Bookkeeping for podiatry practices
A podiatry practice runs on procedure economics: office visits, surgical cases, orthotics and supplies each carry different margins, and insurance remittances land weeks after the work. When everything deposits into one account, the practice looks like one blended number and the profitable lines subsidize the rest invisibly. Mispar keeps each revenue stream and each location's costs visible on their own. Plans start at $229/mo.
Best for: Solo podiatrists, small group practices and owners with one or a few offices who need clean payer, procedure and location numbers without hiring a finance manager.
Matched
Remittances
Tracked
Orthotics
Visible
Procedures
Separated
Locations
Where podiatry practice books usually go wrong
- Insurance payments not matched to visits.
- Product sales mixed with visit income.
- Supplies not tracked.
How Mispar keeps your practice's books clean
Industry-specific accounts and categorization, with the reporting scope agreed before work starts.
Insurance remittances
Match each payer's remittance to the claims it covers, so underpayments and slow payers are visible while they are still actionable.
Orthotics and DME
Keep durable medical equipment and custom orthotics revenue and costs on their own lines, so their real margin is visible instead of blended into visit revenue.
Procedure revenue
Record surgical and in-office procedure income against the fee schedules behind it, keeping procedure-level contribution reviewable.
Patient balances
Track copays, deductibles and outstanding patient balances with age, so front-desk collections are measured against what is actually owed.
Payroll and staff costs
Reconcile payroll for clinical and front-desk staff against schedules, keeping staffing cost per location visible.
Location costs
Track rent, equipment leases, supplies and malpractice insurance by office, so each location's true overhead is known.
Reports a podiatry practice can use
- Receivables by payer.
- Revenue by service and product.
- Supply cost by month.
A simple, predictable process
From kickoff to your first clean close, here is exactly what happens.
Review your current records
We start from your practice management system, payer remittances, payroll reports and bank feeds.
Map the chart of accounts
Visit, procedure and DME revenue and location costs are mapped to an agreed chart of accounts.
Reconcile every payer and office
Each month's remittances are matched to claims and each location's activity is reconciled to the bank.
Close the month
Monthly statements with an exceptions list and the per-location or per-provider reporting agreed for your practice.
Illustrative example
A two-office practice sees orthotics sold steadily at both locations. Once orthotics cost and revenue are tracked on their own lines, one office shows a healthy margin and the other barely covers its lab bills. The pricing conversation starts from evidence instead of a feeling. This is an illustration of the method, not a customer case or a guarantee.
Podiatry Practices bookkeeping — your questions
Can you separate orthotics from visit revenue?
Yes. DME and orthotics get their own revenue and cost lines, which is the only way to see whether the program earns its keep.
How do you handle insurance underpayments?
Remittances are matched to the claims they pay, so consistent short-pays by a payer surface in reconciliation rather than being absorbed quietly.
Can you keep two offices' books separately?
Yes. Revenue and costs are recorded per location while the combined books stay consistent, so you can compare offices honestly.
What reports do I get each month?
Monthly statements with an exceptions list, plus the agreed per-location or per-provider views. Everything is delivered on a schedule we set together.
Can you track receivables by payer?
Yes. Payments are matched to payer and period.
Does the $229 starting plan cover my podiatry practice?
The final plan and scope depend on visit volume, payer mix and locations. We agree that scope before starting; catch-up work is discussed separately.
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