Average Medicaid Podiatry (Foot Care) Payments in Toms River, NJ: $7.04
Avg. Paid
$7.04
Range
$1.89 โ $12.35
Total Claims
9,834
Providers
10
Typical Payment Range
Typical Medicaid Podiatry (Foot Care) payments fall between $4.29 and $15.14 per claim (median: $8.64). The top 10% of payments exceed $26.52.
Based on per-provider averages across all Medicaid claims in this category.
Podiatric services for foot and ankle conditions, including diabetic foot care, nail care, and treatment of foot infections and deformities.
Understanding these costs
The amounts shown are Medicaid reimbursement rates โ what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Podiatry (Foot Care) in Toms River, NJ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Daniel B Mcgee
517 Lakehurst Rd |
$6.87 | 8,738 | 7,163 |
|
Russell D Petranto
54 Bey Lea Rd |
$12.35 | 361 | 338 |
|
Mark Edward Poplawski
555 Lakehurst Rd |
$4.03 | 219 | 178 |
|
Michael J. Felicetta
1178 Route 37 W |
$5.10 | 189 | 189 |
|
Darelle A Pfeiffer
54 Bey Lea Rd |
$11.19 | 132 | 126 |
|
Amanda Crowell
54 Bey Lea Rd Ste 1 |
$10.58 | 103 | 102 |
|
Paul Kennelly
1749 Hooper Ave |
$3.12 | 37 | 37 |
|
Michael T. Plishchuk
54 Bey Lea Rd |
$1.89 | 28 | 28 |
|
Robin Lenz
54 Bey Lea Rd |
$6.60 | 14 | 12 |
|
Devrie Erin Stellar
54 Bey Lea Rd |
$8.88 | 13 | 12 |
What to Expect: Podiatry (Foot Care)
A podiatry visit typically takes 20-30 minutes. The podiatrist examines your feet and ankles, may take X-rays, and provides treatment for conditions like ingrown toenails, bunions, plantar fasciitis, diabetic foot ulcers, and nail fungus. Routine foot care for qualified patients includes nail trimming and callus removal. Treatment may include orthotics, medications, or referral for surgery.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 11721 | Debridement nails 6 or more | $10.00 | 11,503,479 | 9,612 |
| 11720 | Debridement nails 1-5 | $5.80 | 3,305,335 | 3,168 |
| 11056 | Paring benign lesion 2-4 | $13.97 | 2,376,285 | 3,502 |
| 11719 | Trimming nondystrophic nails | $4.80 | 774,251 | 1,172 |
| 11055 | Paring benign lesion 1 | $9.14 | 712,901 | 1,481 |
| 11057 | Paring benign lesion >4 | $13.99 | 305,154 | 571 |
| 11730 | Avulsion nail plate partial | $27.98 | 267,267 | 730 |
| 11750 | Excision nail & matrix partial | $86.50 | 108,700 | 611 |
| 11765 | Wedge excision ingrown nail | $46.85 | 76,818 | 128 |
| 11732 | Avulsion nail plate each addl | $8.15 | 43,054 | 87 |
| 11740 | Evacuation subungual hematoma | $4.02 | 21,678 | 43 |
| 28003 | Fasciotomy foot plantar | $234.20 | 5,068 | 2 |
| 28001 | Fasciotomy foot | $125.89 | 2,778 | 4 |
| 28043 | Excision tumor foot subcut | $161.96 | 1,083 | 5 |
| 28002 | Incision foot deep structure | $158.16 | 154 | 5 |
| 28008 | Fasciotomy foot endoscopic | $302.10 | 112 | 1 |
| 11752 | Excision nail & matrix complete | โ | โ | โ |
| 28010 | Tenotomy foot single | โ | โ | โ |
| 28011 | Tenotomy foot multiple | โ | โ | โ |
| 28020 | Arthrotomy foot | โ | โ | โ |
| 28024 | Arthrotomy subtalar joint | โ | โ | โ |
| 28035 | Release tarsal tunnel | โ | โ | โ |
| 28045 | Excision tumor foot deep | โ | โ | โ |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Podiatry (Foot Care) cost in Toms River, NJ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Podiatry (Foot Care) in Toms River, NJ is $7.04 per claim, based on 9,834 claims from 10 providers. Typical payments fall between $4.29 and $15.14. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Podiatry (Foot Care) in Toms River, NJ?
There are 10 Medicaid providers offering Podiatry (Foot Care) related services in Toms River, NJ according to public payment data.
What is the price range for Podiatry (Foot Care) in Toms River, NJ?
Medicaid reimbursement for Podiatry (Foot Care) in Toms River, NJ ranges from $1.89 to $12.35 per claim, with an average of $7.04. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Podiatry (Foot Care) in Other Cities
Chicago, IL
Avg $5.91
489,452 claims ยท 141 providers
Brooklyn, NY
Avg $19.40
480,093 claims ยท 220 providers
Northbrook, IL
Avg $5.40
254,885 claims ยท 22 providers
Clearwater, FL
Avg $3.02
235,881 claims ยท 27 providers
Indianapolis, IN
Avg $6.66
215,644 claims ยท 47 providers
Bronx, NY
Avg $15.36
202,324 claims ยท 98 providers
Los Angeles, CA
Avg $14.41
176,938 claims ยท 119 providers
Philadelphia, PA
Avg $7.67
163,265 claims ยท 90 providers
Other Procedures in Toms River, NJ
Office Visit
Avg $39.86
767,181 claims
Vaccines & Immunizations
Avg $16.36
424,620 claims
Blood Work & Lab Tests
Avg $10.60
363,597 claims
Home Health Visit
Avg $76.39
321,882 claims
Dental Cleaning & Exam
Avg $29.14
240,398 claims
Non-Emergency Medical Transportation
Avg $63.62
234,777 claims
Emergency Room Visit
Avg $231.01
206,206 claims
X-Ray
Avg $24.90
131,476 claims