This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 147% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 83% in 2017
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $617.53 | $297.13 | 2.08x | $320.40 | $177.1K | 731 | 498 |
| 2015 | $685.96 | $323.00 | 2.12x | $362.96 | $243.8K | 1.0K | 633 |
| 2016 | $745.65 | $350.09 | 2.13x | $395.56 | $228.2K | 1.1K | 638 |
| 2017 | $741.46 | $329.15 | 2.25x | $412.31 | $416.9K | 1.7K | 1.1K |
| 2018 | $661.13 | $289.25 | 2.29x | $371.88 | $577.3K | 2.5K | 1.5K |
| 2019 | $564.66 | $234.87 | 2.40x | $329.79 | $487.4K | 2.4K | 1.6K |
| 2020 | $482.50 | $225.57 | 2.14x | $256.93 | $255.5K | 1.9K | 1.0K |
| 2021 | $493.19 | $234.13 | 2.11x | $259.06 | $371.9K | 2.3K | 1.2K |
| 2022 | $480.63 | $225.09 | 2.14x | $255.54 | $373.1K | 2.3K | 1.2K |
| 2023 | $531.50 | $231.35 | 2.30x | $300.15 | $438.0K | 2.7K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 2.3K | $1.3M | $594.23 | 2.19x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 1.2K | $665.0K | $569.83 | 2.11x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.5K | $458.9K | $70.69 | 2.12x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.8K | $415.8K | $86.38 | 2.07x |
| 95827 | Measurement and recording of brain wave (EEG) activity, overnight | 254 | $147.8K | $581.86 | 2.50x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 763 | $127.5K | $167.16 | 1.69x |
| 95706 | Measurement of brain wave activity (eeg), 2-12 hours, with intermittent monitoring and maintenance | 332 | $110.5K | $332.90 | 1.50x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 741 | $69.1K | $93.26 | 2.14x |
| 95806 | Unattended sleep study with recording of heart rate, oxygen, respiratory airflow and effort | 509 | $57.2K | $112.41 | 3.13x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 418 | $47.8K | $114.26 | 1.85x |
| 95807 | Sleep study attended by a technician | 105 | $45.3K | $431.44 | 2.34x |
| 95717 | Continuous measurement of brain wave activity (eeg), 2-12 hours, with health care professional analysis, interpretation and report | 332 | $29.6K | $89.17 | 2.80x |
| 95913 | Nerve transmission studies, 13 or more studies | 61 | $16.7K | $272.98 | 1.80x |
| 95805 | Diagnostic test for sleep disorder | 38 | $15.1K | $396.29 | 2.50x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 95 | $12.1K | $127.48 | 1.92x |
| 95885 | Needle measurement and recording of electrical activity of muscles of arm or leg limited study | 132 | $7.7K | $58.47 | 3.40x |
| 95911 | Nerve transmission studies, 9-10 studies | 24 | $5.0K | $207.01 | 2.90x |
This provider submits charges 2.14 times higher than what Medicare actually pays.
A markup ratio of 2.14x means for every $100 Medicare pays, this provider initially charges $214. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data