This provider's $4.6M 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.
Notable: Payments increased 58% in 2021
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 | $350.32 | $117.85 | 2.97x | $232.47 | $432.5K | 3.6K | 2.5K |
| 2015 | $311.35 | $103.26 | 3.02x | $208.09 | $505.8K | 6.9K | 2.7K |
| 2016 | $295.26 | $97.98 | 3.01x | $197.28 | $449.5K | 6.7K | 2.8K |
| 2017 | $296.44 | $108.76 | 2.73x | $187.68 | $467.8K | 6.7K | 2.7K |
| 2018 | $332.08 | $113.72 | 2.92x | $218.36 | $328.0K | 4.5K | 2.0K |
| 2019 | $417.04 | $141.66 | 2.94x | $275.38 | $451.2K | 5.4K | 2.5K |
| 2020 | $316.38 | $112.76 | 2.81x | $203.62 | $342.4K | 4.0K | 2.2K |
| 2021 | $324.49 | $136.73 | 2.37x | $187.76 | $539.6K | 5.7K | 2.7K |
| 2022 | $322.38 | $128.51 | 2.51x | $193.87 | $507.2K | 5.5K | 2.7K |
| 2023 | $296.13 | $120.02 | 2.47x | $176.11 | $599.9K | 6.5K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 16.5K | $1.2M | $71.04 | 2.66x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 1.7K | $575.7K | $347.20 | 2.16x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.1K | $568.3K | $186.15 | 2.15x |
| 95913 | Nerve transmission studies, 13 or more studies | 1.1K | $312.2K | $273.62 | 3.47x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 1.7K | $273.7K | $156.73 | 3.03x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.9K | $255.7K | $88.71 | 2.26x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.8K | $185.8K | $100.74 | 3.72x |
| 97110 | Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 7.8K | $185.3K | $23.83 | 3.99x |
| 95910 | Nerve transmission studies, 7-8 studies | 895 | $156.6K | $174.97 | 3.29x |
| 95911 | Nerve transmission studies, 9-10 studies | 703 | $147.3K | $209.51 | 3.79x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.2K | $116.8K | $95.23 | 2.97x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 558 | $83.5K | $149.62 | 2.91x |
| 97140 | Manual (physical) therapy techniques to 1 or more regions, each 15 minutes | 2.8K | $54.8K | $19.83 | 5.04x |
| 97530 | Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes | 1.8K | $49.1K | $28.08 | 3.49x |
| 64520 | Injection of anesthetic agent, middle or lower spine sympathetic nerves | 241 | $48.6K | $201.55 | 1.43x |
| 95819 | Measurement and recording of brain wave (eeg) activity, awake and asleep | 105 | $45.7K | $435.69 | 1.72x |
| 64405 | Injection of anesthetic agent, greater occipital nerve | 433 | $37.9K | $87.51 | 2.90x |
| 95912 | Nerve transmission studies, 11-12 studies | 142 | $34.0K | $239.61 | 3.55x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 1.1K | $31.0K | $28.49 | 3.34x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 125 | $30.1K | $240.69 | 1.97x |
This provider submits charges 2.81 times higher than what Medicare actually pays.
A markup ratio of 2.81x means for every $100 Medicare pays, this provider initially charges $281. 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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