This provider averages 59 services per working day
Based on 147.0K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $7.4M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 59 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 1506% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 293% in 2023
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 | $272.37 | $77.33 | 3.52x | $195.04 | $221.4K | 2.9K | 22 |
| 2015 | $259.81 | $71.54 | 3.63x | $188.27 | $195.4K | 2.7K | 22 |
| 2016 | $289.28 | $79.14 | 3.66x | $210.14 | $201.0K | 2.5K | 19 |
| 2017 | $318.39 | $81.51 | 3.91x | $236.88 | $254.7K | 3.1K | 18 |
| 2018 | $110.82 | $30.63 | 3.62x | $80.19 | $228.8K | 7.5K | 18 |
| 2019 | $121.35 | $30.02 | 4.04x | $91.33 | $368.0K | 12.3K | 21 |
| 2020 | $135.33 | $32.76 | 4.13x | $102.57 | $575.7K | 17.6K | 18 |
| 2021 | $184.19 | $32.50 | 5.67x | $151.69 | $915.2K | 28.2K | 17 |
| 2022 | $185.65 | $34.20 | 5.43x | $151.45 | $904.3K | 26.4K | 17 |
| 2023 | $224.50 | $81.13 | 2.77x | $143.37 | $3.6M | 43.8K | 21 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1303 | Injection, ravulizumab-cwvz, 10 mg | 15.2K | $2.6M | $170.58 | 1.76x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 63.6K | $2.2M | $34.03 | 5.88x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 16.9K | $546.1K | $32.31 | 4.43x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 4.4K | $354.5K | $80.88 | 2.81x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 4.3K | $337.5K | $78.32 | 4.41x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.0K | $238.4K | $118.88 | 2.39x |
| 95910 | Nerve conduction, 7-8 studies | 880 | $135.1K | $153.55 | 2.79x |
| 70553 | Mri scan of brain before and after contrast | 446 | $130.8K | $293.38 | 8.24x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 741 | $121.9K | $164.48 | 2.57x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 1.8K | $103.2K | $56.62 | 3.96x |
| 70551 | Mri scan of brain without contrast | 496 | $90.3K | $182.03 | 6.57x |
| 95911 | Nerve conduction, 9-10 studies | 452 | $83.8K | $185.30 | 2.80x |
| 95913 | Nerve conduction, 13 or more studies | 250 | $60.4K | $241.54 | 2.78x |
| 93880 | Ultrasound of both sides of head and neck blood flow | 354 | $57.0K | $161.15 | 2.66x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 225 | $52.0K | $231.01 | 2.81x |
| 72148 | Mri scan of lower spinal canal without contrast | 285 | $50.5K | $177.26 | 6.51x |
| 70544 | Mri scan of blood vessels of head without contrast | 174 | $38.9K | $223.71 | 5.17x |
| 95912 | Nerve conduction, 11-12 studies | 183 | $38.2K | $208.62 | 2.94x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 2.0K | $34.7K | $17.17 | 3.77x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 178 | $30.5K | $171.55 | 2.18x |
This provider submits charges 3.75 times higher than what Medicare actually pays.
A markup ratio of 3.75x means for every $100 Medicare pays, this provider initially charges $375. 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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