This provider's $4.4M 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 | $454.55 | $117.52 | 3.87x | $337.03 | $552.2K | 4.4K | 3.7K |
| 2015 | $473.55 | $121.99 | 3.88x | $351.56 | $614.7K | 4.7K | 3.8K |
| 2016 | $474.23 | $120.64 | 3.93x | $353.59 | $489.6K | 3.7K | 3.1K |
| 2017 | $485.10 | $130.68 | 3.71x | $354.42 | $501.9K | 3.4K | 3.0K |
| 2018 | $487.74 | $127.10 | 3.84x | $360.64 | $428.9K | 3.0K | 2.6K |
| 2019 | $570.81 | $156.08 | 3.66x | $414.73 | $438.2K | 2.9K | 2.4K |
| 2020 | $525.33 | $135.90 | 3.87x | $389.43 | $403.8K | 2.9K | 2.2K |
| 2021 | $551.55 | $142.64 | 3.87x | $408.91 | $355.8K | 2.6K | 2.2K |
| 2022 | $485.07 | $151.50 | 3.20x | $333.57 | $321.0K | 2.3K | 2.0K |
| 2023 | $475.60 | $140.15 | 3.39x | $335.45 | $302.9K | 2.2K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95912 | Nerve transmission studies, 11-12 studies | 2.3K | $554.9K | $242.01 | 7.85x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 1.5K | $529.0K | $348.71 | 2.44x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 2.1K | $449.5K | $216.21 | 2.87x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 1.7K | $376.3K | $226.82 | 2.90x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 5.5K | $365.1K | $66.34 | 3.65x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 2.2K | $326.7K | $151.81 | 6.13x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.8K | $301.7K | $170.17 | 3.38x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 3.1K | $270.6K | $88.08 | 3.24x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 1.4K | $224.6K | $163.35 | 4.19x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $201.7K | $145.45 | 3.16x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $160.1K | $93.87 | 3.20x |
| 95911 | Nerve transmission studies, 9-10 studies | 756 | $157.9K | $208.89 | 7.18x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 658 | $120.2K | $182.62 | 2.95x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 838 | $84.2K | $100.42 | 3.01x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 535 | $51.8K | $96.79 | 3.10x |
| 99441 | Physician telephone patient service, 5-10 minutes of medical discussion | 821 | $41.5K | $50.54 | 1.48x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 540 | $34.9K | $64.57 | 2.97x |
| 99442 | Physician telephone patient service, 11-20 minutes of medical discussion | 346 | $24.7K | $71.35 | 1.33x |
| 92585 | Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system | 143 | $18.0K | $126.12 | 4.46x |
| 95930 | Measurement and recording of nerve conduction patterns using visually-evoked stimulation | 166 | $17.8K | $107.45 | 3.33x |
This provider submits charges 4.08 times higher than what Medicare actually pays.
A markup ratio of 4.08x means for every $100 Medicare pays, this provider initially charges $408. 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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