$336.0M in total Medicare payments across 10 years
Procedure J2323 (Injection, natalizumab, 1 mg) received $336.0M in total Medicare payments.
Across 24.2M services, the average Medicare payment was $13.86 per service.
AI-generated analysis based on Medicare payment data.
| Year | Payments | Services | YoY Change |
|---|---|---|---|
| 2014 | $42.6M | 4.0M | — |
| 2015 | $46.7M | 3.9M | +9.7% |
| 2016 | $44.7M | 3.5M | -4.3% |
| 2017 | $37.6M | 2.7M | -15.8% |
| 2018 | $29.9M | 2.1M | -20.5% |
| 2019 | $30.2M | 2.1M | +0.9% |
| 2020 | $29.4M | 1.9M | -2.5% |
| 2021 | $28.4M | 1.6M | -3.5% |
| 2022 | $25.8M | 1.4M | -9.1% |
| 2023 | $20.6M | 1.1M | -20.0% |
| # | Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|---|
| 1 | Christopher Laganke | Neurology | AL | $2.4M | 130.2K | $18.09 |
| 2 | Martin Belkin | Neurology | MI | $1.3M | 72.3K | $17.50 |
| 3 | Vincent Macaluso | Neurology | NY | $1.3M | 67.2K | $18.79 |
| 4 | Diana Banks | Neurology | UT | $1.2M | 66.0K | $17.82 |
| 5 | Heidi Crayton | Neurology | VA | $1.0M | 53.7K | $18.90 |
| 6 | Mark Gudesblatt | Neurology | NY | $966.0K | 52.0K | $18.57 |
| 7 | April Erwin | Neurology | UT | $940.2K | 50.7K | $18.54 |
| 8 | Armistead Williams | Nephrology | NY | $921.1K | 52.2K | $17.65 |
| 9 | Timothy Carrabine | Internal Medicine | OH | $836.5K | 48.3K | $17.32 |
| 10 | Sean Milligan | Neurology | TX | $829.2K | 46.2K | $17.95 |
| 11 | Fara Stricker | Nurse Practitioner | NY | $793.8K | 46.2K | $17.18 |
| 12 | Danny Bartel | Neurology | TX | $748.4K | 39.6K | $18.90 |
| 13 | John Foley | Neurology | UT | $568.1K | 32.1K | $17.68 |
| 14 | Timothy West | Neurology | UT | $522.2K | 30.3K | $17.23 |
| 15 | Regina Berkovich | Neurology | CA | $513.5K | 27.0K | $19.02 |
| 16 | Viktoria Kaplan | Neurology | UT | $501.3K | 29.1K | $17.22 |
| 17 | James Barry | Neurology | TX | $450.6K | 32.4K | $13.91 |
| 18 | Krzysztof Romanowski | Neurology | SC | $370.1K | 21.0K | $17.62 |
| 19 | Venise Cameron | Nurse Practitioner | NY | $361.0K | 19.8K | $18.23 |
| 20 | Jeffrey Gitt | Neurology | AZ | $355.8K | 22.2K | $16.03 |
| 21 | Salvatore Napoli | Neurology | MA | $344.4K | 19.3K | $17.88 |
| 22 | Sandra Gibson | Physician Assistant | NY | $342.9K | 18.0K | $19.05 |
| 23 | Myassar Zarif | Neurology | NY | $335.2K | 18.0K | $18.58 |
| 24 | Rosalee Unwin | Nurse Practitioner | OH | $318.6K | 16.8K | $18.96 |
| 25 | John Scagnelli | Neurology | NC | $317.4K | 17.1K | $18.56 |
| State | Payments | Services | Providers | Avg/Provider |
|---|---|---|---|---|
| NY | $5.1M | 278.6K | 8 | $632.8K |
| UT | $3.7M | 208.3K | 5 | $741.7K |
| AL | $2.4M | 130.2K | 1 | $2.4M |
| TX | $2.0M | 118.2K | 3 | $676.1K |
| NC | $1.9M | 99.6K | 11 | $171.2K |
| MI | $1.3M | 72.3K | 1 | $1.3M |
| OH | $1.2M | 65.1K | 2 | $577.5K |
| VA | $1.0M | 53.7K | 1 | $1.0M |
| SC | $635.6K | 36.6K | 3 | $211.9K |
| CA | $570.7K | 30.0K | 2 | $285.3K |
| AZ | $355.8K | 22.2K | 1 | $355.8K |
| MA | $344.4K | 19.3K | 1 | $344.4K |
| MN | $265.5K | 14.7K | 1 | $265.5K |
Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.