This provider's $9.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 199% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $275.10 | $122.98 | 2.24x | $152.12 | $442.7K | 3.0K | 2.4K |
| 2015 | $290.68 | $125.33 | 2.32x | $165.35 | $644.7K | 4.3K | 3.6K |
| 2016 | $323.37 | $129.24 | 2.50x | $194.13 | $625.1K | 4.4K | 3.6K |
| 2017 | $323.37 | $131.52 | 2.46x | $191.85 | $689.4K | 4.6K | 3.7K |
| 2018 | $382.44 | $150.90 | 2.53x | $231.54 | $817.9K | 5.7K | 4.6K |
| 2019 | $381.05 | $160.39 | 2.38x | $220.66 | $1.2M | 7.6K | 6.0K |
| 2020 | $428.89 | $143.10 | 3.00x | $285.79 | $1.0M | 6.8K | 5.6K |
| 2021 | $436.95 | $143.94 | 3.04x | $293.01 | $1.2M | 7.5K | 6.1K |
| 2022 | $332.31 | $139.14 | 2.39x | $193.17 | $1.3M | 8.2K | 6.9K |
| 2023 | $332.31 | $134.95 | 2.46x | $197.36 | $1.3M | 8.4K | 7.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 5.4K | $2.2M | $410.32 | 1.45x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 5.5K | $1.5M | $267.80 | 2.05x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 5.1K | $1.2M | $241.19 | 2.07x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 5.0K | $927.3K | $186.46 | 2.68x |
| 95910 | Nerve transmission studies, 7-8 studies | 3.6K | $626.7K | $173.31 | 4.15x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 7.8K | $478.5K | $61.32 | 1.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.8K | $416.3K | $109.39 | 1.79x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 3.3K | $361.8K | $110.17 | 1.56x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.5K | $342.4K | $136.40 | 1.91x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 3.6K | $324.5K | $88.89 | 4.56x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 3.3K | $318.5K | $96.47 | 2.49x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.8K | $228.7K | $128.41 | 3.01x |
| 92548 | Assessment of balance and postural instability | 1.6K | $116.8K | $70.81 | 3.53x |
| 96136 | Psychological or neuropsychological test administration and scoring by qualified health care professional, first 30 minutes | 1.5K | $61.4K | $40.92 | 3.67x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 145 | $60.3K | $416.18 | 3.03x |
| 96137 | Psychological or neuropsychological test administration and scoring by qualified health care professional, additional 30 minutes | 1.5K | $56.5K | $37.66 | 3.98x |
| 92547 | Use of vertical electrodes during eye or balance evaluation | 3.1K | $26.9K | $8.56 | 6.43x |
| 96120 | Neuropsychological testing by a computer with interpretation and report by a qualified healthcare professional | 591 | $25.0K | $42.28 | 4.14x |
| 96103 | Psychological testing with interpretation and report by computer | 599 | $13.9K | $23.13 | 6.49x |
| 0295T | External EKG recording for more than 48 hours up to 21 days with analysis, report, review and interpretation | 39 | $12.2K | $312.57 | 1.44x |
This provider submits charges 2.27 times higher than what Medicare actually pays.
A markup ratio of 2.27x means for every $100 Medicare pays, this provider initially charges $227. 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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