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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
Sister Sites: OpenMedicaid ยท OpenFeds ยท OpenSpending

ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Glenn Balfour
๐Ÿง 
MDIndividual

Glenn Balfour, M.D.

NPI: 1104931542
Carlsbad, CA
10 years of data
Neurology
$5.0M
Total Payments
30.4K
Beneficiaries
37.2K
Services
1.84x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$5.0M
Specialty median$87.3K

๐Ÿ“‹ Key Findings

1Billed $5.0M over 10 years
21.84x markup ratio
399th percentile in Neurology by payments
4Payments surged 374% in 2016
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.

Medicare payments to this provider grew 4062% from 2014 to 2023.

AI-generated analysis based on Medicare payment data.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

๐Ÿ“ˆ

Notable: Payments increased 374% in 2016

Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$245.19$126.681.94x$118.51$21.8K18482
2015$202.22$121.281.67x$80.94$92.3K804621
2016$221.66$106.012.09x$115.65$437.3K4.5K3.3K
2017$245.27$137.131.79x$108.14$477.5K3.5K3.2K
2018$257.31$137.281.87x$120.03$455.1K3.4K2.9K
2019$281.79$154.741.82x$127.05$580.9K4.3K3.6K
2020$275.76$151.761.82x$124.00$491.2K3.6K2.9K
2021$301.49$185.481.63x$116.01$669.8K4.5K3.6K
2022$315.12$183.761.71x$131.36$880.5K5.9K4.8K
2023$270.83$155.181.75x$115.65$907.6K6.4K5.3K

Top Procedures (20)

95912Nerve transmission studies, 11-12 studies
$725.4K
3.4K services$214.50/svc1.49x markup
95911Nerve transmission studies, 9-10 studies
$658.6K
3.5K services$187.58/svc1.51x markup
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study
$564.3K
6.9K services$81.73/svc2.10x markup
93890Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)
$515.0K
2.7K services$189.74/svc1.84x markup
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)
$481.8K
2.7K services$179.12/svc1.95x markup
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck
$399.7K
2.8K services$141.78/svc1.82x markup
93892Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)
$386.8K
2.7K services$142.51/svc2.88x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$257.9K
2.8K services$90.57/svc1.78x markup
99204New patient office or other outpatient visit, typically 45 minutes
$204.2K
1.6K services$130.80/svc1.68x markup
99213Established patient office or other outpatient visit, typically 15 minutes
$189.9K
2.8K services$66.88/svc1.80x markup
95816Measurement and recording of brain wave (EEG) activity, awake and drowsy
$182.9K
568 services$322.07/svc1.53x markup
95819Measurement and recording of brain wave (EEG) activity, awake and asleep
$148.2K
368 services$402.60/svc1.49x markup
99215Established patient office or other outpatient, visit typically 40 minutes
$116.6K
915 services$127.48/svc1.65x markup
99203New patient office or other outpatient visit, typically 30 minutes
$47.4K
556 services$85.31/svc2.34x markup
99205New patient office or other outpatient visit, typically 60 minutes
$17.7K
116 services$152.72/svc1.70x markup
99212Established patient office or other outpatient visit, typically 10 minutes
$17.6K
509 services$34.65/svc2.31x markup
95923Testing of autonomic (sympathetic) nervous system function
$15.6K
141 services$110.76/svc1.81x markup
92546Test for abnormal eye movement using a rotating chair
$15.4K
132 services$116.84/svc1.71x markup
92540Evaluation and testing for balance with recording
$12.4K
132 services$94.21/svc1.70x markup
95921Testing of autonomic nervous system function and heart rate response to deep breathing
$10.9K
141 services$77.33/svc1.94x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
95912Nerve transmission studies, 11-12 studies3.4K$725.4K$214.501.49x
95911Nerve transmission studies, 9-10 studies3.5K$658.6K$187.581.51x
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study6.9K$564.3K$81.732.10x
93890Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain)2.7K$515.0K$189.741.84x
93886Ultrasound scanning of head and neck vessel blood flow (inside the brain)2.7K$481.8K$179.121.95x
93880Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck2.8K$399.7K$141.781.82x
93892Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain)2.7K$386.8K$142.512.88x
99214Established patient office or other outpatient, visit typically 25 minutes2.8K$257.9K$90.571.78x
99204New patient office or other outpatient visit, typically 45 minutes1.6K$204.2K$130.801.68x
99213Established patient office or other outpatient visit, typically 15 minutes2.8K$189.9K$66.881.80x
95816Measurement and recording of brain wave (EEG) activity, awake and drowsy568$182.9K$322.071.53x
95819Measurement and recording of brain wave (EEG) activity, awake and asleep368$148.2K$402.601.49x
99215Established patient office or other outpatient, visit typically 40 minutes915$116.6K$127.481.65x
99203New patient office or other outpatient visit, typically 30 minutes556$47.4K$85.312.34x
99205New patient office or other outpatient visit, typically 60 minutes116$17.7K$152.721.70x
99212Established patient office or other outpatient visit, typically 10 minutes509$17.6K$34.652.31x
95923Testing of autonomic (sympathetic) nervous system function141$15.6K$110.761.81x
92546Test for abnormal eye movement using a rotating chair132$15.4K$116.841.71x
92540Evaluation and testing for balance with recording132$12.4K$94.211.70x
95921Testing of autonomic nervous system function and heart rate response to deep breathing141$10.9K$77.331.94x

Markup Analysis

Charge-to-Payment Ratio

1.84x

This provider submits charges 1.84 times higher than what Medicare actually pays.

What This Means

A markup ratio of 1.84x means for every $100 Medicare pays, this provider initially charges $184. This is lower than the national average.

Location

Carlsbad, CA

Provider Verification

Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.

Similar Providers

Other Neurology providers in CA for peer comparison.

Glenn Balfour (you)
$5.0M
Natan Shaoulian, M.D.
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Natan Shaoulian, M.D.Beverly Hills, CA$33.8Mโœ“ Clear

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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