This provider's $6.7M 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 | $243.67 | $95.72 | 2.55x | $147.95 | $572.9K | 5.6K | 2.1K |
| 2015 | $227.71 | $93.05 | 2.45x | $134.66 | $560.9K | 5.5K | 2.1K |
| 2016 | $244.61 | $95.95 | 2.55x | $148.66 | $580.8K | 5.6K | 2.2K |
| 2017 | $224.27 | $91.10 | 2.46x | $133.17 | $668.4K | 6.4K | 2.5K |
| 2018 | $226.10 | $95.13 | 2.38x | $130.97 | $655.6K | 6.5K | 2.6K |
| 2019 | $229.24 | $97.48 | 2.35x | $131.76 | $653.6K | 6.2K | 2.8K |
| 2020 | $233.24 | $100.48 | 2.32x | $132.76 | $777.3K | 8.5K | 3.6K |
| 2021 | $240.69 | $108.37 | 2.22x | $132.32 | $691.4K | 6.6K | 3.3K |
| 2022 | $215.60 | $101.78 | 2.12x | $113.82 | $729.6K | 7.3K | 3.6K |
| 2023 | $220.99 | $100.09 | 2.21x | $120.90 | $797.1K | 8.9K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 12.8K | $1.5M | $118.43 | 1.49x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.3K | $750.5K | $102.83 | 1.46x |
| 95913 | Nerve transmission studies, 13 or more studies | 2.4K | $636.1K | $265.25 | 3.39x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 1.8K | $305.6K | $167.19 | 1.79x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.7K | $298.0K | $171.16 | 1.75x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 2.3K | $246.8K | $108.52 | 3.23x |
| 95937 | Testing with stimulation for assessment of function at muscle-nerve junction | 2.7K | $215.7K | $78.48 | 1.32x |
| 64400 | Injection of anesthetic agent, trigeminal nerve | 1.5K | $211.2K | $145.22 | 1.91x |
| 95978 | Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour | 945 | $202.4K | $214.18 | 1.98x |
| 99424 | Principal care management services for a single high-risk disease, first 30 minutes provided personally by qualified health care professional, per calendar month. | 2.8K | $197.8K | $69.63 | 2.15x |
| G2064 | Comprehensive care management services for a single high-risk disease, e.g., principal care management, at least 30 minutes of physician or other qualified health care professional time per calendar month with the following elements: one complex chronic co | 2.5K | $196.3K | $79.32 | 2.21x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 490 | $170.5K | $347.90 | 1.87x |
| 64642 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 2.2K | $157.0K | $70.96 | 4.23x |
| 95912 | Nerve transmission studies, 11-12 studies | 689 | $156.1K | $226.51 | 2.87x |
| 64643 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 1.8K | $144.1K | $80.82 | 3.09x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 1.1K | $136.8K | $125.99 | 2.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 882 | $124.9K | $141.59 | 1.94x |
| 95874 | Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles | 1.3K | $94.8K | $70.81 | 1.41x |
| 64566 | Implantation of lower leg neurostimulator electrode, accessed through the skin | 827 | $94.3K | $113.97 | 2.63x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $92.7K | $67.26 | 1.64x |
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.
Other Neurology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Natan Shaoulian, M.D. | Beverly Hills, CA | $33.8M | ✓ Clear |
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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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