This provider's $4.4M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $391.56 | $105.10 | 3.73x | $286.46 | $552.7K | 6.2K | 4.2K |
| 2015 | $501.60 | $164.01 | 3.06x | $337.59 | $614.2K | 6.3K | 4.3K |
| 2016 | $438.04 | $161.47 | 2.71x | $276.57 | $605.6K | 5.7K | 3.9K |
| 2017 | $403.07 | $101.42 | 3.97x | $301.65 | $345.1K | 4.1K | 2.5K |
| 2018 | $562.38 | $182.49 | 3.08x | $379.89 | $377.2K | 3.8K | 2.1K |
| 2019 | $556.63 | $179.28 | 3.10x | $377.35 | $424.7K | 4.0K | 2.1K |
| 2020 | $347.88 | $125.94 | 2.76x | $221.94 | $280.7K | 3.0K | 1.4K |
| 2021 | $366.78 | $133.35 | 2.75x | $233.43 | $351.6K | 3.4K | 1.7K |
| 2022 | $337.62 | $124.69 | 2.71x | $212.93 | $342.7K | 3.4K | 1.8K |
| 2023 | $337.84 | $117.68 | 2.87x | $220.16 | $468.7K | 5.0K | 3.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 18.6K | $1.4M | $74.69 | 1.77x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $327.7K | $156.35 | 2.57x |
| 95913 | Nerve transmission studies, 13 or more studies | 1.3K | $289.8K | $217.24 | 6.22x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 218 | $274.3K | $1.3K | 2.38x |
| 64490 | Injections of upper or middle spine facet joint using imaging guidance | 1.4K | $273.4K | $201.45 | 2.00x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.6K | $239.5K | $145.57 | 1.74x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.5K | $234.2K | $154.56 | 1.62x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 2.1K | $210.3K | $100.63 | 4.00x |
| 95812 | Measurement of brain wave (EEG) activity, 41-60 minutes | 775 | $163.5K | $210.96 | 2.32x |
| 64491 | Injections of upper or middle spine facet joint using imaging guidance | 1.4K | $144.8K | $106.61 | 3.78x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.1K | $136.8K | $65.06 | 3.86x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.4K | $114.9K | $79.35 | 1.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $105.2K | $49.75 | 1.91x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 1.6K | $90.0K | $55.10 | 1.56x |
| 95910 | Nerve transmission studies, 7-8 studies | 469 | $65.9K | $140.47 | 5.34x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 880 | $64.4K | $73.14 | 2.22x |
| 95924 | Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt | 362 | $41.6K | $115.05 | 2.48x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 284 | $34.4K | $121.21 | 1.40x |
| 93923 | Complete ultrasound study of arm and leg arteries | 370 | $33.8K | $91.38 | 3.17x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 362 | $33.5K | $92.53 | 3.08x |
This provider submits charges 2.54 times higher than what Medicare actually pays.
A markup ratio of 2.54x means for every $100 Medicare pays, this provider initially charges $254. 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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