⚠️ This provider averages 287 services per working day — physically unusual for an individual practitioner
Based on 718.1K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $25.9M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 287 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 150% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 97% in 2016
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 | $92.04 | $26.29 | 3.50x | $65.75 | $1.4M | 52.6K | 11 |
| 2015 | $101.35 | $31.89 | 3.18x | $69.46 | $1.3M | 39.9K | 8 |
| 2016 | $99.76 | $32.53 | 3.07x | $67.23 | $2.5M | 77.2K | 9 |
| 2017 | $97.15 | $28.30 | 3.43x | $68.85 | $1.9M | 66.9K | 11 |
| 2018 | $173.19 | $41.58 | 4.17x | $131.61 | $2.9M | 69.2K | 13 |
| 2019 | $102.96 | $31.41 | 3.28x | $71.55 | $2.7M | 84.9K | 10 |
| 2020 | $99.53 | $32.96 | 3.02x | $66.57 | $2.9M | 87.6K | 9 |
| 2021 | $99.91 | $36.39 | 2.75x | $63.52 | $3.1M | 86.0K | 10 |
| 2022 | $131.43 | $44.71 | 2.94x | $86.72 | $3.8M | 85.6K | 13 |
| 2023 | $148.92 | $50.65 | 2.94x | $98.27 | $3.5M | 68.2K | 12 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 275.6K | $9.2M | $33.28 | 2.99x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 262.3K | $7.9M | $30.17 | 3.26x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 83.9K | $4.7M | $55.57 | 2.88x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 33.4K | $826.7K | $24.75 | 3.03x |
| J3490 | Unclassified drugs | 1.4K | $754.1K | $538.29 | 6.92x |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | 15.5K | $579.8K | $37.41 | 2.94x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 6.4K | $507.2K | $79.23 | 2.54x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 6.6K | $349.6K | $52.96 | 3.49x |
| J1576 | Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mg | 5.1K | $262.7K | $51.51 | 3.49x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 14.7K | $229.0K | $15.58 | 3.53x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 6.5K | $214.3K | $33.06 | 4.23x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 1.2K | $148.3K | $119.88 | 2.62x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 1.4K | $106.0K | $74.34 | 2.90x |
| 95911 | Nerve conduction, 9-10 studies | 491 | $86.6K | $176.30 | 3.12x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 281 | $37.7K | $134.01 | 2.09x |
| 95909 | Nerve conduction, 5-6 studies | 249 | $28.0K | $112.28 | 3.07x |
| 95910 | Nerve conduction, 7-8 studies | 74 | $11.1K | $149.64 | 3.04x |
| J2930 | Injection, methylprednisolone sodium succinate, up to 125 mg | 1.5K | $6.4K | $4.23 | 7.10x |
| 94375 | Diagnostic testing in a pulmonary function lab | 195 | $5.5K | $27.98 | 2.77x |
| 95937 | Testing with stimulation for assessment of function at muscle-nerve junction | 26 | $1.7K | $64.42 | 3.07x |
This provider submits charges 3.19 times higher than what Medicare actually pays.
A markup ratio of 3.19x means for every $100 Medicare pays, this provider initially charges $319. This is higher 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.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data