podiatry-specific accounting that goes beyond reconciliation.
Medicare Revenue & Reimbursement Tracking
- •Medicare reimbursement rate tracking by CPT code
- •Medicare vs commercial profitability comparison
- •MIPS quality measure compliance tracking
- •Medicare patient volume and revenue trend analysis
DME & Orthotics Economics
- •Custom orthotic cost per pair (lab, materials, provider time)
- •DME margin analysis by product type
- •Insurance billing success rate for orthotics
- •Inventory and vendor cost tracking
Wound Care Program Financials
- •Revenue per wound care patient (full treatment episode)
- •Visit frequency and duration tracking
- •Supply cost per wound care visit
- •Wound care staffing cost analysis
Multi-Location & Provider Analysis
- •Per-location P&L with overhead allocation
- •Provider productivity and revenue comparison
- •Mid-level provider cost-benefit analysis
Results
What Podiatry Practices Experience
| Metric | Typical Outcome |
|---|---|
| PA restructuring | Adjusted schedule and panel to generate $217K in collections, turning -$30K into +$35K annual contribution |
| Wound care coding | $42,000 in additional annual revenue from proper code selection |
| Orthotic denial reduction | $28,000 recovered through documentation improvement and denial resubmission |
Case Study
See The System In Action
2-podiatrist practice with one PA, two locations, significant wound care and diabetic patient base. Revenue was $1.1M but had been flat for four years despite adding a PA two years ago. The owner assumed Medicare rate cuts were to blame but had not analyzed the real drivers.
What we found:
- •The PA was generating $165K in collections but costing $195K when fully loaded (salary, benefits, supervision time, malpractice). A net drag of $30K per year that was invisible in combined financials
- •Wound care debridement was coded as 97597 (first 20 sq cm) on 92% of cases, even when wound sizes documented in the chart supported higher-level codes. An estimated $42K per year went uncollected
- •Custom orthotics were billed to insurance 180 times per year but denied 34% of the time due to documentation gaps. Recovered denials represented $28K in revenue
- •Diabetic LOPS foot exams (G0245 initial / G0246 follow-up) were missing the required vascular assessment documentation on 45% of charts, creating compliance risk and denial vulnerability
The results
Adjusted schedule and panel to generate $217K in collections, turning -$30K into +$35K annual contribution
PA restructuring
$42,000 in additional annual revenue from proper code selection
Wound care coding
$28,000 recovered through documentation improvement and denial resubmission
Orthotic denial reduction
“I blamed Medicare for our flat revenue. Turns out we were leaving $70K on the table in wound care coding and orthotic denials alone — and our PA was actually costing us money.”
— Practice Owner, Mid-Atlantic
Common Questions About Accounting for Podiatry Practices
Don't pay for reports. Pay for progress.
Take the 4-minute financial assessment—and find out if your books are helping or hurting your podiatry practice.
The test your accountant hopes you skip.