This provider's $3.7M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 897% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 362% in 2020
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 | $134.70 | $78.51 | 1.72x | $56.19 | $88.3K | 1.1K | 556 |
| 2015 | $135.28 | $77.00 | 1.76x | $58.28 | $94.4K | 1.2K | 549 |
| 2016 | $100.76 | $55.44 | 1.82x | $45.32 | $100.0K | 1.4K | 687 |
| 2017 | $122.15 | $63.59 | 1.92x | $58.56 | $88.8K | 1.3K | 599 |
| 2018 | $119.17 | $62.00 | 1.92x | $57.17 | $85.8K | 1.2K | 556 |
| 2019 | $124.03 | $65.93 | 1.88x | $58.10 | $81.9K | 1.1K | 518 |
| 2020 | $195.24 | $78.50 | 2.49x | $116.74 | $378.3K | 4.9K | 3.6K |
| 2021 | $329.98 | $132.54 | 2.49x | $197.44 | $779.5K | 8.5K | 5.8K |
| 2022 | $325.55 | $123.39 | 2.64x | $202.16 | $1.1M | 13.7K | 10.2K |
| 2023 | $226.50 | $83.36 | 2.72x | $143.14 | $880.5K | 11.4K | 9.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.9K | $386.2K | $78.73 | 1.86x |
| 76800 | Ultrasound of spinal canal | 2.8K | $367.7K | $129.52 | 2.65x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 2.9K | $311.7K | $108.75 | 3.46x |
| 92270 | Evaluation of retinal response to light | 3.2K | $285.1K | $88.83 | 2.07x |
| 95926 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the legs | 1.8K | $228.7K | $130.11 | 2.55x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 2.9K | $216.3K | $75.72 | 2.60x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 1.6K | $173.5K | $106.22 | 1.81x |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 1.6K | $171.4K | $108.79 | 2.20x |
| 95925 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms | 1.1K | $160.3K | $145.33 | 2.43x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 1.6K | $151.3K | $92.01 | 2.47x |
| 76881 | Complete ultrasound of joint of arm or leg | 2.8K | $148.4K | $52.52 | 3.29x |
| 96116 | Neurobehavioral status examination by qualified health care professional with interpretation and report, first 60 minutes | 1.6K | $124.1K | $78.97 | 2.53x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 767 | $89.3K | $116.46 | 2.74x |
| 92548 | Computerized dynamic assessment of balance and postural instability | 2.0K | $80.9K | $40.71 | 3.68x |
| 93923 | Complete ultrasound study of arm and leg arteries | 723 | $79.5K | $109.89 | 2.73x |
| 95937 | Testing with stimulation for assessment of function at muscle-nerve junction | 780 | $72.5K | $93.00 | 2.43x |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours, with intermittent monitoring and maintenance | 90 | $70.9K | $787.27 | 2.54x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 395 | $62.3K | $157.74 | 1.52x |
| 95913 | Nerve transmission studies, 13 or more studies | 254 | $61.0K | $240.23 | 2.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.1K | $58.8K | $53.33 | 1.74x |
This provider submits charges 2.5 times higher than what Medicare actually pays.
A markup ratio of 2.5x means for every $100 Medicare pays, this provider initially charges $250. 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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