This provider's $8.4M 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 | $217.36 | $160.81 | 1.35x | $56.55 | $894.1K | 6.3K | 2.1K |
| 2015 | $230.69 | $173.77 | 1.33x | $56.92 | $990.3K | 5.5K | 1.8K |
| 2016 | $207.89 | $156.14 | 1.33x | $51.75 | $1.0M | 5.1K | 1.6K |
| 2017 | $209.46 | $154.26 | 1.36x | $55.20 | $959.0K | 4.9K | 1.4K |
| 2018 | $234.43 | $169.69 | 1.38x | $64.74 | $853.1K | 4.4K | 1.1K |
| 2019 | $250.55 | $190.17 | 1.32x | $60.38 | $978.0K | 3.8K | 993 |
| 2020 | $216.87 | $155.48 | 1.39x | $61.39 | $627.5K | 3.5K | 907 |
| 2021 | $226.08 | $174.06 | 1.30x | $52.02 | $676.5K | 3.3K | 811 |
| 2022 | $216.60 | $166.46 | 1.30x | $50.14 | $626.5K | 2.9K | 677 |
| 2023 | $215.49 | $164.94 | 1.31x | $50.55 | $753.9K | 3.3K | 804 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 1.6K | $2.8M | $1.7K | 1.28x |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours, with intermittent monitoring and maintenance | 1.3K | $1.1M | $789.93 | 1.26x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 4.0K | $1.0M | $258.36 | 1.40x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 2.4K | $818.5K | $347.56 | 1.29x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 7.4K | $700.1K | $94.00 | 1.35x |
| 99308 | Subsequent nursing facility visit, typically 15 minutes per day | 9.1K | $493.0K | $54.22 | 1.40x |
| 95720 | Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report | 1.4K | $250.4K | $183.21 | 1.27x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 2.1K | $179.2K | $85.98 | 1.33x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.4K | $172.4K | $124.37 | 1.37x |
| 95911 | Nerve transmission studies, 9-10 studies | 772 | $157.4K | $203.92 | 1.40x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.3K | $124.0K | $38.02 | 1.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $115.7K | $63.29 | 1.32x |
| 93888 | Ultrasound limited scanning of head and neck blood flow (inside the brain) | 804 | $89.5K | $111.36 | 1.52x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.0K | $86.6K | $85.45 | 1.31x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 774 | $64.3K | $83.08 | 1.28x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 226 | $32.7K | $144.47 | 1.39x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 203 | $31.2K | $153.49 | 1.41x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 264 | $23.5K | $88.91 | 1.30x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 238 | $23.4K | $98.38 | 1.29x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 351 | $21.2K | $60.48 | 1.30x |
This provider submits charges 1.32 times higher than what Medicare actually pays.
A markup ratio of 1.32x means for every $100 Medicare pays, this provider initially charges $132. This is lower 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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