Podiatry Practice Bookkeeping & Accounting
Fairlight CPA handles bookkeeping, payroll, and tax for podiatry practices — clinics that mix medical visits, surgery, durable medical equipment, and cash routine care in one schedule. We keep each revenue stream and its costs cleanly separated.
✓ Books closed by the 15th ✓ Fixed monthly fees ✓ CPA-led team
The numbers problems podiatry practices actually have
DME and orthotics are retail inside a clinic
Custom orthotics, boots, and braces carry inventory cost, fitting time, and their own billing rules — profitable only when tracked as the product line they are.
Surgical and clinic revenue behave differently
In-office procedures, ASC cases, and routine clinic visits have distinct reimbursement and cost shapes; blending them hides where the margin lives.
Wound-care supplies bleed margin
Advanced dressings and grafts are expensive and reimbursement-sensitive; supply cost must match to the encounters using them.
Routine care runs on cash programs
Nail-care packages and diabetic-foot programs prepay like memberships and need deferred handling, especially with senior clientele.
What Fairlight takes off your plate
The core engagement is the same discipline we run for every client — monthly close by the 15th, payroll, tax, and CFO-level reporting — built around how podiatry practices actually make and spend money.
- Revenue lanes: clinic visits, procedures/surgery, DME/orthotics, and cash programs tracked separately
- DME inventory and margin reporting, order to fitting to payment
- Wound-care supply matching against treatment encounters
- Monthly close by the 15th; payroll and associate arrangements
- Business and personal tax prep, quarterly estimates, and CFO reporting
The three numbers we keep in front of you
No fabricated benchmarks — your own numbers, measured the same way every month, so trends are real and decisions have a floor under them.
DME margin
orthotics and equipment profit after inventory and denials
Revenue per clinic hour
clinic, procedure, and surgical time each valued
Supply cost per wound-care encounter
graft and dressing spend against the visits using them
Revenue cycle & tax notes
Revenue & reconciliation
We reconcile medical remittances, DME claims, and cash-program payments in their own lanes — DME denials especially get tracked, since documentation-driven clawbacks concentrate there.
Tax & entity
DME inventory at year-end, equipment purchases (lasers, imaging), and multi-office growth all carry timing and structure choices we plan through the year.
Simple, published pricing
Bookkeeping from $310/mo · All-In-One (books + tax + advisory) from $800/mo. Every fee is quoted and fixed in writing before any work begins.
Podiatry accounting FAQs
Is the orthotics line actually worth it?
The books will say: inventory cost, chair time, denial rate, and realized margin per device. Some practices double down after seeing it; some renegotiate their lab costs — either way it's a decision made on numbers.
How do you handle our cash nail-care program?
As deferred revenue earned per visit, with the liability visible — so prepaid senior programs never surprise you as refunds or free care.
What does it cost?
Bookkeeping from $310/month; All-In-One (books + tax + advisory) from $800/month. Exact fee fixed in writing after a short call.
Related healthcare specialties
Get the financial side handled
A free 15-minute call — bring your current setup, leave knowing exactly what clean, specialty-aware books look like for podiatry practices.
The content on this page is for informational purposes only and does not constitute professional tax advice. Accounting and tax considerations for healthcare practices depend on individual facts and circumstances and are subject to change. See our full legal disclaimer.