⚠️ This provider averages 248 services per working day — physically unusual for an individual practitioner
Based on 619.5K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $21.1M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 248 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 764% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 397% in 2021
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 | $475.84 | $147.64 | 3.22x | $328.20 | $606.4K | 4.1K | 10 |
| 2015 | $408.68 | $145.16 | 2.82x | $263.52 | $595.6K | 4.1K | 8 |
| 2016 | $121.67 | $42.34 | 2.87x | $79.33 | $787.0K | 18.6K | 11 |
| 2017 | $103.92 | $36.05 | 2.88x | $67.87 | $890.7K | 24.7K | 11 |
| 2018 | $60.09 | $20.13 | 2.99x | $39.96 | $927.8K | 46.1K | 14 |
| 2019 | $47.50 | $17.66 | 2.69x | $29.84 | $882.1K | 49.9K | 12 |
| 2020 | $46.55 | $18.09 | 2.57x | $28.46 | $930.2K | 51.4K | 10 |
| 2021 | $160.60 | $33.21 | 4.84x | $127.39 | $4.6M | 139.3K | 22 |
| 2022 | $154.86 | $38.22 | 4.05x | $116.64 | $5.6M | 146.9K | 19 |
| 2023 | $162.51 | $38.99 | 4.17x | $123.52 | $5.2M | 134.4K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1556 | Injection, immune globulin (bivigam), 500 mg | 201.7K | $11.3M | $56.07 | 4.33x |
| 95913 | Nerve conduction, 13 or more studies | 9.3K | $2.2M | $234.03 | 2.77x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 19.2K | $1.5M | $76.03 | 2.55x |
| 95819 | Measurement of brain wave activity (eeg), awake and asleep | 3.3K | $1.1M | $342.64 | 2.52x |
| 95957 | Measurement of brain wave activity (eeg), digital analysis | 3.7K | $855.7K | $234.25 | 3.31x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 6.7K | $797.1K | $119.81 | 2.50x |
| J1568 | Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg | 24.1K | $795.6K | $32.97 | 9.47x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 158.9K | $762.2K | $4.80 | 3.34x |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 156.8K | $623.5K | $3.98 | 2.69x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.6K | $255.1K | $157.40 | 2.76x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2.5K | $208.1K | $81.73 | 2.82x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 3.2K | $174.6K | $54.51 | 6.42x |
| 95953 | Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (EEG) | 412 | $141.8K | $344.26 | 2.69x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 5.2K | $87.6K | $17.02 | 10.29x |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 459 | $55.6K | $121.15 | 2.50x |
| 96375 | Injection of additional new drug or substance into vein | 3.9K | $49.9K | $12.92 | 6.86x |
| 95912 | Nerve conduction, 11-12 studies | 249 | $49.6K | $199.33 | 2.76x |
| 64616 | Injection of chemical for paralysis of nerve muscles on side of neck excluding voice box | 270 | $43.6K | $161.41 | 1.60x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 274 | $31.5K | $114.88 | 3.18x |
| 95874 | Needle measurement of electrical activity in muscle with injection of chemical for paralysis of nerve muscle | 446 | $27.8K | $62.35 | 2.44x |
This provider submits charges 3.93 times higher than what Medicare actually pays.
A markup ratio of 3.93x means for every $100 Medicare pays, this provider initially charges $393. 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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