This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $170.19 | $107.80 | 1.58x | $62.39 | $383.6K | 3.6K | 2.6K |
| 2015 | $176.04 | $107.05 | 1.64x | $68.99 | $389.3K | 3.6K | 2.7K |
| 2016 | $165.91 | $97.78 | 1.70x | $68.13 | $404.3K | 4.0K | 3.0K |
| 2017 | $172.33 | $105.16 | 1.64x | $67.17 | $397.7K | 3.9K | 3.0K |
| 2018 | $167.13 | $102.14 | 1.64x | $64.99 | $483.2K | 4.3K | 3.2K |
| 2019 | $185.50 | $111.37 | 1.67x | $74.13 | $429.1K | 3.7K | 2.9K |
| 2020 | $181.89 | $109.32 | 1.66x | $72.57 | $429.4K | 3.7K | 2.8K |
| 2021 | $208.85 | $134.52 | 1.55x | $74.33 | $513.5K | 3.8K | 2.9K |
| 2022 | $235.00 | $140.96 | 1.67x | $94.04 | $481.5K | 3.2K | 2.6K |
| 2023 | $243.50 | $130.31 | 1.87x | $113.19 | $406.4K | 2.7K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 6.0K | $1.5M | $247.88 | 1.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.1K | $1.1M | $75.95 | 1.82x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.3K | $500.1K | $153.70 | 1.48x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 1.7K | $257.8K | $148.00 | 1.42x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.6K | $198.1K | $121.24 | 1.66x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 1.9K | $150.3K | $77.90 | 1.53x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 580 | $139.4K | $240.37 | 1.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $120.8K | $112.12 | 1.78x |
| 96116 | Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour | 1.4K | $96.5K | $67.56 | 1.49x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 908 | $48.7K | $53.67 | 1.49x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 361 | $45.7K | $126.49 | 1.70x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 933 | $42.5K | $45.56 | 2.16x |
| 99231 | Subsequent hospital inpatient care, typically 15 minutes per day | 936 | $27.1K | $29.01 | 1.72x |
| 99497 | Advance care planning by the physician or other qualified health care professional | 236 | $12.9K | $54.85 | 1.82x |
| 95700 | Continuous measurement of brain wave activity (eeg), administered in person by eeg technologist | 54 | $9.3K | $172.28 | 1.65x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 111 | $8.8K | $79.07 | 1.80x |
| 95720 | Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report | 44 | $7.1K | $162.35 | 2.25x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 69 | $6.9K | $100.41 | 1.50x |
| 95708 | Measurement of brain wave activity (eeg), 12-26 hours | 29 | $3.3K | $113.64 | 2.42x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 14 | $582.47 | $41.61 | 1.24x |
This provider submits charges 1.65 times higher than what Medicare actually pays.
A markup ratio of 1.65x means for every $100 Medicare pays, this provider initially charges $165. 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 AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Laganke, MD | Cullman, AL | $81.1M | ✓ 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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