This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 13904% from 2015 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 1383% 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 |
|---|---|---|---|---|---|---|---|
| 2015 | $1.0K | $166.58 | 6.18x | $863.43 | $6.5K | 44 | 44 |
| 2016 | $395.54 | $173.19 | 2.28x | $222.35 | $95.9K | 635 | 590 |
| 2017 | $303.14 | $126.42 | 2.40x | $176.72 | $390.7K | 3.4K | 3.1K |
| 2018 | $295.73 | $111.32 | 2.66x | $184.41 | $640.1K | 6.7K | 6.1K |
| 2019 | $263.23 | $114.60 | 2.30x | $148.63 | $1.3M | 10.5K | 10.0K |
| 2020 | $245.04 | $108.02 | 2.27x | $137.02 | $1.1M | 8.4K | 7.6K |
| 2021 | $282.90 | $122.41 | 2.31x | $160.49 | $1.1M | 7.3K | 6.4K |
| 2022 | $279.66 | $118.88 | 2.35x | $160.78 | $1.1M | 6.4K | 6.0K |
| 2023 | $306.51 | $130.66 | 2.35x | $175.85 | $905.9K | 5.2K | 4.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 3.0K | $1.0M | $347.26 | 1.53x |
| 93890 | Ultrasound scanning for medication response in head and neck vessel blood flow (inside the brain) | 3.6K | $869.5K | $244.74 | 1.62x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 3.6K | $704.1K | $197.62 | 2.01x |
| 93892 | Ultrasound scanning for blood clot detection in head and neck vessel blood flow (inside the brain) | 3.0K | $469.4K | $154.96 | 2.51x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 4.4K | $457.2K | $104.09 | 2.16x |
| 95913 | Nerve transmission studies, 13 or more studies | 1.6K | $437.1K | $271.84 | 3.28x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 3.5K | $317.9K | $90.04 | 3.47x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 2.8K | $281.8K | $99.47 | 2.02x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 3.0K | $273.3K | $92.39 | 2.57x |
| 95911 | Nerve transmission studies, 9-10 studies | 1.3K | $259.2K | $205.87 | 2.36x |
| 95912 | Nerve transmission studies, 11-12 studies | 1.1K | $258.6K | $239.21 | 2.63x |
| 95921 | Testing of autonomic (sympathetic) nervous system function | 3.1K | $197.8K | $64.43 | 2.20x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 299 | $117.2K | $391.86 | 2.38x |
| 92537 | Assessment and recording of balance system during hot and cold irrigation of both ears | 2.8K | $99.3K | $35.71 | 2.15x |
| 92548 | Assessment of balance and postural instability | 1.4K | $94.4K | $67.61 | 3.07x |
| 93923 | Ultrasound study of arteries of both arms and legs | 756 | $90.5K | $119.75 | 2.45x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $87.5K | $75.60 | 1.66x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 848 | $85.8K | $101.24 | 1.84x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 476 | $70.7K | $148.58 | 1.88x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 333 | $55.1K | $165.54 | 3.04x |
This provider submits charges 2.21 times higher than what Medicare actually pays.
A markup ratio of 2.21x means for every $100 Medicare pays, this provider initially charges $221. 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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