⚠️ This provider averages 203 services per working day — physically unusual for an individual practitioner
Based on 508.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.2M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 203 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1485% from 2014 to 2023.
81% of their billing comes from a single procedure code (J2350 — Injection, ocrelizumab, 1 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 85% 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 | $253.20 | $90.10 | 2.81x | $163.10 | $242.3K | 2.7K | 18 |
| 2015 | $38.70 | $13.56 | 2.85x | $25.14 | $415.4K | 30.6K | 15 |
| 2016 | $31.83 | $14.60 | 2.18x | $17.23 | $767.4K | 52.6K | 12 |
| 2017 | $33.44 | $16.94 | 1.97x | $16.50 | $866.1K | 51.1K | 15 |
| 2018 | $110.36 | $46.02 | 2.40x | $64.34 | $1.3M | 27.3K | 20 |
| 2019 | $102.52 | $43.99 | 2.33x | $58.53 | $2.0M | 46.1K | 17 |
| 2020 | $100.04 | $44.72 | 2.24x | $55.32 | $2.8M | 63.5K | 17 |
| 2021 | $98.09 | $46.35 | 2.12x | $51.74 | $3.1M | 67.6K | 18 |
| 2022 | $97.55 | $46.00 | 2.12x | $51.55 | $3.8M | 83.7K | 18 |
| 2023 | $97.79 | $45.98 | 2.13x | $51.81 | $3.8M | 83.5K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 354.3K | $15.5M | $43.81 | 2.09x |
| J2323 | Injection, natalizumab, 1 mg | 126.6K | $1.4M | $11.38 | 1.85x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.2K | $554.2K | $89.13 | 2.84x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 2.7K | $479.9K | $178.66 | 2.83x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.2K | $264.0K | $121.15 | 2.84x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.5K | $175.2K | $119.27 | 3.13x |
| 95812 | Measurement of brain wave (eeg) activity, 41-60 minutes | 439 | $143.5K | $326.95 | 2.19x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 410 | $117.5K | $286.62 | 2.60x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1.3K | $77.7K | $60.67 | 4.34x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.1K | $76.7K | $67.78 | 2.71x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 2.5K | $62.7K | $25.61 | 11.87x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 102 | $42.6K | $417.82 | 2.55x |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 1.0K | $39.5K | $37.81 | 2.71x |
| 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 313 | $32.6K | $104.30 | 3.48x |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 173 | $30.5K | $176.48 | 2.49x |
| 96374 | Injection of drug or substance into vein | 737 | $27.0K | $36.58 | 1.93x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 143 | $24.4K | $170.78 | 3.02x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 65 | $24.3K | $374.59 | 2.59x |
| 93924 | Ultrasound of leg arteries at rest and after exercise | 111 | $16.9K | $151.92 | 2.50x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 890 | $13.9K | $15.57 | 12.20x |
This provider submits charges 2.2 times higher than what Medicare actually pays.
A markup ratio of 2.2x means for every $100 Medicare pays, this provider initially charges $220. 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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