This provider averages 70 services per working day
Based on 141.0K total services over 8 years (250 working days/year). Learn about impossible service volumes →
This provider's $20.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 70 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 26077% from 2016 to 2023.
93% of their billing comes from a single procedure code (J1300 — Injection, eculizumab, 10 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2483% in 2021
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 |
|---|---|---|---|---|---|---|---|
| 2016 | $108.81 | $71.21 | 1.53x | $37.60 | $26.8K | 377 | 14 |
| 2017 | $32.77 | $20.49 | 1.60x | $12.28 | $131.2K | 6.4K | 24 |
| 2018 | $24.91 | $13.71 | 1.82x | $11.20 | $188.0K | 13.7K | 21 |
| 2019 | $145.45 | $79.18 | 1.84x | $66.27 | $138.2K | 1.7K | 21 |
| 2020 | $160.66 | $73.33 | 2.19x | $87.33 | $210.2K | 2.9K | 13 |
| 2021 | $317.08 | $173.89 | 1.82x | $143.19 | $5.4M | 31.2K | 15 |
| 2022 | $376.52 | $169.55 | 2.22x | $206.97 | $7.2M | 42.4K | 16 |
| 2023 | $327.16 | $166.26 | 1.97x | $160.90 | $7.0M | 42.3K | 16 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1300 | Injection, eculizumab, 10 mg | 104.7K | $18.8M | $180.08 | 1.99x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 5.3K | $425.6K | $81.03 | 1.80x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.1K | $160.1K | $151.72 | 1.53x |
| 95913 | Nerve conduction, 13 or more studies | 802 | $116.3K | $145.02 | 2.55x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 3.0K | $107.2K | $36.34 | 4.28x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 984 | $97.0K | $98.56 | 6.23x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.4K | $77.8K | $54.74 | 1.89x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 16.2K | $76.7K | $4.72 | 1.75x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 434 | $48.2K | $111.08 | 1.73x |
| 95911 | Nerve conduction, 9-10 studies | 449 | $47.5K | $105.75 | 2.46x |
| G0483 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms | 175 | $42.2K | $240.88 | 1.19x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 374 | $37.6K | $100.64 | 1.91x |
| 64405 | Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 572 | $32.1K | $56.06 | 2.34x |
| 99232 | Subsequent hospital inpatient care, typically 25 minutes per day | 539 | $28.9K | $53.60 | 1.53x |
| 96116 | Exam of neurobehavioral status, first hour | 385 | $26.6K | $69.12 | 1.45x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 576 | $25.8K | $44.84 | 1.74x |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 151 | $20.5K | $135.76 | 1.65x |
| 80307 | Testing for presence of drug | 243 | $17.2K | $70.86 | 2.39x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 334 | $14.1K | $42.34 | 7.69x |
| 95909 | Nerve transmission studies, 5-6 studies | 134 | $13.7K | $102.14 | 1.72x |
This provider submits charges 2.02 times higher than what Medicare actually pays.
A markup ratio of 2.02x means for every $100 Medicare pays, this provider initially charges $202. 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.
Other Neurology providers in AL for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Christopher Laganke, MD | Cullman, AL | $81.1M | ✓ Clear |
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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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