This provider's $3.9M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 445% from 2014 to 2023.
62% of their billing comes from a single procedure code (99215 — Established patient office or other outpatient, visit typically 40 minutes).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% in 2015
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 | $154.61 | $100.69 | 1.54x | $53.92 | $134.4K | 1.3K | 681 |
| 2015 | $154.78 | $90.94 | 1.70x | $63.84 | $202.2K | 2.0K | 926 |
| 2016 | $165.74 | $100.40 | 1.65x | $65.34 | $228.6K | 2.3K | 1.1K |
| 2017 | $166.40 | $101.09 | 1.65x | $65.31 | $314.6K | 3.2K | 1.4K |
| 2018 | $156.78 | $93.61 | 1.67x | $63.17 | $327.7K | 3.4K | 1.6K |
| 2019 | $141.43 | $75.46 | 1.87x | $65.97 | $369.6K | 4.1K | 1.8K |
| 2020 | $142.40 | $76.10 | 1.87x | $66.30 | $407.2K | 4.3K | 1.8K |
| 2021 | $165.45 | $92.68 | 1.79x | $72.77 | $556.5K | 4.9K | 2.1K |
| 2022 | $158.29 | $82.78 | 1.91x | $75.51 | $649.0K | 6.1K | 2.6K |
| 2023 | $168.18 | $86.19 | 1.95x | $81.99 | $733.0K | 7.0K | 2.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 21.6K | $2.4M | $111.97 | 1.72x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.3K | $344.6K | $148.24 | 1.70x |
| 64611 | Injection of chemical for destruction of salivary glands on both sides of the mouth | 2.6K | $245.9K | $93.13 | 1.62x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 1.4K | $212.8K | $149.21 | 2.00x |
| 95978 | Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour | 944 | $162.5K | $172.16 | 1.34x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.0K | $156.9K | $76.92 | 1.66x |
| 64644 | Injection of chemical for destruction of nerve muscles on one arm or leg, 5 or more muscles | 814 | $103.5K | $127.12 | 1.84x |
| 64642 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 656 | $69.4K | $105.79 | 1.87x |
| 64643 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles, each additional extremity | 549 | $40.2K | $73.23 | 2.40x |
| 95983 | Electronic analysis of implanted brain, spinal cord or peripheral stimulation device with brain stimulator programming, first 15 minutes face-to-face time with qualified health care professional | 777 | $32.3K | $41.58 | 1.63x |
| 95984 | Electronic analysis of implanted brain, spinal cord or peripheral stimulation device with brain stimulator programming, additional 15 minutes face-to-face time with qualified health care professional | 723 | $27.2K | $37.60 | 1.51x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 152 | $24.2K | $159.14 | 1.39x |
| 64645 | Injection of chemical for paralysis of nerve muscles on arm or leg, 5 or more muscles, each additional extremity | 234 | $21.8K | $92.96 | 1.88x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 212 | $13.1K | $61.81 | 1.64x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem | 218 | $10.1K | $46.21 | 1.62x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 2.0K | $9.9K | $4.88 | 2.05x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 79 | $8.7K | $110.71 | 1.50x |
| 95970 | Electronic analysis of implanted brain spinal cord or peripheral neurostimulator generator system | 352 | $7.4K | $21.11 | 4.04x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 17 | $2.8K | $165.51 | 1.71x |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 616 | $2.5K | $4.00 | 2.50x |
This provider submits charges 1.73 times higher than what Medicare actually pays.
A markup ratio of 1.73x means for every $100 Medicare pays, this provider initially charges $173. This is lower 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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