This provider averages 64 services per working day
Based on 112.0K total services over 7 years (250 working days/year). Learn about impossible service volumes →
This provider's $13.2M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Their average markup ratio of 5.14x is significantly above the specialty median of 3.5x.
Averaging 64 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 19029% from 2017 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 5402% in 2018
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 |
|---|---|---|---|---|---|---|---|
| 2017 | $413.66 | $125.25 | 3.30x | $288.41 | $14.9K | 130 | 90 |
| 2018 | $508.03 | $125.64 | 4.04x | $382.39 | $820.9K | 8.1K | 2.9K |
| 2019 | $610.97 | $165.06 | 3.70x | $445.91 | $1.8M | 17.5K | 5.9K |
| 2020 | $634.20 | $154.38 | 4.11x | $479.82 | $2.0M | 18.3K | 6.4K |
| 2021 | $780.15 | $195.30 | 3.99x | $584.85 | $3.0M | 24.5K | 9.1K |
| 2022 | $821.16 | $195.70 | 4.20x | $625.46 | $2.7M | 23.5K | 8.0K |
| 2023 | $757.30 | $180.30 | 4.20x | $577.00 | $2.9M | 20.0K | 7.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 55.1K | $5.0M | $90.07 | 6.53x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 9.4K | $1.6M | $167.87 | 4.56x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.4K | $998.5K | $106.06 | 4.65x |
| 95716 | Measurement of brain wave activity with video (veeg), 12-26 hours, with continuous, real-time monitoring and maintenance | 730 | $766.6K | $1.1K | 4.29x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 12.0K | $742.7K | $61.72 | 5.51x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 3.7K | $688.1K | $185.43 | 4.43x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 1.9K | $578.6K | $297.00 | 3.78x |
| 95715 | Measurement of brain wave activity with video (veeg), 12-26 hours, with intermittent monitoring and maintenance | 478 | $365.4K | $764.51 | 3.94x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.3K | $289.8K | $126.84 | 3.76x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 1.2K | $244.5K | $208.09 | 4.76x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.2K | $234.0K | $201.41 | 2.81x |
| 99358 | Prolonged patient service without direct patient contact first hour | 2.1K | $198.1K | $95.52 | 4.48x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 1.2K | $179.4K | $152.69 | 3.95x |
| 95712 | Measurement of brain wave activity with video (veeg), 2-12 hours with intermittent monitoring and maintenance | 432 | $176.8K | $409.22 | 3.67x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 102 | $165.8K | $1.6K | 3.06x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 1.4K | $159.1K | $114.57 | 3.23x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $158.5K | $135.68 | 4.10x |
| 95724 | Continuous measurement of brain wave activity with video (veeg), 61-84 hours, with health care professional analysis, interpretation and report | 418 | $115.8K | $277.09 | 3.92x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 1.2K | $115.0K | $96.00 | 3.65x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 675 | $108.4K | $160.62 | 4.20x |
This provider submits charges 5.14 times higher than what Medicare actually pays.
A markup ratio of 5.14x means for every $100 Medicare pays, this provider initially charges $514. 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.
Other Neurology providers in CA for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Natan Shaoulian, M.D. | Beverly Hills, CA | $33.8M | ✓ Clear |
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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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