This provider's $5.5M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 134% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $469.60 | $174.39 | 2.69x | $295.21 | $273.6K | 1.7K | 1.4K |
| 2015 | $432.68 | $159.51 | 2.71x | $273.17 | $394.5K | 2.6K | 2.1K |
| 2016 | $374.91 | $140.10 | 2.68x | $234.81 | $372.5K | 2.7K | 2.1K |
| 2017 | $315.97 | $121.60 | 2.60x | $194.37 | $411.5K | 2.8K | 2.4K |
| 2018 | $314.01 | $116.62 | 2.69x | $197.39 | $471.4K | 3.5K | 3.0K |
| 2019 | $358.20 | $143.79 | 2.49x | $214.41 | $692.4K | 4.4K | 3.8K |
| 2020 | $410.39 | $135.77 | 3.02x | $274.62 | $657.6K | 4.4K | 3.9K |
| 2021 | $419.66 | $142.60 | 2.94x | $277.06 | $852.5K | 5.5K | 4.9K |
| 2022 | $304.56 | $125.07 | 2.44x | $179.49 | $738.8K | 4.8K | 4.2K |
| 2023 | $318.06 | $123.98 | 2.57x | $194.08 | $639.5K | 4.3K | 3.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 4.3K | $1.0M | $240.87 | 2.08x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 2.4K | $1.0M | $415.09 | 1.45x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 4.3K | $794.0K | $185.91 | 2.69x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 2.7K | $712.4K | $268.53 | 2.05x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.6K | $501.4K | $66.08 | 1.89x |
| 95910 | Nerve transmission studies, 7-8 studies | 1.6K | $281.7K | $171.97 | 4.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $263.1K | $136.37 | 1.90x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.4K | $173.9K | $123.84 | 3.12x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 1.0K | $114.9K | $113.29 | 1.55x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 1.0K | $100.8K | $99.00 | 2.42x |
| 92548 | Assessment of balance and postural instability | 1.3K | $75.0K | $58.12 | 4.30x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 761 | $69.7K | $91.64 | 4.42x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 173 | $67.6K | $390.97 | 3.22x |
| 95885 | Needle measurement and recording of electrical activity of muscles of arm or leg limited study | 1.1K | $62.2K | $57.35 | 4.19x |
| 96136 | Psychological or neuropsychological test administration and scoring by qualified health care professional, first 30 minutes | 919 | $38.1K | $41.48 | 3.62x |
| 96137 | Psychological or neuropsychological test administration and scoring by qualified health care professional, additional 30 minutes | 918 | $34.8K | $37.92 | 3.96x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 347 | $32.5K | $93.58 | 1.63x |
| 96120 | Neuropsychological testing by a computer with interpretation and report by a qualified healthcare professional | 500 | $21.0K | $42.10 | 4.16x |
| 95909 | Nerve transmission studies, 5-6 studies | 108 | $14.8K | $137.28 | 3.93x |
| 95708 | Measurement of brain wave activity (eeg), 12-26 hours, unmonitored | 108 | $13.4K | $124.51 | 12.05x |
This provider submits charges 2.34 times higher than what Medicare actually pays.
A markup ratio of 2.34x means for every $100 Medicare pays, this provider initially charges $234. 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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