⚠️ This provider averages 1.4K services per working day — physically unusual for an individual practitioner
Based on 3.5M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $81.1M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 1.4K services per working day raises questions about billing patterns.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 106% 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 | $45.55 | $12.22 | 3.73x | $33.33 | $6.5M | 529.6K | 20 |
| 2015 | $93.48 | $26.04 | 3.59x | $67.44 | $13.3M | 511.2K | 29 |
| 2016 | $132.08 | $37.29 | 3.54x | $94.79 | $14.1M | 378.3K | 28 |
| 2017 | $102.85 | $29.80 | 3.45x | $73.05 | $9.7M | 324.1K | 23 |
| 2018 | $73.48 | $22.39 | 3.28x | $51.09 | $7.7M | 344.5K | 23 |
| 2019 | $60.39 | $19.17 | 3.15x | $41.22 | $6.3M | 331.1K | 22 |
| 2020 | $65.70 | $21.61 | 3.04x | $44.09 | $6.9M | 320.1K | 22 |
| 2021 | $64.25 | $22.48 | 2.86x | $41.77 | $6.4M | 284.4K | 19 |
| 2022 | $69.40 | $23.96 | 2.90x | $45.44 | $5.7M | 238.6K | 19 |
| 2023 | $72.81 | $20.77 | 3.51x | $52.04 | $4.4M | 214.2K | 20 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2323 | Injection, natalizumab, 1 mg | 2.6M | $37.1M | $14.32 | 3.10x |
| J0202 | Injection, alemtuzumab, 1 mg | 13.9K | $19.2M | $1.4K | 3.58x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 247.9K | $7.9M | $31.74 | 3.54x |
| J3590 | Unclassified biologics | 282 | $4.6M | $16.2K | 3.66x |
| J2350 | Injection, ocrelizumab, 1 mg | 93.3K | $3.9M | $42.05 | 3.86x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 61.5K | $2.0M | $31.98 | 3.52x |
| Q9979 | Injection, alemtuzumab, 1 mg | 1.4K | $1.9M | $1.3K | 3.71x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 291.3K | $1.2M | $3.98 | 1.76x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 10.0K | $936.6K | $93.35 | 5.36x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 10.8K | $730.8K | $67.57 | 1.78x |
| J0586 | Injection, abobotulinumtoxina, 5 units | 87.7K | $533.2K | $6.08 | 1.46x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 6.0K | $292.1K | $48.86 | 4.47x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 8.8K | $128.1K | $14.60 | 7.53x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 5.2K | $105.4K | $20.37 | 5.65x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 3.3K | $97.9K | $29.75 | 3.72x |
| J1557 | Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg | 3.2K | $91.6K | $28.98 | 3.86x |
| 64616 | Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box | 738 | $86.2K | $116.77 | 4.11x |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 966 | $84.2K | $87.15 | 4.59x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 260 | $61.4K | $236.06 | 1.71x |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 13.5K | $51.9K | $3.84 | 3.84x |
This provider submits charges 3.35 times higher than what Medicare actually pays.
A markup ratio of 3.35x means for every $100 Medicare pays, this provider initially charges $335. 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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