⚠️ This provider averages 365 services per working day — physically unusual for an individual practitioner
Based on 911.8K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.4M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 365 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 635% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 75% 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 | $92.10 | $18.77 | 4.91x | $73.33 | $509.6K | 27.1K | 24 |
| 2015 | $111.04 | $25.56 | 4.34x | $85.48 | $824.1K | 32.2K | 20 |
| 2016 | $103.13 | $25.70 | 4.01x | $77.43 | $1.1M | 44.7K | 23 |
| 2017 | $92.53 | $22.02 | 4.20x | $70.51 | $1.1M | 49.0K | 29 |
| 2018 | $92.73 | $23.05 | 4.02x | $69.68 | $1.8M | 77.3K | 30 |
| 2019 | $83.33 | $20.38 | 4.09x | $62.95 | $2.1M | 104.9K | 28 |
| 2020 | $72.07 | $19.16 | 3.76x | $52.91 | $2.0M | 106.4K | 28 |
| 2021 | $88.74 | $23.96 | 3.70x | $64.78 | $3.6M | 149.1K | 27 |
| 2022 | $81.76 | $23.83 | 3.43x | $57.93 | $3.5M | 148.7K | 24 |
| 2023 | $88.43 | $21.71 | 4.07x | $66.72 | $3.7M | 172.4K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 266.4K | $8.3M | $31.17 | 3.91x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 94.5K | $3.0M | $31.71 | 3.36x |
| J2350 | Injection, ocrelizumab, 1 mg | 60.6K | $2.8M | $45.92 | 3.47x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 416.0K | $2.0M | $4.72 | 3.18x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.2K | $932.7K | $91.79 | 2.06x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 19.3K | $579.7K | $30.04 | 3.75x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 4.4K | $285.7K | $65.05 | 5.00x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.9K | $251.2K | $135.55 | 2.39x |
| 70551 | Mri scan brain | 1.1K | $221.8K | $210.79 | 13.51x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 2.9K | $194.6K | $66.94 | 1.98x |
| 95913 | Nerve conduction, 13 or more studies | 653 | $179.4K | $274.76 | 2.55x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 1.9K | $167.3K | $86.34 | 5.50x |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 10.4K | $140.3K | $13.49 | 2.41x |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 953 | $126.8K | $133.08 | 7.73x |
| 72141 | Mri scan of upper spinal canal | 566 | $116.9K | $206.61 | 13.31x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 5.9K | $113.4K | $19.26 | 9.05x |
| 72148 | Mri scan of lower spinal canal | 528 | $109.1K | $206.69 | 13.39x |
| 95912 | Nerve transmission studies, 11-12 studies | 455 | $108.9K | $239.29 | 2.51x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 787 | $89.3K | $113.44 | 3.22x |
| 95885 | Needle measurement of electrical activity in arm or leg muscles, limited study | 1.6K | $87.5K | $55.50 | 7.21x |
This provider submits charges 3.9 times higher than what Medicare actually pays.
A markup ratio of 3.9x means for every $100 Medicare pays, this provider initially charges $390. 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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