OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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. Ian Purcell
๐Ÿง 
MDIndividual

Ian Purcell, MD

NPI: 1124233739
San Diego, CA
10 years of data
Neurology
$9.1M
Total Payments
73.6K
Beneficiaries
117.8K
Services
2.48x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$9.1M
Specialty median$87.3K

๐Ÿ“‹ Key Findings

1Billed $9.1M over 10 years
22.48x markup ratio (above median)
399th percentile in Neurology by payments
48 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $9.1M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.

Medicare payments to this provider grew 126% 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

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$315.03$80.823.90x$234.21$576.1K7.9K5.1K
2015$408.86$95.434.28x$313.43$647.7K9.1K5.8K
2016$434.27$96.434.50x$337.84$651.4K9.6K5.9K
2017$385.34$87.554.40x$297.79$708.8K10.1K6.2K
2018$373.32$88.324.23x$285.00$860.0K11.6K7.4K
2019$202.08$70.832.85x$131.25$995.7K13.9K8.7K
2020$180.56$69.802.59x$110.76$897.3K12.2K7.7K
2021$173.37$70.592.46x$102.78$1.2M13.5K8.3K
2022$209.58$82.902.53x$126.68$1.3M14.6K8.9K
2023$201.35$75.432.67x$125.92$1.3M15.2K9.5K

Top Procedures (20)

99215Established patient office or other outpatient, visit typically 40 minutes
$3.8M
29.3K services$128.54/svc1.75x markup
99205New patient office or other outpatient visit, typically 60 minutes
$953.1K
5.7K services$166.68/svc2.10x markup
92546Assessment and recording of abnormal eye movement with patient in a rotating chair
$930.7K
9.6K services$96.84/svc2.27x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$625.7K
7.1K services$88.02/svc2.50x markup
92548Assessment of balance and postural instabilityโš  3.6x markup
$286.8K
4.5K services$63.04/svc3.65x markup
92542Observation and recording from multiple positions of abnormal eye movementsโš  5.0x markup
$237.9K
10.0K services$23.69/svc4.98x markup
92285Photography of content of eyesโš  4.5x markup
$214.9K
11.4K services$18.90/svc4.50x markup
92541Observation and recording of abnormal eye movementโš  5.5x markup
$212.1K
10.1K services$21.06/svc5.51x markup
95992Repositioning maneuvers for treatment of vertigo, per day
$185.7K
5.1K services$36.43/svc2.47x markup
69210Removal of impact ear wax, one ear
$177.7K
4.5K services$39.25/svc1.53x markup
99354Prolonged office or other outpatient service first hour
$161.0K
1.7K services$96.86/svc2.06x markup
95911Nerve transmission studies, 9-10 studies
$142.7K
746 services$191.33/svc2.46x markup
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study
$132.8K
1.6K services$83.80/svc2.39x markup
70551MRI scan brainโš  7.1x markup
$103.7K
815 services$127.21/svc7.07x markup
64405Injection of anesthetic agent, greater occipital nerveโš  4.1x markup
$88.9K
970 services$91.61/svc4.10x markup
95909Nerve transmission studies, 5-6 studies
$85.1K
695 services$122.48/svc2.45x markup
96116Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour
$76.0K
964 services$78.83/svc2.41x markup
92585Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system
$65.3K
580 services$112.53/svc2.50x markup
20553Injections of trigger points in 3 or more musclesโš  3.2x markup
$64.1K
1.6K services$40.65/svc3.20x markup
92540Observation, testing, and recording of abnormal eye movementโš  3.4x markup
$63.2K
717 services$88.15/svc3.43x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
99215Established patient office or other outpatient, visit typically 40 minutes29.3K$3.8M$128.541.75x
99205New patient office or other outpatient visit, typically 60 minutes5.7K$953.1K$166.682.10x
92546Assessment and recording of abnormal eye movement with patient in a rotating chair9.6K$930.7K$96.842.27x
99214Established patient office or other outpatient, visit typically 25 minutes7.1K$625.7K$88.022.50x
92548Assessment of balance and postural instability4.5K$286.8K$63.043.65x
92542Observation and recording from multiple positions of abnormal eye movements10.0K$237.9K$23.694.98x
92285Photography of content of eyes11.4K$214.9K$18.904.50x
92541Observation and recording of abnormal eye movement10.1K$212.1K$21.065.51x
95992Repositioning maneuvers for treatment of vertigo, per day5.1K$185.7K$36.432.47x
69210Removal of impact ear wax, one ear4.5K$177.7K$39.251.53x
99354Prolonged office or other outpatient service first hour1.7K$161.0K$96.862.06x
95911Nerve transmission studies, 9-10 studies746$142.7K$191.332.46x
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study1.6K$132.8K$83.802.39x
70551MRI scan brain815$103.7K$127.217.07x
64405Injection of anesthetic agent, greater occipital nerve970$88.9K$91.614.10x
95909Nerve transmission studies, 5-6 studies695$85.1K$122.482.45x
96116Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour964$76.0K$78.832.41x
92585Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system580$65.3K$112.532.50x
20553Injections of trigger points in 3 or more muscles1.6K$64.1K$40.653.20x
92540Observation, testing, and recording of abnormal eye movement717$63.2K$88.153.43x

Markup Analysis

Charge-to-Payment Ratio

2.48x

This provider submits charges 2.48 times higher than what Medicare actually pays.

What This Means

A markup ratio of 2.48x means for every $100 Medicare pays, this provider initially charges $248. This is higher than the national average.

Location

San Diego, 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.

Ian Purcell (you)
$9.1M
Natan Shaoulian, M.D.
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Natan Shaoulian, M.D.Beverly Hills, CA$33.8Mโœ“ Clear

Related

Browse
โ† Back to Provider Directory
State
All providers in CA โ†’
Specialty
All Neurology providers โ†’
Tool
Compare this provider โ†’
Analysis
Fraud Watchlist โ†’
Search
Search all providers โ†’

Share This Provider

Share this provider's Medicare payment information

Share:

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.

Believe this data is inaccurate? Dispute this data