This provider's $3.5M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
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 | $483.88 | $114.09 | 4.24x | $369.79 | $343.2K | 4.0K | 2.6K |
| 2015 | $504.08 | $112.95 | 4.46x | $391.13 | $331.7K | 4.0K | 2.5K |
| 2016 | $532.29 | $113.55 | 4.69x | $418.74 | $363.6K | 4.3K | 2.7K |
| 2017 | $525.84 | $111.92 | 4.70x | $413.92 | $362.6K | 4.3K | 2.7K |
| 2018 | $440.13 | $98.45 | 4.47x | $341.68 | $334.1K | 4.1K | 2.6K |
| 2019 | $445.20 | $99.03 | 4.50x | $346.17 | $333.7K | 4.1K | 2.6K |
| 2020 | $461.73 | $96.34 | 4.79x | $365.39 | $337.9K | 4.0K | 2.5K |
| 2021 | $512.11 | $112.28 | 4.56x | $399.83 | $382.7K | 3.9K | 2.5K |
| 2022 | $534.31 | $108.68 | 4.92x | $425.63 | $350.8K | 3.7K | 2.4K |
| 2023 | $518.51 | $106.30 | 4.88x | $412.21 | $314.7K | 3.5K | 2.2K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 9.3K | $808.6K | $86.56 | 2.89x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 2.5K | $309.7K | $126.29 | 2.98x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.4K | $243.4K | $54.94 | 3.08x |
| 70544 | MRA scan of head blood vessels | 1.1K | $237.2K | $212.89 | 6.22x |
| 70549 | MRA scan of neck blood vessels before and after contrast | 578 | $219.7K | $380.06 | 5.45x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $171.7K | $124.04 | 3.51x |
| 70551 | MRI scan brain | 923 | $162.3K | $175.88 | 7.07x |
| 64616 | Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin | 989 | $161.6K | $163.36 | 4.14x |
| 72148 | MRI scan of lower spinal canal | 869 | $147.0K | $169.14 | 6.69x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.5K | $117.8K | $77.69 | 2.66x |
| 72141 | MRI scan of upper spinal canal | 618 | $102.1K | $165.26 | 6.85x |
| 95874 | Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles | 1.4K | $86.0K | $62.25 | 2.12x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 683 | $85.4K | $124.99 | 2.70x |
| 95910 | Nerve transmission studies, 7-8 studies | 486 | $74.8K | $153.92 | 2.83x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 437 | $71.8K | $164.20 | 2.97x |
| 64644 | Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles | 542 | $70.8K | $130.71 | 3.35x |
| 95909 | Nerve transmission studies, 5-6 studies | 529 | $61.2K | $115.71 | 2.86x |
| 64612 | Injection of chemical for destruction of nerve muscles on one side of face | 364 | $55.1K | $151.29 | 5.69x |
| 95911 | Nerve transmission studies, 9-10 studies | 241 | $44.4K | $184.44 | 2.86x |
| 70553 | MRI scan of brain before and after contrast | 136 | $38.6K | $283.67 | 6.17x |
This provider submits charges 4 times higher than what Medicare actually pays.
A markup ratio of 4x means for every $100 Medicare pays, this provider initially charges $400. 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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