This provider's $4.8M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 814% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 367% 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 | $226.30 | $118.27 | 1.91x | $108.03 | $139.8K | 1.4K | 1.1K |
| 2015 | $197.98 | $136.70 | 1.45x | $61.28 | $168.1K | 1.7K | 1.1K |
| 2016 | $108.17 | $72.34 | 1.50x | $35.83 | $784.5K | 22.0K | 20.0K |
| 2017 | $95.35 | $60.55 | 1.57x | $34.80 | $638.0K | 17.5K | 15.8K |
| 2018 | $109.21 | $76.88 | 1.42x | $32.33 | $460.0K | 5.1K | 4.4K |
| 2019 | $226.41 | $120.68 | 1.88x | $105.73 | $249.5K | 2.4K | 1.7K |
| 2020 | $291.69 | $122.47 | 2.38x | $169.22 | $221.9K | 1.6K | 1.2K |
| 2021 | $319.99 | $121.57 | 2.63x | $198.42 | $210.7K | 1.8K | 1.3K |
| 2022 | $208.44 | $119.03 | 1.75x | $89.41 | $645.0K | 4.3K | 4.0K |
| 2023 | $210.25 | $122.64 | 1.71x | $87.61 | $1.3M | 8.8K | 6.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 2.4K | $750.6K | $307.51 | 1.29x |
| 92540 | Observation, testing, and recording of abnormal eye movement | 6.7K | $471.5K | $70.10 | 1.41x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.3K | $314.1K | $94.90 | 1.62x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 1.1K | $283.5K | $259.65 | 1.27x |
| 93890 | Ultrasound of within the brain blood flow following medication | 1.1K | $239.6K | $217.07 | 1.57x |
| 92537 | Assessment and recording of balance system during hot and cold irrigation of both ears | 6.4K | $229.5K | $35.71 | 1.40x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 1.1K | $229.4K | $205.95 | 1.61x |
| 95912 | Nerve transmission studies, 11-12 studies | 904 | $196.4K | $217.29 | 1.34x |
| 93892 | Ultrasound of within the brain blood flow for blood clots | 1.1K | $177.6K | $161.06 | 1.95x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.2K | $132.6K | $60.62 | 2.34x |
| 95927 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites on the trunk or head | 5.1K | $125.2K | $24.74 | 1.40x |
| 95925 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the arms | 4.5K | $112.5K | $25.21 | 1.41x |
| 95923 | Testing of autonomic (sympathetic) nervous system function | 1.2K | $107.9K | $89.01 | 1.27x |
| 95926 | Insertion of needles and skin electrodes for measurement and recording of stimulated sites in the legs | 4.2K | $104.0K | $24.61 | 1.41x |
| 99305 | Initial nursing facility visit, typically 35 minutes per day | 880 | $101.7K | $115.57 | 1.35x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 633 | $94.2K | $148.84 | 1.32x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.1K | $90.3K | $85.00 | 1.34x |
| 92653 | Evaluation of brain response to sound for diagnosis of nervous system disorders with interpretation and report | 1.1K | $88.7K | $81.15 | 1.25x |
| 92546 | Assessment and recording of abnormal eye movement with patient in a rotating chair | 6.7K | $88.3K | $13.13 | 1.40x |
| 99309 | Subsequent nursing facility visit, typically 25 minutes per day | 1.1K | $86.7K | $80.90 | 3.60x |
This provider submits charges 1.6 times higher than what Medicare actually pays.
A markup ratio of 1.6x means for every $100 Medicare pays, this provider initially charges $160. 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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