⚠️ This provider averages 283 services per working day — physically unusual for an individual practitioner
Based on 707.3K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $23.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 283 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2629% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 387% in 2017
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 | $73.65 | $29.49 | 2.50x | $44.16 | $150.3K | 5.1K | 15 |
| 2015 | $104.54 | $34.97 | 2.99x | $69.57 | $184.5K | 5.3K | 15 |
| 2016 | $84.07 | $37.18 | 2.26x | $46.89 | $502.6K | 13.5K | 28 |
| 2017 | $70.54 | $34.14 | 2.07x | $36.40 | $2.4M | 71.7K | 31 |
| 2018 | $77.88 | $36.28 | 2.15x | $41.60 | $2.4M | 67.0K | 35 |
| 2019 | $79.49 | $35.04 | 2.27x | $44.45 | $2.2M | 61.9K | 31 |
| 2020 | $90.88 | $43.33 | 2.10x | $47.55 | $4.0M | 92.1K | 39 |
| 2021 | $64.01 | $30.64 | 2.09x | $33.37 | $3.5M | 113.3K | 36 |
| 2022 | $58.25 | $26.48 | 2.20x | $31.77 | $3.9M | 145.8K | 37 |
| 2023 | $66.06 | $31.16 | 2.12x | $34.90 | $4.1M | 131.6K | 37 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 199.8K | $6.9M | $34.38 | 1.89x |
| J2350 | Injection, ocrelizumab, 1 mg | 117.0K | $5.3M | $45.05 | 1.91x |
| J1745 | Injection, infliximab, excludes biosimilar, 10 mg | 68.0K | $2.7M | $39.18 | 3.21x |
| J3380 | Injection, vedolizumab, 1 mg | 101.7K | $1.7M | $16.24 | 1.60x |
| J3590 | Unclassified biologics | 14.1K | $1.6M | $113.02 | 1.95x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 39.6K | $1.2M | $31.13 | 2.09x |
| J2357 | Injection, omalizumab, 5 mg | 25.3K | $686.8K | $27.19 | 1.66x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 3.6K | $364.5K | $100.26 | 2.11x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.8K | $364.2K | $75.38 | 1.86x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 6.4K | $323.6K | $50.76 | 2.08x |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 22.5K | $279.2K | $12.41 | 2.42x |
| 70551 | Mri scan of brain without contrast | 1.5K | $234.8K | $158.76 | 3.82x |
| J0129 | Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) | 6.4K | $215.1K | $33.61 | 2.23x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.9K | $207.6K | $111.77 | 2.01x |
| 70553 | Mri scan of brain before and after contrast | 805 | $200.5K | $249.03 | 5.16x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 3.3K | $159.2K | $48.79 | 1.86x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 60 minutes | 686 | $127.9K | $186.45 | 1.98x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 6.8K | $108.5K | $15.89 | 3.34x |
| 70544 | Mri scan of blood vessels of head without contrast | 383 | $75.2K | $196.24 | 3.13x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 2.4K | $51.4K | $21.43 | 2.33x |
This provider submits charges 2.15 times higher than what Medicare actually pays.
A markup ratio of 2.15x means for every $100 Medicare pays, this provider initially charges $215. 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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