⚠️ This provider averages 363 services per working day — physically unusual for an individual practitioner
Based on 908.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $33.8M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 363 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1025% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 121% 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 | $101.86 | $27.05 | 3.77x | $74.81 | $652.5K | 24.1K | 7 |
| 2015 | $102.29 | $32.12 | 3.18x | $70.17 | $1.4M | 44.9K | 10 |
| 2016 | $100.56 | $32.39 | 3.10x | $68.17 | $1.6M | 48.9K | 10 |
| 2017 | $98.63 | $27.59 | 3.57x | $71.04 | $2.0M | 72.9K | 9 |
| 2018 | $97.15 | $31.46 | 3.09x | $65.69 | $2.1M | 66.3K | 11 |
| 2019 | $97.50 | $33.34 | 2.92x | $64.16 | $2.4M | 73.0K | 12 |
| 2020 | $95.56 | $32.41 | 2.95x | $63.15 | $3.3M | 103.1K | 12 |
| 2021 | $94.75 | $33.83 | 2.80x | $60.92 | $5.2M | 152.5K | 9 |
| 2022 | $152.65 | $48.96 | 3.12x | $103.69 | $7.8M | 158.7K | 11 |
| 2023 | $147.17 | $44.76 | 3.29x | $102.41 | $7.3M | 164.0K | 14 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 324.4K | $10.6M | $32.72 | 2.82x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 164.3K | $5.7M | $34.75 | 2.65x |
| J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | 84.1K | $5.3M | $62.98 | 4.76x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 157.2K | $4.1M | $26.38 | 3.49x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 70.2K | $3.6M | $51.26 | 1.79x |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | 59.7K | $2.2M | $36.34 | 2.75x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 8.7K | $555.8K | $64.09 | 4.68x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 14.0K | $444.6K | $31.71 | 2.90x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 5.7K | $380.2K | $66.24 | 2.64x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 14.9K | $279.8K | $18.72 | 6.68x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.1K | $258.1K | $124.47 | 2.21x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.3K | $220.9K | $171.74 | 2.33x |
| 99354 | Prolonged office or other outpatient service first hour | 501 | $48.3K | $96.41 | 2.07x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 214 | $20.2K | $94.50 | 2.65x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 149 | $18.7K | $125.49 | 2.55x |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 316 | $18.3K | $57.89 | 2.07x |
| 95909 | Nerve conduction, 5-6 studies | 107 | $13.6K | $127.13 | 2.36x |
| 96372 | Injection of drug or substance under skin or into muscle | 540 | $9.6K | $17.70 | 5.65x |
| 95910 | Nerve conduction, 7-8 studies | 54 | $9.3K | $172.95 | 2.31x |
| 95913 | Nerve transmission studies, 13 or more studies | 17 | $4.4K | $259.12 | 2.55x |
This provider submits charges 3.12 times higher than what Medicare actually pays.
A markup ratio of 3.12x means for every $100 Medicare pays, this provider initially charges $312. 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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