This provider's $7.2M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Medicare payments to this provider grew 247% from 2014 to 2023.
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 | $143.35 | $73.02 | 1.96x | $70.33 | $364.8K | 4.5K | 2.0K |
| 2015 | $157.17 | $75.99 | 2.07x | $81.18 | $386.8K | 4.8K | 2.1K |
| 2016 | $158.42 | $74.10 | 2.14x | $84.32 | $460.1K | 5.9K | 2.6K |
| 2017 | $155.17 | $83.62 | 1.86x | $71.55 | $553.6K | 6.5K | 3.1K |
| 2018 | $121.60 | $65.36 | 1.86x | $56.24 | $600.0K | 8.1K | 3.8K |
| 2019 | $107.88 | $57.60 | 1.87x | $50.28 | $618.5K | 9.2K | 3.9K |
| 2020 | $91.81 | $46.50 | 1.97x | $45.31 | $685.7K | 10.4K | 4.4K |
| 2021 | $81.67 | $45.32 | 1.80x | $36.35 | $945.5K | 13.0K | 5.0K |
| 2022 | $112.77 | $60.95 | 1.85x | $51.82 | $1.3M | 17.1K | 7.7K |
| 2023 | $120.89 | $63.76 | 1.90x | $57.13 | $1.3M | 18.7K | 6.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 18.6K | $2.2M | $117.41 | 1.63x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 15.8K | $1.3M | $79.95 | 1.81x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.2K | $487.9K | $150.48 | 1.81x |
| 95913 | Nerve transmission studies, 13 or more studies | 1.6K | $346.2K | $223.09 | 1.83x |
| 98929 | Osteopathic manipulative treatment to 9-10 body regions | 5.5K | $341.4K | $62.65 | 1.90x |
| 64646 | Injection of chemical for destruction of nerve muscles on trunk, 5 or more muscles | 2.8K | $293.4K | $106.08 | 1.81x |
| 95819 | Measurement and recording of brain wave (EEG) activity, awake and asleep | 843 | $270.3K | $320.64 | 1.74x |
| 95957 | Digital analysis of electrical brain wave activity (EEG) | 881 | $204.1K | $231.68 | 1.98x |
| 95812 | Measurement of brain wave (EEG) activity, 41-60 minutes | 681 | $174.4K | $256.05 | 1.73x |
| 64615 | Injection of chemical for destruction of facial and neck nerve muscles on both sides of face | 2.8K | $169.9K | $59.87 | 3.13x |
| 95886 | Needle measurement and recording of electrical activity of muscles of arm or leg complete study | 1.6K | $113.5K | $73.00 | 1.67x |
| 96116 | Neurobehavioral status examination, interpretation, and report by psychologist or physician per hour | 1.5K | $105.3K | $71.81 | 1.76x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour | 2.2K | $104.8K | $47.40 | 2.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 941 | $104.7K | $111.31 | 2.02x |
| 90837 | Psychotherapy, 60 minutes | 985 | $102.6K | $104.14 | 1.68x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.8K | $95.9K | $53.98 | 1.82x |
| 99354 | Prolonged office or other outpatient service first hour | 912 | $80.7K | $88.50 | 1.78x |
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | 1.0K | $66.4K | $63.62 | 2.36x |
| 97112 | Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 2.6K | $61.3K | $23.80 | 1.93x |
| 96132 | Neuropsychological testing evaluation by qualified health care professional, first 60 minutes | 512 | $51.2K | $99.96 | 1.75x |
This provider submits charges 1.83 times higher than what Medicare actually pays.
A markup ratio of 1.83x means for every $100 Medicare pays, this provider initially charges $183. 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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