This provider's $6.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 67% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 88% in 2019
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 | $207.07 | $96.39 | 2.15x | $110.68 | $350.5K | 4.5K | 2.3K |
| 2015 | $187.17 | $89.86 | 2.08x | $97.31 | $327.9K | 4.4K | 2.0K |
| 2016 | $162.56 | $80.30 | 2.02x | $82.26 | $301.2K | 4.4K | 2.0K |
| 2017 | $141.90 | $66.13 | 2.15x | $75.77 | $365.1K | 5.7K | 2.6K |
| 2018 | $154.15 | $69.64 | 2.21x | $84.51 | $512.3K | 7.7K | 3.3K |
| 2019 | $167.55 | $67.23 | 2.49x | $100.32 | $963.0K | 15.6K | 6.5K |
| 2020 | $163.30 | $61.73 | 2.65x | $101.57 | $971.2K | 15.8K | 6.1K |
| 2021 | $180.69 | $67.78 | 2.67x | $112.91 | $991.6K | 16.9K | 6.1K |
| 2022 | $174.78 | $61.74 | 2.83x | $113.04 | $933.2K | 17.3K | 6.3K |
| 2023 | $262.96 | $56.09 | 4.69x | $206.87 | $586.8K | 11.5K | 5.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 9.0K | $1.2M | $130.57 | 2.00x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 14.1K | $945.4K | $67.20 | 4.77x |
| 96413 | Infusion of chemotherapy into a vein up to 1 hour | 5.6K | $723.4K | $128.38 | 2.95x |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 3.8K | $446.5K | $117.91 | 3.00x |
| 96522 | Refilling and maintenance of implantable pump or reservoir for drug delivery | 2.8K | $342.0K | $121.27 | 1.87x |
| 96001 | Three-dimensional, video-taped, computer-based gait analysis during walking | 3.1K | $339.6K | $110.20 | 2.02x |
| 96004 | Physician review interpretation and report of motion analysis during walking or functional activity | 3.1K | $330.6K | $105.49 | 2.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.9K | $274.8K | $94.81 | 2.22x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis | 11.3K | $222.1K | $19.66 | 2.63x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $220.1K | $181.77 | 2.16x |
| 96139 | Psychological or neuropsychological test administration and scoring by technician, additional 30 minutes | 3.8K | $137.5K | $35.74 | 5.76x |
| 96138 | Psychological or neuropsychological test administration and scoring by technician, first 30 minutes | 3.9K | $137.2K | $35.28 | 5.84x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 682 | $122.8K | $180.09 | 2.78x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.1K | $107.1K | $95.68 | 1.93x |
| J2323 | Injection, natalizumab, 1 mg | 5.3K | $83.1K | $15.66 | 1.57x |
| 96119 | Neuropsychological testing by technician with interpretation and report by a qualified healthcare professional per hour | 844 | $60.8K | $72.03 | 4.51x |
| 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 3.6K | $57.4K | $16.14 | 2.76x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 439 | $49.9K | $113.74 | 1.41x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g. liquid), 500 mg | 2.7K | $46.8K | $17.33 | 2.62x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 216 | $44.0K | $203.60 | 1.51x |
This provider submits charges 2.92 times higher than what Medicare actually pays.
A markup ratio of 2.92x means for every $100 Medicare pays, this provider initially charges $292. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data