This provider's $7.5M 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.
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 | $553.87 | $143.77 | 3.85x | $410.10 | $796.5K | 5.9K | 4.7K |
| 2015 | $649.26 | $147.22 | 4.41x | $502.04 | $824.6K | 5.8K | 4.7K |
| 2016 | $756.62 | $148.75 | 5.09x | $607.87 | $832.1K | 6.0K | 4.6K |
| 2017 | $785.69 | $155.31 | 5.06x | $630.38 | $725.5K | 5.2K | 4.0K |
| 2018 | $724.59 | $141.55 | 5.12x | $583.04 | $733.2K | 5.6K | 4.3K |
| 2019 | $774.40 | $153.83 | 5.03x | $620.57 | $860.0K | 6.1K | 4.8K |
| 2020 | $811.52 | $154.31 | 5.26x | $657.21 | $700.6K | 5.2K | 4.0K |
| 2021 | $857.76 | $156.85 | 5.47x | $700.91 | $718.4K | 4.8K | 3.9K |
| 2022 | $883.51 | $151.83 | 5.82x | $731.68 | $644.8K | 4.5K | 3.7K |
| 2023 | $846.14 | $147.03 | 5.75x | $699.11 | $677.8K | 4.7K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95811 | Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube | 2.5K | $1.2M | $486.85 | 3.92x |
| 95810 | Sleep monitoring of patient (6 years or older) in sleep lab | 2.6K | $1.2M | $462.58 | 4.07x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 13.4K | $1.0M | $77.28 | 3.63x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 2.4K | $747.7K | $314.96 | 2.40x |
| 70551 | MRI scan brain | 2.2K | $361.5K | $166.65 | 7.72x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $354.1K | $118.99 | 2.36x |
| 64445 | Injection of anesthetic agent, sciatic nerve | 2.0K | $285.5K | $142.12 | 5.71x |
| 95909 | Nerve transmission studies, 5-6 studies | 2.5K | $276.5K | $109.87 | 5.28x |
| 72148 | MRI scan of lower spinal canal | 1.6K | $256.3K | $164.85 | 7.71x |
| 95805 | Diagnostic test for sleep disorder | 754 | $240.4K | $318.89 | 4.35x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 2.7K | $203.6K | $74.31 | 6.23x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.1K | $203.2K | $191.49 | 4.03x |
| 72141 | MRI scan of upper spinal canal | 1.1K | $175.1K | $164.27 | 7.74x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.0K | $123.5K | $121.72 | 4.01x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $103.1K | $57.40 | 3.11x |
| 64415 | Injection of anesthetic agent, brachial (arm) nerve bundle | 724 | $85.9K | $118.69 | 6.62x |
| 73221 | MRI scan of arm joint | 354 | $61.9K | $174.85 | 7.20x |
| 70553 | MRI scan of brain before and after contrast | 169 | $46.3K | $273.75 | 4.38x |
| 72195 | MRI scan of pelvis | 188 | $42.5K | $226.33 | 5.70x |
| 72146 | MRI scan of middle spinal canal | 253 | $42.4K | $167.43 | 7.49x |
This provider submits charges 4.42 times higher than what Medicare actually pays.
A markup ratio of 4.42x means for every $100 Medicare pays, this provider initially charges $442. 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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