This provider's $6.5M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Their average markup ratio of 10.43x is significantly above the specialty median of 3.5x.
AI-generated analysis based on Medicare payment data.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $1.2K | $144.95 | 8.14x | $1.0K | $570.5K | 5.1K | 4.1K |
| 2015 | $1.5K | $153.56 | 9.50x | $1.3K | $589.2K | 4.5K | 3.7K |
| 2016 | $1.7K | $209.69 | 7.96x | $1.5K | $800.8K | 5.0K | 4.0K |
| 2017 | $1.5K | $182.93 | 8.28x | $1.3K | $908.0K | 5.7K | 4.9K |
| 2018 | $1.5K | $178.74 | 8.31x | $1.3K | $731.1K | 5.4K | 4.8K |
| 2019 | $1.5K | $179.67 | 8.12x | $1.3K | $818.3K | 5.2K | 4.6K |
| 2020 | $1.2K | $122.64 | 9.68x | $1.1K | $603.9K | 4.8K | 4.4K |
| 2021 | $1.1K | $143.81 | 8.00x | $1.0K | $591.2K | 4.1K | 3.6K |
| 2022 | $1.5K | $139.04 | 10.71x | $1.3K | $477.8K | 3.7K | 3.3K |
| 2023 | $1.4K | $109.40 | 12.71x | $1.3K | $423.6K | 3.7K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95913 | Nerve transmission studies, 13 or more studies | 5.8K | $1.3M | $226.67 | 19.09x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 10.2K | $746.3K | $73.47 | 6.04x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 410 | $565.6K | $1.4K | 3.61x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.2K | $504.8K | $81.02 | 6.63x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 2.3K | $451.9K | $193.96 | 5.35x |
| 95911 | Nerve transmission studies, 9-10 studies | 2.6K | $442.9K | $168.16 | 21.47x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $364.0K | $120.03 | 6.83x |
| 95812 | Measurement of brain wave (EEG) activity, 41-60 minutes | 1.3K | $352.0K | $261.90 | 7.28x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 3.4K | $344.8K | $102.07 | 6.81x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $233.9K | $150.79 | 6.59x |
| 95912 | Nerve transmission studies, 11-12 studies | 1.0K | $199.6K | $197.01 | 20.50x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.1K | $133.0K | $115.81 | 6.90x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 353 | $117.3K | $332.24 | 6.74x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $110.9K | $79.93 | 6.83x |
| 92585 | Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system | 834 | $85.1K | $102.08 | 6.47x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 330 | $76.4K | $231.41 | 9.33x |
| 95910 | Nerve transmission studies, 7-8 studies | 503 | $70.5K | $140.14 | 19.24x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $64.5K | $58.76 | 6.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 379 | $57.2K | $150.98 | 6.14x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 513 | $41.4K | $80.77 | 5.44x |
This provider submits charges 10.43 times higher than what Medicare actually pays.
A markup ratio of 10.43x means for every $100 Medicare pays, this provider initially charges $1043. This is higher than the national average.
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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.
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