This provider averages 60 services per working day
Based on 150.4K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $6.8M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 60 services per working day raises questions about billing patterns.
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 | $150.23 | $67.23 | 2.23x | $83.00 | $971.4K | 21.8K | 2.7K |
| 2015 | $188.71 | $71.01 | 2.66x | $117.70 | $874.6K | 20.2K | 2.4K |
| 2016 | $189.82 | $68.65 | 2.77x | $121.17 | $962.3K | 21.3K | 2.7K |
| 2017 | $202.38 | $75.43 | 2.68x | $126.95 | $926.6K | 20.4K | 3.0K |
| 2018 | $203.51 | $77.42 | 2.63x | $126.09 | $532.9K | 12.2K | 2.0K |
| 2019 | $202.33 | $74.73 | 2.71x | $127.60 | $473.9K | 11.0K | 1.6K |
| 2020 | $203.50 | $78.15 | 2.60x | $125.35 | $446.6K | 10.1K | 1.4K |
| 2021 | $203.50 | $81.81 | 2.49x | $121.69 | $448.9K | 10.3K | 1.5K |
| 2022 | $184.50 | $74.11 | 2.49x | $110.39 | $498.1K | 11.3K | 1.7K |
| 2023 | $190.99 | $74.75 | 2.56x | $116.24 | $635.4K | 11.8K | 2.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 57.4K | $3.2M | $56.35 | 2.29x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 83.7K | $2.6M | $30.93 | 2.32x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 4.0K | $427.9K | $106.12 | 2.28x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.2K | $341.3K | $152.65 | 2.30x |
| 99221 | Initial hospital inpatient care, typically 30 minutes per day | 809 | $63.5K | $78.47 | 2.33x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 815 | $47.5K | $58.24 | 3.14x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 846 | $30.2K | $35.65 | 3.50x |
| 99238 | Hospital discharge day management, 30 minutes or less | 283 | $17.1K | $60.48 | 2.18x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 171 | $16.5K | $96.44 | 2.99x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 69 | $4.0K | $58.47 | 3.34x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 49 | $850.31 | $17.35 | 4.39x |
This provider submits charges 2.32 times higher than what Medicare actually pays.
A markup ratio of 2.32x means for every $100 Medicare pays, this provider initially charges $232. 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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