This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Their average markup ratio of 5.15x is significantly above the specialty median of 3.5x.
Medicare payments to this provider grew 395% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 118% in 2015
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 | $505.93 | $117.13 | 4.32x | $388.80 | $101.4K | 956 | 881 |
| 2015 | $526.91 | $157.10 | 3.35x | $369.81 | $221.2K | 1.7K | 1.4K |
| 2016 | $921.56 | $157.57 | 5.85x | $763.99 | $242.5K | 2.0K | 1.7K |
| 2017 | $853.98 | $151.39 | 5.64x | $702.59 | $309.6K | 2.7K | 2.2K |
| 2018 | $858.17 | $153.71 | 5.58x | $704.46 | $380.8K | 3.5K | 2.9K |
| 2019 | $732.14 | $141.31 | 5.18x | $590.83 | $379.4K | 3.7K | 3.1K |
| 2020 | $688.22 | $135.83 | 5.07x | $552.39 | $310.0K | 3.2K | 2.5K |
| 2021 | $758.15 | $145.84 | 5.20x | $612.31 | $405.5K | 3.5K | 2.8K |
| 2022 | $703.55 | $135.20 | 5.20x | $568.35 | $464.7K | 3.8K | 3.1K |
| 2023 | $716.85 | $132.43 | 5.41x | $584.42 | $501.9K | 4.2K | 3.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.5K | $761.6K | $90.06 | 5.22x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.5K | $601.8K | $172.32 | 5.00x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 4.5K | $587.7K | $131.15 | 5.21x |
| 99483 | Assessment of and care planning for patient with impaired thought processing, typically 50 minutes | 812 | $171.0K | $210.59 | 5.29x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.3K | $167.2K | $130.59 | 5.00x |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 1.4K | $150.5K | $106.00 | 5.22x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 530 | $137.9K | $260.28 | 5.85x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 340 | $101.2K | $297.63 | 5.12x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.2K | $93.4K | $77.78 | 4.67x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.4K | $90.2K | $62.72 | 5.25x |
| 95911 | Nerve transmission studies, 9-10 studies | 258 | $48.1K | $186.59 | 4.91x |
| 95912 | Nerve transmission studies, 11-12 studies | 221 | $46.9K | $212.11 | 5.23x |
| 95913 | Nerve transmission studies, 13 or more studies | 187 | $45.5K | $243.37 | 5.30x |
| 96136 | Psychological or neuropsychological test administration and scoring by qualified health care professional, first 30 minutes | 1.2K | $44.6K | $36.51 | 5.29x |
| 95910 | Nerve transmission studies, 7-8 studies | 280 | $43.8K | $156.28 | 5.00x |
| 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 517 | $39.9K | $77.19 | 5.05x |
| G0444 | Annual depression screening, 15 minutes | 1.5K | $28.9K | $18.83 | 4.09x |
| 95813 | Measurement of brain wave (EEG) activity greater than 1 hour | 100 | $27.2K | $272.32 | 7.84x |
| 99354 | Prolonged office or other outpatient service first hour | 248 | $26.8K | $107.92 | 3.93x |
| 95909 | Nerve transmission studies, 5-6 studies | 203 | $23.9K | $117.56 | 4.60x |
This provider submits charges 5.15 times higher than what Medicare actually pays.
A markup ratio of 5.15x means for every $100 Medicare pays, this provider initially charges $515. 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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