This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 86% 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 | $504.49 | $105.16 | 4.80x | $399.33 | $467.8K | 4.9K | 3.3K |
| 2015 | $422.58 | $93.48 | 4.52x | $329.10 | $423.3K | 4.8K | 3.1K |
| 2016 | $488.47 | $88.61 | 5.51x | $399.86 | $460.3K | 5.2K | 3.4K |
| 2017 | $589.64 | $96.42 | 6.12x | $493.22 | $528.3K | 5.7K | 3.8K |
| 2018 | $631.55 | $102.53 | 6.16x | $529.02 | $619.0K | 6.8K | 4.5K |
| 2019 | $379.56 | $92.42 | 4.11x | $287.14 | $652.9K | 7.3K | 4.5K |
| 2020 | $369.03 | $93.97 | 3.93x | $275.06 | $643.5K | 7.0K | 4.4K |
| 2021 | $365.80 | $95.35 | 3.84x | $270.45 | $777.5K | 7.8K | 4.9K |
| 2022 | $328.78 | $84.79 | 3.88x | $243.99 | $819.5K | 9.9K | 5.2K |
| 2023 | $338.45 | $86.49 | 3.91x | $251.96 | $872.2K | 9.7K | 5.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 20.0K | $1.8M | $88.82 | 3.65x |
| 95911 | Nerve transmission studies, 9-10 studies | 3.1K | $562.4K | $184.33 | 3.91x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.4K | $555.2K | $164.59 | 3.87x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.1K | $512.9K | $125.19 | 3.54x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 5.7K | $489.1K | $85.96 | 3.54x |
| 95910 | Nerve transmission studies, 7-8 studies | 2.6K | $396.3K | $152.84 | 3.73x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 1.2K | $362.2K | $297.64 | 3.76x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 1.7K | $285.7K | $171.50 | 2.61x |
| 72148 | MRI scan of lower spinal canal | 1.3K | $200.2K | $159.03 | 8.54x |
| 72141 | MRI scan of upper spinal canal | 802 | $121.4K | $151.38 | 9.26x |
| 64646 | Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles | 1.7K | $115.7K | $69.94 | 7.03x |
| 95874 | Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles | 1.8K | $115.5K | $63.72 | 3.45x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 1.4K | $100.2K | $69.65 | 6.45x |
| 70551 | MRI scan brain | 549 | $86.8K | $158.03 | 9.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 638 | $83.3K | $130.58 | 4.04x |
| 20553 | Injections of trigger points in 3 or more muscles | 1.1K | $55.4K | $50.10 | 3.83x |
| 95912 | Nerve transmission studies, 11-12 studies | 201 | $42.3K | $210.67 | 3.82x |
| 80305 | Testing for presence of drug | 3.0K | $38.2K | $12.67 | 4.73x |
| 99211 | Established patient office or other outpatient visit, typically 5 minutes | 2.4K | $36.9K | $15.67 | 3.78x |
| 64645 | Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles | 296 | $30.7K | $103.88 | 3.67x |
This provider submits charges 4.21 times higher than what Medicare actually pays.
A markup ratio of 4.21x means for every $100 Medicare pays, this provider initially charges $421. 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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