Bookkeeping for
Podiatry
Practices.
Medicare pays on its own schedule, diabetic shoes and inserts are billed to a different Medicare contractor, and surgical cases pay separately from office visits. We sort each income stream, match deposits to your remittances and reconcile every account monthly.
Flat monthly pricing · Cancel anytime · Dedicated bookkeeper
Built for Every Type
of Podiatry Practice
Solo podiatrist, multi-provider group or surgery-heavy practice, the mix is similar: Medicare, commercial insurance, DME and cash sales. We set up your books around how your practice actually bills.
Solo Podiatrists
You handle routine foot care, wound care and procedures, much of it billed to Medicare. You need books that match each deposit to a remittance and show what the practice nets after supplies.
- Medicare EFTs matched to remittances
- Secondary and supplemental payments tracked
- Copays and coinsurance separated
- Wound care and office supplies categorized
- Year-end package for your CPA
DME & Orthotics
Diabetic shoes, inserts and custom orthotics are a business inside the practice, with their own payers, vendors and lab costs. We keep that revenue and its costs apart from office visit income.
- DME payments kept separate from visits
- Orthotic lab and shoe vendor costs tracked
- Cash-pay orthotics sales recorded
- Shoe and insert inventory on the books
- DME margin visible every month
Multi-Provider & Surgical
With several podiatrists, hospital and surgery center cases, and shared staff, you need to see revenue and pay by provider. We set up the books so each provider's numbers can be pulled out.
- Revenue tracked by provider
- Surgical case payments separated
- Associate pay on production or collections
- Surgery center ownership income kept apart
- Shared costs split across locations
The Financial Headaches
We Fix
Podiatry books get messy where insurance billing meets everything else the practice sells. These four problems come up most.
Medicare Deposits Without the Detail
One Medicare EFT can cover many patients and dates of service, and the remittance that explains it sits in a separate portal or clearinghouse. Without matching the two, you can't tell payments from adjustments or spot money taken back for past claims.
DME Mixed Into Office Revenue
Diabetic shoes and inserts are billed separately from your office visits and paid by a different Medicare contractor. When those payments land in the same revenue line, you can't see whether DME makes money after shoe and lab costs.
Surgical Cases on a Different Clock
Procedures done at a hospital or surgery center are billed and paid on their own timeline, often weeks after the office visits around them. Mixed in with everything else, they make some months look great and others look broken.
Supply and Lab Costs With No Home
Dressings, injectables, nail instruments and orthotic lab fees all come from different vendors. Booked as one supplies line, you lose sight of what each part of the practice costs to run and miss price increases from your vendors.
Every Month
Everything You Need,
Nothing You Don't
Each service is set up for a practice paid mostly by Medicare and insurers, with DME and cash sales on the side. We work in QuickBooks Online from your billing and remittance reports and your bank feeds.
Monthly Bookkeeping
Every account reconciled, every transaction categorized, every month. You get a clean P&L and balance sheet you can read and use to make decisions.
See Full Details →Financial Reporting
A monthly P&L, balance sheet and cash flow with office visits, surgical cases and DME in separate revenue lines, and supply and lab costs grouped so margins are easy to read.
See Full Details →Bank Reconciliation
Every business account and credit card matched and verified each month. No mystery charges. No unresolved transactions. No surprises.
See Full Details →Accounts Payable & Receivable
Orthotic lab, shoe vendor and medical supply bills tracked on payables. Patient and insurance balances stay in your billing system; we match what it reports as collected to the bank.
See Full Details →Catch-Up Bookkeeping
Months or years behind? We clean it all up before monthly service starts, at a flat price per month behind that we quote up front.
See Full Details →Payroll Support
Payroll runs through Gusto, which files the payroll taxes and W-2s. We reconcile each run to the books, with podiatrists, medical assistants and front desk staff in their own lines.
See Full Details →"Working with Dan has been such a positive experience! As a small business owner, having someone who is knowledgeable, thorough, and genuinely invested in helping me understand my finances has been invaluable. He’s incredibly responsive, patient with my questions, and has brought so much clarity and peace of mind!"
Podiatrists
FAQ
Questions we hear from podiatrists before they sign on with Tides.
Based in Greenville, SC —
Serving Clients Nationwide
100% remote bookkeeping for small businesses across South Carolina and throughout the United States.
Beyond Podiatrists,
We Serve All These Businesses
Tides Bookkeeping specializes in bookkeeping across 12 distinct industries. Industry-specific expertise means fewer errors, better categorization, and a bookkeeper who already understands how your business makes money.
More for podiatrists
Related guides and pages.
Finance terms worth knowing
Plain-English explainers, no jargon.
Care for Patients.
We'll Handle
The Books.
Schedule a free 15-minute call. We'll review your current setup, answer your questions, and give you a flat monthly quote — no pressure.
No credit card required · No long-term contracts · Cancel anytime
Simple, Flat-Rate Pricing
Flat monthly plans scaled to your business — no hourly billing and no surprise invoices. You always know the price up front.
★★★★★ 5.0 · 8 client reviews on Intuit's ProAdvisor directory
✔ Reviewed by Daniel Cope, Advanced QuickBooks ProAdvisor · Updated August 2026