This provider's $5.4M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 487% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 346% in 2016
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 โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2015 | $262.43 | $117.35 | 2.24x | $145.08 | $118.0K | 1.1K | 885 |
| 2016 | $297.16 | $118.17 | 2.51x | $178.99 | $525.8K | 4.5K | 3.3K |
| 2017 | $326.96 | $107.73 | 3.03x | $219.23 | $613.8K | 6.3K | 4.3K |
| 2018 | $342.40 | $109.86 | 3.12x | $232.54 | $591.0K | 6.3K | 4.3K |
| 2019 | $340.56 | $113.37 | 3.00x | $227.19 | $665.4K | 7.6K | 5.0K |
| 2020 | $390.06 | $125.98 | 3.10x | $264.08 | $734.3K | 8.0K | 5.2K |
| 2021 | $374.21 | $110.80 | 3.38x | $263.41 | $787.4K | 9.0K | 5.5K |
| 2022 | $331.00 | $104.77 | 3.16x | $226.23 | $718.7K | 9.4K | 5.4K |
| 2023 | $306.13 | $96.28 | 3.18x | $209.85 | $692.8K | 9.4K | 5.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 19.1K | $1.2M | $63.66 | 2.71x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.9K | $765.3K | $86.04 | 2.59x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 2.0K | $559.2K | $278.91 | 3.30x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 3.2K | $511.3K | $159.53 | 2.49x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.8K | $477.7K | $125.60 | 2.71x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.6K | $274.1K | $176.63 | 3.17x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $189.9K | $162.44 | 2.25x |
| 95912 | Nerve transmission studies, 11-12 studies | 706 | $149.7K | $212.10 | 2.52x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 548 | $145.1K | $264.87 | 2.78x |
| 64505 | Injection of anesthetic agent, trigeminal nerve bundle | 849 | $118.5K | $139.55 | 3.08x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 484 | $100.4K | $207.53 | 3.51x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.0K | $85.4K | $83.19 | 2.37x |
| 95911 | Nerve transmission studies, 9-10 studies | 380 | $73.0K | $192.07 | 2.50x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 521 | $64.5K | $123.88 | 2.49x |
| 96372 | Injection beneath the skin or into muscle for therapy, diagnosis, or prevention | 5.0K | $63.6K | $12.60 | 3.01x |
| 72141 | MRI scan of upper spinal canal | 314 | $54.6K | $173.80 | 2.78x |
| 95910 | Nerve transmission studies, 7-8 studies | 324 | $51.1K | $157.65 | 2.69x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 459 | $50.0K | $108.99 | 3.33x |
| 70551 | MRI scan brain | 247 | $46.4K | $188.01 | 2.65x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 745 | $44.3K | $59.44 | 2.51x |
This provider submits charges 2.79 times higher than what Medicare actually pays.
A markup ratio of 2.79x means for every $100 Medicare pays, this provider initially charges $279. 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 | โ 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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