⚠️ This provider averages 330 services per working day — physically unusual for an individual practitioner
Based on 825.9K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $28.9M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 330 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 814% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 65% 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 | $132.60 | $29.77 | 4.45x | $102.83 | $735.5K | 24.7K | 16 |
| 2015 | $123.14 | $29.52 | 4.17x | $93.62 | $1.2M | 41.1K | 19 |
| 2016 | $129.68 | $33.06 | 3.92x | $96.62 | $1.4M | 43.2K | 15 |
| 2017 | $130.66 | $32.32 | 4.04x | $98.34 | $1.5M | 47.2K | 16 |
| 2018 | $126.58 | $32.38 | 3.91x | $94.20 | $1.9M | 59.0K | 15 |
| 2019 | $131.28 | $33.29 | 3.94x | $97.99 | $2.8M | 84.3K | 15 |
| 2020 | $126.45 | $34.29 | 3.69x | $92.16 | $3.7M | 107.7K | 13 |
| 2021 | $126.59 | $39.29 | 3.22x | $87.30 | $4.1M | 104.6K | 14 |
| 2022 | $124.46 | $35.96 | 3.46x | $88.50 | $4.7M | 131.3K | 15 |
| 2023 | $121.35 | $36.80 | 3.30x | $84.55 | $6.7M | 182.7K | 15 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 455.9K | $15.0M | $32.85 | 3.67x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 268.8K | $9.6M | $35.73 | 3.25x |
| 95886 | Needle measurement of electrical activity in arm or leg muscles, complete study | 9.4K | $727.1K | $77.38 | 3.26x |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | 23.2K | $686.2K | $29.53 | 3.86x |
| 95913 | Nerve conduction, 13 or more studies | 1.9K | $446.8K | $232.12 | 6.00x |
| 95912 | Nerve conduction, 11-12 studies | 2.2K | $442.2K | $201.46 | 5.48x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5.6K | $305.0K | $54.37 | 3.73x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.4K | $290.0K | $84.65 | 3.76x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 14.3K | $237.0K | $16.60 | 3.83x |
| 99204 | New patient outpatient visit, total time 45-59 minutes | 1.8K | $227.6K | $127.13 | 3.42x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 1.6K | $196.8K | $126.89 | 3.43x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 1.0K | $182.2K | $173.87 | 3.60x |
| 95951 | Monitoring and localization of seizure activity over 24-hour period using 16-channel electroencephalograph (EEG) | 123 | $174.7K | $1.4K | 3.41x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 5.9K | $113.1K | $19.08 | 5.44x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 18.2K | $83.1K | $4.56 | 3.24x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1.4K | $70.8K | $51.96 | 2.87x |
| 70551 | MRI scan brain | 131 | $16.6K | $126.49 | 7.91x |
| 95910 | Nerve conduction, 7-8 studies | 86 | $12.1K | $140.43 | 5.52x |
| 72148 | MRI scan of lower spinal canal | 100 | $11.7K | $117.32 | 8.52x |
| 70553 | MRI scan of brain before and after contrast | 59 | $11.4K | $193.31 | 8.28x |
This provider submits charges 3.6 times higher than what Medicare actually pays.
A markup ratio of 3.6x means for every $100 Medicare pays, this provider initially charges $360. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Neurology providers in TX for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Guy Burrows, M.D. | Shenandoah, TX | $35.6M | ✓ Clear |
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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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