Nail Care Treatment
Our Mission is to Provide a Professional & Honest Approach to Routine Podiatric Care
Some foot care procedures are generally considered to be routine and may not be covered; therefore, The Advance Beneficiary Notice of Noncoverage (ABN) must be completed in these instances:
- Nails: Fungal & Ingrown
- Corn & Callus Treatments
- Deformed Nails
- Detached Nails
- Discolored Nails
Medicare and Commercial Insurance
Medicare law and some commercial insurances exclude from coverage routine foot care, routine physical checkups, and services that are not reasonable and necessary for the diagnosis or treatment of an illness or injury or to improve the functioning of a malformed body member. Therefore, these services are precluded from coverage even though they may be within your Podiatric Physician’s scope of practice under State law.
https://www.medicare.gov/coverage/foot-care-routine
ABN Form is used when Medicare payment is expected to be denied. The ABN is issued to transfer potential financial liability to the patient.
What Is an Ingrown Toenail?
When a toenail is ingrown, it is curved and grows into the skin, usually at the nail borders (the sides of the nail). This “digging in” of the nail irritates the skin, often creating pain, redness, swelling, and warmth in the toe.
If an ingrown nail causes a break in the skin, bacteria may enter and cause an infection in the area, which is often marked by drainage and a foul odor. However, even if the toe isn’t painful, red, swollen, or warm, a nail that curves downward into the skin can progress to an infection.
Sometimes, she will remove the offending nail. After applying a local anesthetic, the doctor removes part of the nail’s side border. Some nails may become ingrown again, requiring removal of the nail root.
Following the nail procedure, a light bandage will be applied. Most people experience very little pain after surgery and may resume normal activity the next day. Please see our post-surgery nail instructions.
We have a 48-hour guarantee for ingrown nail care or surgery.
This ingrown had a piece of nail that the patient could not cut himself in the corner, which was coming out the tip of the toe.
Lateral Ingrown Nail Border
Post-procedure to remove ingrown lateral border
Spike of nail on lateral border
Ditch the Guesswork,Treat Nail Fungus Right
Tired of embarrassing, stubborn nail fungus? We offer a precision-driven approach to get you back to healthy, beautiful nails.
Ditch the One-Size-Fits-All: Forget outdated methods. We use advanced PCR testing to identify the exact culprit: fungus, mold, yeast, or bacteria. This ensures your treatment targets the specific pathogen for maximum effectiveness.
Treat with Confidence: Don’t worry about medication safety. We provide therapeutic drug monitoring with blood analysis for oral terbinafine or sporanox treatment. This ensures optimal dosages and minimizes side effects for a safe and effective journey to recovery.
Say Goodbye to Guesswork: Our personalized approach based on precise diagnostics and monitoring gives you confidence and control over your healing journey. No more trial and error!
Start your journey to healthy nails today! Contact us to learn more about our advanced nail fungus treatment.
Topical Treatment Options, when oral medication is not an option
Tailored Topical Power: We offer innovative topical solutions like Tolcylen, a powerful, office-dispensed option. Featuring a patent-pending formula combining FDA-approved antifungals with multiple cosmetic agents, it delivers potent action right where you need it.
Maximize Effectiveness: Before applying, cleanse thoroughly under your nails using a toothbrush and Peroxide, followed by mild soap and water. This routine removes debris and optimizes treatment penetration.
Beyond the Topical: Remember, topical treatments often work best in conjunction with oral medications. Our holistic approach includes daily cleaning and potential oral options for comprehensive healing.
Ready to reclaim your healthy nails? Contact us today for a precise diagnosis and personalized treatment plan that targets your specific nail fungus, paving the way to beautiful, healthy nails!
Patient Brochure
Discontinuation of Routine Nail & Callus Trimming Services
With a heavy heart, we must announce the discontinuation of routine foot care services without another medical problem during the same visit for Medicare and Commercial beneficiaries, effective January 1, 2024. We have been preparing our patients for this potential change since June 2023. We have never been a pedicure office and insurance companies have never provided coverage to routine nail care. The good news is that we will still be providing nail testing and analysis, along with creating a treatment plan of care using topical or oral medications.
We understand the importance of routine foot care in maintaining the overall health and well-being of our patients, particularly those who rely on Medicare for their medical needs. Unfortunately, due to recent reductions in Medicare reimbursement, I am unable to physically see twice the number of nail and callus patients to make up for the financial shortfall. This decision to discontinue these services was incredibly difficult, as I value the trust you’ve placed in me for your care.
Dr. Pulapaka
Medicare & Medicare Replacement Guidelines for Routine Foot Care
Protection + Prevention with key medical products, like SokTek™
Our socks are constructed with two products that are designed to maximize yarn technology and accomplish product sustainability. REPREVE® Recycled Polyester is one of the most certified, traceable fibers available in the world. High-quality, recycled fibers are made from 100% recycled materials, including post-consumer water bottles and pre-consumer waste. This yarn incorporates SORBTEK® for moisture management, which makes it ideal for our socks.
The natural antimicrobial effect of bamboo does not allow the growth of microbes, where bamboo actually repels the colonization of E. coli and S. aureus. The bactericide characteristics are mainly due to the presence of a bio-agent “bamboo Kun” in the fiber, which bonds tightly with bamboo cellulose molecules. The growth rate of micro-organisms on 100% cotton is the highest.
Under development, Coats Protect+ spun yarns are an inherent antimicrobial yarn solution built into product DNA, inhibiting the growth of microbes in or on fabrics while providing all-day freshness. This is an antimicrobial yarn that provides a sustainable option for antimicrobial requirements in at-risk employees.
Athletes foot, Cellulitis, Warts
After examining the toe, Dr. Pulapaka will select the treatment best suited for you. If an infection is present, an oral antibiotic may be prescribed.
Sometimes a minor surgical procedure, often performed in the office, will ease the pain and remove the lesions or biopsy a growth. If Dr. Pulapaka has prescribed an oral antibiotic, be sure to take all the medication, even if your symptoms have improved.