This provider averages 138 services per working day
Based on 344.6K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $17.6M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 138 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 9066% from 2014 to 2023.
83% of their billing comes from a single procedure code (J2350 — Injection, ocrelizumab, 1 mg).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 2392% in 2017
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 | $334.42 | $57.69 | 5.80x | $276.73 | $42.5K | 736 | 12 |
| 2015 | $495.65 | $90.63 | 5.47x | $405.02 | $52.5K | 579 | 10 |
| 2016 | $494.17 | $83.78 | 5.90x | $410.39 | $59.7K | 713 | 10 |
| 2017 | $1.2K | $479.14 | 2.59x | $759.96 | $1.5M | 3.1K | 17 |
| 2018 | $184.57 | $66.60 | 2.77x | $117.97 | $1.7M | 26.2K | 17 |
| 2019 | $123.04 | $44.10 | 2.79x | $78.94 | $1.7M | 38.9K | 20 |
| 2020 | $126.86 | $44.64 | 2.84x | $82.22 | $2.2M | 49.2K | 15 |
| 2021 | $125.99 | $46.15 | 2.73x | $79.84 | $2.8M | 60.2K | 19 |
| 2022 | $124.71 | $46.71 | 2.67x | $78.00 | $3.6M | 77.7K | 22 |
| 2023 | $124.12 | $44.65 | 2.78x | $79.47 | $3.9M | 87.2K | 23 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 324.0K | $14.5M | $44.69 | 2.66x |
| J0202 | Injection, alemtuzumab, 1 mg | 1.4K | $1.6M | $1.2K | 2.38x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 3.7K | $430.1K | $117.43 | 5.14x |
| J3490 | Unclassified drugs | 31 | $418.6K | $13.5K | 2.48x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.3K | $150.9K | $115.14 | 2.87x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 405 | $63.8K | $157.53 | 5.29x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 628 | $48.8K | $77.72 | 5.04x |
| 96132 | Evaluation of neuropsychological test, first hour | 446 | $46.9K | $105.24 | 2.66x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 1.9K | $45.9K | $23.92 | 4.34x |
| 95937 | Testing of nerve-muscle junction | 1.2K | $35.4K | $29.25 | 9.64x |
| 95913 | Nerve conduction, 13 or more studies | 121 | $30.5K | $252.02 | 3.87x |
| G0453 | Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | 1.1K | $29.3K | $27.47 | 2.49x |
| 96139 | Administration of psychological or neuropsychological test by technician, each additional 30 minutes | 899 | $26.8K | $29.79 | 2.69x |
| 92133 | Imaging of optic nerve | 760 | $22.7K | $29.81 | 11.74x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 239 | $19.9K | $83.35 | 4.20x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 381 | $19.6K | $51.40 | 5.07x |
| 95816 | Measurement of brain wave activity (eeg), awake and drowsy | 64 | $17.4K | $272.21 | 1.93x |
| 64642 | Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles | 139 | $13.9K | $100.24 | 4.49x |
| 95939 | Placement of skin electrodes and measurement of central motor stimulation in arms and legs | 138 | $13.9K | $100.40 | 5.14x |
| 96138 | Administration of psychological or neuropsychological test by technician, first 30 minutes | 449 | $13.5K | $30.00 | 2.67x |
This provider submits charges 2.77 times higher than what Medicare actually pays.
A markup ratio of 2.77x means for every $100 Medicare pays, this provider initially charges $277. 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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