This provider's $6.5M 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.
Notable: Payments increased 127% in 2023
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 | $592.34 | $228.92 | 2.59x | $363.42 | $821.7K | 5.7K | 3.1K |
| 2015 | $546.27 | $221.34 | 2.47x | $324.93 | $719.5K | 5.1K | 2.9K |
| 2016 | $454.56 | $199.83 | 2.27x | $254.73 | $936.8K | 6.1K | 3.2K |
| 2017 | $531.91 | $227.29 | 2.34x | $304.62 | $871.7K | 5.8K | 3.2K |
| 2018 | $411.82 | $190.83 | 2.16x | $220.99 | $774.1K | 5.0K | 2.9K |
| 2019 | $408.98 | $189.13 | 2.16x | $219.85 | $1.0M | 5.9K | 3.5K |
| 2020 | $319.05 | $137.11 | 2.33x | $181.94 | $501.1K | 4.3K | 2.5K |
| 2021 | $305.56 | $141.93 | 2.15x | $163.63 | $292.4K | 2.4K | 1.5K |
| 2022 | $418.75 | $135.85 | 3.08x | $282.90 | $163.9K | 1.3K | 915 |
| 2023 | $428.93 | $130.24 | 3.29x | $298.69 | $372.5K | 2.9K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 2.0K | $1.6M | $814.83 | 1.71x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 4.1K | $1.1M | $281.42 | 1.76x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.5K | $1.0M | $89.99 | 2.30x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 6.6K | $601.7K | $91.17 | 2.03x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 2.9K | $348.9K | $119.53 | 2.59x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.6K | $305.6K | $116.17 | 2.61x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 1.4K | $267.2K | $191.11 | 3.07x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 3.7K | $233.1K | $62.65 | 2.55x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.6K | $205.4K | $124.76 | 2.48x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.1K | $134.4K | $63.25 | 2.29x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 422 | $72.6K | $171.94 | 2.39x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 167 | $65.1K | $389.62 | 3.08x |
| 95911 | Nerve transmission studies, 9-10 studies | 326 | $64.4K | $197.55 | 3.80x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 667 | $57.6K | $86.36 | 2.32x |
| 95720 | Continuous measurement of brain wave activity with video (veeg), 12-26 hours, with health care professional analysis, interpretation and report | 280 | $52.1K | $186.23 | 1.88x |
| 95912 | Nerve transmission studies, 11-12 studies | 170 | $39.1K | $230.10 | 3.91x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 221 | $36.2K | $163.74 | 2.04x |
| 93040 | Tracing of electrical activity of heart using 1-3 leads with interpretation and report | 2.8K | $31.6K | $11.45 | 4.37x |
| 92585 | Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system | 240 | $29.4K | $122.53 | 4.08x |
| 99220 | Hospital observation care, typically 70 minutes | 174 | $27.8K | $159.70 | 1.57x |
This provider submits charges 2.17 times higher than what Medicare actually pays.
A markup ratio of 2.17x means for every $100 Medicare pays, this provider initially charges $217. 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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