⚠️ This provider averages 500 services per working day — physically unusual for an individual practitioner
Based on 1.2M total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $30.8M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 500 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 2610% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 932% 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 | $191.96 | $95.13 | 2.02x | $96.83 | $173.0K | 1.8K | 15 |
| 2015 | $186.53 | $89.43 | 2.09x | $97.10 | $165.2K | 1.8K | 15 |
| 2016 | $24.35 | $13.99 | 1.74x | $10.36 | $1.7M | 121.9K | 24 |
| 2017 | $31.01 | $17.10 | 1.81x | $13.91 | $2.2M | 129.5K | 23 |
| 2018 | $42.33 | $23.67 | 1.79x | $18.66 | $4.3M | 181.0K | 30 |
| 2019 | $46.62 | $26.66 | 1.75x | $19.96 | $4.5M | 168.5K | 26 |
| 2020 | $45.48 | $26.20 | 1.74x | $19.28 | $3.6M | 136.9K | 24 |
| 2021 | $49.05 | $28.50 | 1.72x | $20.55 | $4.9M | 171.2K | 26 |
| 2022 | $48.94 | $27.45 | 1.78x | $21.49 | $4.6M | 168.2K | 25 |
| 2023 | $82.60 | $27.70 | 2.98x | $54.90 | $4.7M | 169.2K | 24 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 316.2K | $13.4M | $42.29 | 1.82x |
| J2323 | Injection, natalizumab, 1 mg | 771.6K | $11.6M | $15.09 | 1.69x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 84.7K | $2.9M | $34.79 | 2.97x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 8.6K | $656.4K | $76.11 | 2.66x |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 38.2K | $467.5K | $12.24 | 2.14x |
| J3490 | Unclassified drugs | 31 | $329.3K | $10.6K | 1.28x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 3.7K | $199.1K | $53.55 | 3.78x |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 1.5K | $157.1K | $104.83 | 2.36x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.6K | $149.5K | $91.99 | 3.80x |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 2.3K | $135.0K | $57.95 | 1.58x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 819 | $125.7K | $153.45 | 2.46x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 1.1K | $119.8K | $104.82 | 2.09x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 969 | $112.1K | $115.68 | 2.28x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 218 | $62.0K | $284.28 | 2.36x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 624 | $45.3K | $72.52 | 2.45x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 1.7K | $38.4K | $22.56 | 4.42x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 234 | $35.0K | $149.57 | 2.04x |
| 96375 | Injection of additional new drug or substance into vein | 2.6K | $32.6K | $12.66 | 3.82x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 1.9K | $30.8K | $16.43 | 5.61x |
| 95911 | Nerve conduction, 9-10 studies | 146 | $25.1K | $171.76 | 2.27x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower 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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