Audit of Medicare Part B Payments to a Southern California Podiatrist for the Period June 1, 1992 through May 31, 1997

In this final report, we found that the Medical provider was overpaid for services included in 84 and underpaid for 15 of the 100 sample claims. The 100 claims included payments for a total of 167 separate services. We determined that 151 services, or 90 percent of the 167 services were either completely unallowable or partially unallowable for Medicare reimbursement. We estimate based on a projection of our sample results that the Medical Provider received at least $683,264 in overpayments for claims for services performed during the period June 1, 1992 through May 31, 1997.