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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.
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ยฉ 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Zepure Kouyoumdjian
๐Ÿง 
DOIndividual

Zepure Kouyoumdjian, D.O.

NPI: 1235326232
Morgan Hill, CA
10 years of data
Neurology
$4.3M
Total Payments
18.1K
Beneficiaries
24.1K
Services
3.4x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$4.3M
Specialty median$87.3K

๐Ÿ“‹ Key Findings

1Billed $4.3M over 10 years
23.4x markup ratio (above median)
399th percentile in Neurology by payments
415 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $4.3M 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.

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$711.29$227.933.12x$483.36$516.1K2.8K2.4K
2015$773.74$236.383.27x$537.36$577.0K2.6K2.0K
2016$851.39$245.483.47x$605.91$514.8K2.5K1.9K
2017$791.23$231.443.42x$559.79$422.2K2.4K1.8K
2018$783.17$238.283.29x$544.89$446.5K2.2K1.6K
2019$707.18$227.703.11x$479.48$383.4K2.2K1.7K
2020$716.98$182.773.92x$534.21$331.0K2.2K1.7K
2021$679.14$171.423.96x$507.72$378.2K2.3K1.7K
2022$626.51$148.094.23x$478.42$371.7K2.5K1.8K
2023$827.73$197.294.20x$630.44$376.4K2.2K1.5K

Top Procedures (20)

95819Measurement and recording of brain wave (EEG) activity, awake and asleepโš  3.6x markup
$979.2K
2.3K services$431.00/svc3.57x markup
95951Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG)
$905.7K
483 services$1.9K/svc2.42x markup
99214Established patient office or other outpatient, visit typically 25 minutesโš  3.7x markup
$581.3K
6.2K services$94.23/svc3.67x markup
99215Established patient office or other outpatient, visit typically 40 minutesโš  3.7x markup
$275.1K
2.2K services$122.93/svc3.70x markup
95913Nerve transmission studies, 13 or more studiesโš  3.8x markup
$233.0K
803 services$290.13/svc3.80x markup
99205New patient office or other outpatient visit, typically 60 minutesโš  3.7x markup
$223.4K
1.3K services$176.88/svc3.67x markup
64615Injection of chemical for destruction of facial and neck nerve muscles on both sides of face
$160.4K
1.2K services$138.18/svc2.91x markup
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete studyโš  3.5x markup
$153.2K
1.6K services$98.38/svc3.55x markup
99213Established patient office or other outpatient visit, typically 15 minutesโš  3.8x markup
$133.6K
1.8K services$72.44/svc3.75x markup
99204New patient office or other outpatient visit, typically 45 minutesโš  3.6x markup
$116.7K
824 services$141.67/svc3.62x markup
96116Neurobehavioral status examination, interpretation, and report by psychologist or physician per hourโš  3.1x markup
$112.4K
1.4K services$82.62/svc3.07x markup
95911Nerve transmission studies, 9-10 studiesโš  4.5x markup
$96.8K
438 services$220.90/svc4.55x markup
95912Nerve transmission studies, 11-12 studies
$76.1K
300 services$253.79/svc2.98x markup
95708Measurement of brain wave activity (eeg), 12-26 hours, unmonitoredโš  7.6x markup
$63.7K
199 services$320.34/svc7.59x markup
95957Digital analysis of electrical brain wave activity (EEG)
$45.0K
137 services$328.34/svc2.70x markup
95923Testing of autonomic (sympathetic) nervous system functionโš  3.9x markup
$35.6K
258 services$137.97/svc3.91x markup
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKGโš  3.7x markup
$27.2K
324 services$84.08/svc3.72x markup
95700Continuous measurement of brain wave activity (eeg), administered in person by eeg technologistโš  5.5x markup
$22.2K
78 services$284.64/svc5.52x markup
92548Assessment of balance and postural instability
$20.5K
196 services$104.79/svc2.10x markup
99223Initial hospital inpatient care, typically 70 minutes per dayโš  3.7x markup
$16.0K
90 services$177.40/svc3.66x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
95819Measurement and recording of brain wave (EEG) activity, awake and asleep2.3K$979.2K$431.003.57x
95951Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG)483$905.7K$1.9K2.42x
99214Established patient office or other outpatient, visit typically 25 minutes6.2K$581.3K$94.233.67x
99215Established patient office or other outpatient, visit typically 40 minutes2.2K$275.1K$122.933.70x
95913Nerve transmission studies, 13 or more studies803$233.0K$290.133.80x
99205New patient office or other outpatient visit, typically 60 minutes1.3K$223.4K$176.883.67x
64615Injection of chemical for destruction of facial and neck nerve muscles on both sides of face1.2K$160.4K$138.182.91x
95886Needle measurement and recording of electrical activity of muscles of arm or leg complete study1.6K$153.2K$98.383.55x
99213Established patient office or other outpatient visit, typically 15 minutes1.8K$133.6K$72.443.75x
99204New patient office or other outpatient visit, typically 45 minutes824$116.7K$141.673.62x
96116Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour1.4K$112.4K$82.623.07x
95911Nerve transmission studies, 9-10 studies438$96.8K$220.904.55x
95912Nerve transmission studies, 11-12 studies300$76.1K$253.792.98x
95708Measurement of brain wave activity (eeg), 12-26 hours, unmonitored199$63.7K$320.347.59x
95957Digital analysis of electrical brain wave activity (EEG)137$45.0K$328.342.70x
95923Testing of autonomic (sympathetic) nervous system function258$35.6K$137.973.91x
93224Heart rhythm tracing, analysis, and interpretation of 48-hour EKG324$27.2K$84.083.72x
95700Continuous measurement of brain wave activity (eeg), administered in person by eeg technologist78$22.2K$284.645.52x
92548Assessment of balance and postural instability196$20.5K$104.792.10x
99223Initial hospital inpatient care, typically 70 minutes per day90$16.0K$177.403.66x

Markup Analysis

Charge-to-Payment Ratio

3.4x

This provider submits charges 3.4 times higher than what Medicare actually pays.

What This Means

A markup ratio of 3.4x means for every $100 Medicare pays, this provider initially charges $340. This is higher than the national average.

Location

Morgan Hill, 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.

Zepure Kouyoumdjian (you)
$4.3M
Natan Shaoulian, M.D.
$33.8M
Show detailed table โ–พ
ProviderLocationTotal PaymentsStatus
Natan Shaoulian, M.D.Beverly Hills, CA$33.8Mโœ“ Clear

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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.

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