This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 1272% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 643% in 2015
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 | $196.46 | $90.63 | 2.17x | $105.83 | $50.3K | 652 | 365 |
| 2015 | $217.15 | $108.19 | 2.01x | $108.96 | $373.5K | 4.8K | 2.6K |
| 2016 | $241.51 | $114.86 | 2.10x | $126.65 | $316.3K | 4.7K | 2.4K |
| 2017 | $261.54 | $108.60 | 2.41x | $152.94 | $315.5K | 4.5K | 2.4K |
| 2018 | $416.08 | $137.50 | 3.03x | $278.58 | $364.2K | 4.3K | 2.3K |
| 2019 | $382.01 | $116.10 | 3.29x | $265.91 | $463.0K | 5.0K | 3.0K |
| 2020 | $421.22 | $113.49 | 3.71x | $307.73 | $306.6K | 2.9K | 2.4K |
| 2021 | $397.12 | $115.98 | 3.42x | $281.14 | $430.4K | 3.7K | 3.3K |
| 2022 | $486.22 | $121.95 | 3.99x | $364.27 | $470.9K | 4.3K | 3.8K |
| 2023 | $454.46 | $115.63 | 3.93x | $338.83 | $689.8K | 7.2K | 5.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 1.7K | $454.3K | $262.02 | 3.07x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 5.3K | $438.7K | $82.36 | 3.22x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 6.5K | $366.3K | $56.61 | 2.65x |
| 95913 | Nerve transmission studies, 13 or more studies | 1.3K | $303.4K | $231.99 | 3.30x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.1K | $223.3K | $106.00 | 2.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.7K | $213.2K | $58.23 | 2.98x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 4.2K | $195.6K | $46.73 | 2.65x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $163.8K | $120.36 | 3.30x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.0K | $151.9K | $76.80 | 3.02x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.2K | $125.0K | $100.14 | 3.96x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 728 | $114.7K | $157.53 | 2.51x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 315 | $109.4K | $347.17 | 2.59x |
| 95911 | Nerve transmission studies, 9-10 studies | 575 | $102.5K | $178.18 | 3.23x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.1K | $102.4K | $91.55 | 2.85x |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours with intermittent monitoring | 114 | $72.7K | $638.00 | 4.70x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 724 | $69.8K | $96.47 | 2.74x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 814 | $69.4K | $85.28 | 3.03x |
| 95700 | Continuous measurement of brain wave activity (eeg), administered in person by eeg technologist | 275 | $54.3K | $197.58 | 3.90x |
| 96138 | Psychological or neuropsychological test administration and scoring by technician, first 30 minutes | 1.7K | $47.6K | $27.21 | 4.43x |
| 95724 | Continuous measurement of brain wave activity with video (veeg), 61-84 hours, with health care professional analysis, interpretation and report | 181 | $46.6K | $257.57 | 3.89x |
This provider submits charges 3.19 times higher than what Medicare actually pays.
A markup ratio of 3.19x means for every $100 Medicare pays, this provider initially charges $319. 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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