Cost analysis for CPT 95819 — Measurement of brain wave activity (eeg), awake and asleep
Average Medicare Payment
$153.87
2023 data
Total Payments (2023)
$26.0M
Services (2023)
141.0K
Price Change (2014–2023)
+26.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $121.90 | $27.8M | 241.1K | — |
| 2015 | $125.18 | $27.8M | 228.2K | +2.7% |
| 2016 | $127.48 | $28.6M | 221.6K | +1.8% |
| 2017 | $129.38 | $27.8M | 212.5K | +1.5% |
| 2018 | $134.63 | $27.4M | 199.9K | +4.1% |
| 2019 | $137.44 | $27.5M | 190.7K | +2.1% |
| 2020 | $143.58 | $24.0M | 149.2K | +4.5% |
| 2021 | $156.18 | $26.1M | 148.4K | +8.8% |
| 2022 | $158.00 | $26.3M | 143.9K | +1.2% |
| 2023 | $153.87 | $26.0M | 141.0K | -2.6% |
The most expensive state pays 8.9x more than the cheapest for this procedure. VI averages $346.28 vs ID at $39.06.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| VI | $346.28 | $35.3K | 102 | 1 |
| HI | $329.11 | $238.9K | 726 | 7 |
| AZ | $272.11 | $872.4K | 3.2K | 68 |
| DE | $267.42 | $105.9K | 396 | 6 |
| MD | $264.02 | $2.4M | 9.0K | 79 |
| PR | $263.05 | $127.1K | 483 | 20 |
| NY | $249.84 | $2.3M | 9.4K | 166 |
| WV | $234.77 | $115.5K | 492 | 6 |
| DC | $227.83 | $182.5K | 801 | 11 |
| VA | $222.90 | $806.0K | 3.6K | 63 |
| CA | $220.84 | $3.7M | 16.6K | 234 |
| TX | $216.72 | $2.8M | 12.8K | 195 |
| FL | $215.26 | $3.9M | 18.3K | 273 |
| NJ | $210.77 | $1.1M | 5.4K | 91 |
| GA | $178.69 | $500.0K | 2.8K | 78 |
| LA | $174.97 | $356.4K | 2.0K | 40 |
| NV | $174.47 | $510.2K | 2.9K | 40 |
| WA | $173.28 | $234.3K | 1.4K | 42 |
| CO | $172.66 | $199.6K | 1.2K | 31 |
| UT | $169.79 | $67.2K | 396 | 12 |
| AL | $168.65 | $701.9K | 4.2K | 54 |
| MI | $156.84 | $1.2M | 7.9K | 130 |
| SC | $154.88 | $145.3K | 938 | 31 |
| AR | $152.83 | $129.0K | 844 | 21 |
| MT | $135.59 | $28.7K | 212 | 7 |
| OK | $131.41 | $244.0K | 1.9K | 29 |
| NC | $121.01 | $205.1K | 1.7K | 64 |
| RI | $119.71 | $45.4K | 379 | 11 |
| NM | $113.31 | $27.5K | 243 | 5 |
| OR | $110.51 | $67.4K | 610 | 16 |
| IL | $103.08 | $626.6K | 6.1K | 126 |
| PA | $101.28 | $467.5K | 4.6K | 110 |
| OH | $94.59 | $292.3K | 3.1K | 80 |
| MS | $92.80 | $61.2K | 660 | 19 |
| IN | $92.76 | $244.7K | 2.6K | 61 |
| KS | $91.08 | $62.9K | 691 | 19 |
| MA | $89.36 | $257.4K | 2.9K | 62 |
| TN | $88.87 | $152.1K | 1.7K | 43 |
| ND | $78.59 | $10.1K | 128 | 7 |
| WI | $64.18 | $49.9K | 777 | 33 |
| NH | $59.25 | $16.8K | 284 | 9 |
| NE | $59.10 | $29.1K | 492 | 11 |
| KY | $58.07 | $91.6K | 1.6K | 29 |
| IA | $56.80 | $43.6K | 767 | 19 |
| MO | $45.30 | $79.5K | 1.8K | 49 |
| CT | $44.64 | $31.7K | 711 | 20 |
| MN | $42.51 | $21.2K | 499 | 12 |
| SD | $41.20 | $10.7K | 259 | 14 |
| ID | $39.06 | $9.7K | 248 | 9 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Virtuox, Inc. | Independent Diagnostic Testing Facility (IDTF) | FL | $504.3K | 1.1K | $469.99 |
| Lawrence Whicker | Neurology | MD | $324.6K | 758 | $428.23 |
| Nabeen Hussain | Neurology | MD | $317.4K | 750 | $423.21 |
| Hiro Health Corporation | Independent Diagnostic Testing Facility (IDTF) | TX | $305.0K | 887 | $343.86 |
| Sleep Science Clinics, Llc | Independent Diagnostic Testing Facility (IDTF) | TX | $294.8K | 869 | $339.29 |
| Soho Diagnostics Ink Corporation | Independent Diagnostic Testing Facility (IDTF) | NY | $246.1K | 660 | $372.89 |
| Jonathan Eskenazi | Neurology | CA | $197.2K | 548 | $359.94 |
| Maciej Poltorak | Neurology | MD | $187.8K | 444 | $422.92 |
| Asefa Mekonnen | Pulmonary Disease | MD | $185.4K | 455 | $407.53 |
| Amit Arora | Neurology | AL | $178.9K | 611 | $292.86 |
| Maheep Birdi | Neurology | CA | $153.3K | 553 | $277.22 |
| David Schick | Neurology | NY | $140.3K | 341 | $411.57 |
| Bess Chang | Neurology | NV | $139.2K | 408 | $341.08 |
| Nancy Mueller | Neurology | NJ | $132.2K | 323 | $409.16 |
| Tajammul Ehsan | Neurology | VA | $127.6K | 354 | $360.46 |
| Zepure Kouyoumdjian | Neurology | CA | $124.6K | 269 | $463.13 |
| Eric Jeffries | Neurology | MD | $123.6K | 298 | $414.86 |
| Stephanie Block | Neurology | MD | $123.0K | 296 | $415.50 |
| Perminder Bhatia | Neurology | CA | $117.8K | 315 | $374.04 |
| Thomas Pearson | Neurology | FL | $117.6K | 357 | $329.42 |
The data suggests significant pricing inconsistencies for CPT 95819. With a 8.9x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 26.2% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.