This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 435% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 121% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $393.63 | $144.47 | 2.72x | $249.16 | $133.0K | 983 | 851 |
| 2015 | $357.71 | $142.65 | 2.51x | $215.06 | $147.8K | 1.1K | 908 |
| 2016 | $335.89 | $128.72 | 2.61x | $207.17 | $326.6K | 2.5K | 2.1K |
| 2017 | $335.93 | $135.93 | 2.47x | $200.00 | $411.3K | 2.9K | 2.4K |
| 2018 | $335.91 | $127.98 | 2.62x | $207.93 | $485.8K | 3.8K | 3.3K |
| 2019 | $321.81 | $132.49 | 2.43x | $189.32 | $620.1K | 4.4K | 3.8K |
| 2020 | $334.27 | $136.20 | 2.45x | $198.07 | $618.2K | 4.1K | 3.7K |
| 2021 | $359.91 | $144.19 | 2.50x | $215.72 | $817.0K | 4.7K | 4.4K |
| 2022 | $360.41 | $142.00 | 2.54x | $218.41 | $720.4K | 4.3K | 4.1K |
| 2023 | $370.44 | $140.30 | 2.64x | $230.14 | $712.0K | 4.5K | 4.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 2.8K | $1.2M | $416.88 | 1.44x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 2.8K | $742.9K | $262.24 | 2.10x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 3.1K | $736.9K | $241.36 | 2.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 3.0K | $549.4K | $185.29 | 2.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.9K | $378.6K | $63.65 | 1.74x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 2.0K | $249.7K | $122.27 | 3.16x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $233.9K | $134.99 | 1.92x |
| 95910 | Nerve transmission studies, 7-8 studies | 1.3K | $221.7K | $174.81 | 4.12x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.7K | $149.8K | $89.32 | 4.53x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 956 | $106.1K | $110.95 | 1.79x |
| 92548 | Assessment of balance and postural instability | 1.7K | $101.8K | $61.23 | 4.08x |
| 95911 | Nerve transmission studies, 9-10 studies | 380 | $76.0K | $199.88 | 4.05x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 688 | $73.0K | $106.05 | 1.55x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 691 | $65.3K | $94.50 | 2.54x |
| 96136 | Psychological or neuropsychological test administration and scoring by qualified health care professional, first 30 minutes | 1.3K | $51.4K | $39.87 | 3.76x |
| 96137 | Psychological or neuropsychological test administration and scoring by qualified health care professional, additional 30 minutes | 1.3K | $47.4K | $36.78 | 4.08x |
| 96120 | Neuropsychological testing by a computer with interpretation and report by a qualified healthcare professional | 645 | $26.9K | $41.65 | 4.20x |
| 96103 | Psychological testing with interpretation and report by computer | 651 | $14.9K | $22.84 | 6.57x |
| 92547 | Use of vertical electrodes during eye or balance evaluation | 666 | $5.2K | $7.82 | 7.03x |
| 95912 | Nerve transmission studies, 11-12 studies | 13 | $2.9K | $222.09 | 4.46x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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