⚠️ This provider averages 435 services per working day — physically unusual for an individual practitioner
Based on 1.1M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $30.5M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 435 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1728% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 234% in 2015
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 | $21.24 | $8.59 | 2.47x | $12.65 | $302.4K | 35.2K | 17 |
| 2015 | $46.96 | $14.03 | 3.35x | $32.93 | $1.0M | 72.1K | 16 |
| 2016 | $82.86 | $22.48 | 3.69x | $60.38 | $2.3M | 104.1K | 17 |
| 2017 | $85.76 | $24.08 | 3.56x | $61.68 | $3.0M | 125.4K | 17 |
| 2018 | $94.63 | $26.84 | 3.53x | $67.79 | $3.4M | 125.4K | 18 |
| 2019 | $96.43 | $25.92 | 3.72x | $70.51 | $3.6M | 139.2K | 20 |
| 2020 | $98.10 | $27.84 | 3.52x | $70.26 | $3.4M | 123.9K | 17 |
| 2021 | $103.46 | $31.87 | 3.25x | $71.59 | $3.9M | 122.2K | 16 |
| 2022 | $115.28 | $31.80 | 3.63x | $83.48 | $3.9M | 124.0K | 15 |
| 2023 | $187.47 | $47.65 | 3.93x | $139.82 | $5.5M | 116.0K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 243.1K | $7.7M | $31.86 | 3.53x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 218.1K | $7.0M | $31.88 | 3.59x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 152.4K | $6.7M | $43.98 | 4.01x |
| J2350 | Injection, ocrelizumab, 1 mg | 101.7K | $4.5M | $44.22 | 3.68x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 215.2K | $947.2K | $4.40 | 1.61x |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | 29.9K | $885.7K | $29.63 | 3.78x |
| J2323 | Injection, natalizumab, 1 mg | 37.5K | $510.9K | $13.62 | 3.22x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.1K | $393.9K | $77.46 | 2.25x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5.6K | $305.8K | $54.97 | 3.46x |
| J3590 | Unclassified biologics | 20 | $278.9K | $13.9K | 3.50x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 3.1K | $225.6K | $71.65 | 3.80x |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 56.4K | $203.5K | $3.61 | 1.86x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.6K | $191.3K | $117.68 | 3.26x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 11.3K | $183.2K | $16.16 | 6.11x |
| 95910 | Nerve conduction, 7-8 studies | 841 | $125.0K | $148.68 | 2.13x |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 552 | $60.1K | $108.87 | 4.72x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 135 | $44.5K | $329.84 | 2.14x |
| 95909 | Nerve conduction, 5-6 studies | 323 | $35.9K | $111.29 | 2.08x |
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 573 | $29.6K | $51.65 | 6.07x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 260 | $27.6K | $106.28 | 5.01x |
This provider submits charges 3.6 times higher than what Medicare actually pays.
A markup ratio of 3.6x means for every $100 Medicare pays, this provider initially charges $360. 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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