This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 118% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2016
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 | $355.70 | $133.25 | 2.67x | $222.45 | $357.8K | 2.4K | 1.6K |
| 2015 | $362.54 | $129.45 | 2.80x | $233.09 | $401.1K | 3.2K | 2.1K |
| 2016 | $336.67 | $118.45 | 2.84x | $218.22 | $673.3K | 6.0K | 4.1K |
| 2017 | $367.77 | $126.41 | 2.91x | $241.36 | $674.3K | 6.5K | 4.2K |
| 2018 | $364.68 | $109.91 | 3.32x | $254.77 | $614.0K | 6.2K | 4.0K |
| 2019 | $462.34 | $139.96 | 3.30x | $322.38 | $257.8K | 2.5K | 1.3K |
| 2020 | $473.22 | $151.53 | 3.12x | $321.69 | $311.5K | 3.9K | 1.3K |
| 2021 | $519.65 | $181.05 | 2.87x | $338.60 | $442.7K | 5.3K | 1.6K |
| 2022 | $416.22 | $148.85 | 2.80x | $267.37 | $620.0K | 7.2K | 2.4K |
| 2023 | $437.77 | $144.61 | 3.03x | $293.16 | $781.3K | 8.7K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 18.2K | $1.2M | $66.59 | 4.60x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 2.0K | $653.6K | $324.37 | 2.02x |
| 90833 | Psychotherapy, 30 minutes with patient and/or family member | 10.9K | $632.1K | $58.05 | 3.08x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 984 | $311.3K | $316.36 | 1.58x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.7K | $296.1K | $169.57 | 1.74x |
| 95910 | Nerve transmission studies, 7-8 studies | 1.5K | $261.8K | $173.24 | 5.06x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.7K | $259.5K | $96.47 | 3.65x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.8K | $245.5K | $88.40 | 5.19x |
| 95812 | Measurement of brain wave (eeg) activity, 41-60 minutes | 660 | $221.2K | $335.10 | 2.69x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 939 | $181.1K | $192.85 | 1.51x |
| 95909 | Nerve transmission studies, 5-6 studies | 1.1K | $139.1K | $131.86 | 6.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 942 | $138.5K | $147.04 | 3.36x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 1.0K | $101.9K | $101.14 | 2.32x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 1.1K | $98.9K | $92.77 | 2.15x |
| 92548 | Assessment of balance and postural instability | 769 | $69.5K | $90.34 | 2.56x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 540 | $68.4K | $126.73 | 1.88x |
| 93922 | Ultrasound study of arteries of both arms and legs | 763 | $63.0K | $82.52 | 3.53x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 766 | $58.9K | $76.91 | 2.66x |
| 95911 | Nerve transmission studies, 9-10 studies | 190 | $40.1K | $211.25 | 4.26x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 120 | $28.2K | $235.42 | 1.37x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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