⚠️ This provider averages 211 services per working day — physically unusual for an individual practitioner
Based on 526.7K total services over 10 years (250 working days/year). Learn about impossible service volumes →
This provider's $19.0M in total Medicare payments ranks in the 99th percentile of Neurology providers nationally.
Averaging 211 services per working day raises questions about billing patterns.
Medicare payments to this provider grew 3297% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 574% in 2017
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 | $229.21 | $101.02 | 2.27x | $128.19 | $86.1K | 852 | 10 |
| 2015 | $241.39 | $99.69 | 2.42x | $141.70 | $98.2K | 985 | 13 |
| 2016 | $195.77 | $62.16 | 3.15x | $133.61 | $139.8K | 2.2K | 11 |
| 2017 | $88.33 | $26.97 | 3.28x | $61.36 | $942.8K | 35.0K | 11 |
| 2018 | $82.07 | $29.53 | 2.78x | $52.54 | $2.4M | 80.1K | 16 |
| 2019 | $93.88 | $35.70 | 2.63x | $58.18 | $2.5M | 68.8K | 19 |
| 2020 | $90.96 | $41.33 | 2.20x | $49.63 | $2.9M | 69.5K | 17 |
| 2021 | $84.95 | $39.34 | 2.16x | $45.61 | $3.0M | 77.3K | 19 |
| 2022 | $84.23 | $38.72 | 2.18x | $45.51 | $4.1M | 106.4K | 20 |
| 2023 | $79.44 | $34.12 | 2.33x | $45.32 | $2.9M | 85.7K | 18 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| J2350 | Injection, ocrelizumab, 1 mg | 176.1K | $8.1M | $46.12 | 2.34x |
| J1556 | Injection, immune globulin (bivigam), 500 mg | 79.6K | $4.5M | $56.03 | 1.82x |
| J1566 | Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg | 80.8K | $2.3M | $28.10 | 2.99x |
| J1459 | Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg | 19.6K | $729.9K | $37.23 | 2.26x |
| J3032 | Injection, eptinezumab-jjmr, 1 mg | 54.8K | $716.1K | $13.07 | 2.30x |
| J1561 | Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg | 11.7K | $383.7K | $32.69 | 2.57x |
| J1599 | Injection, immune globulin, intravenous, non-lyophilized (e.g., liquid), not otherwise specified, 500 mg | 5.9K | $368.0K | $62.30 | 4.10x |
| 96365 | Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 5.6K | $336.0K | $59.60 | 2.52x |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 3.3K | $286.1K | $87.06 | 2.59x |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 2.0K | $237.8K | $118.58 | 2.59x |
| J0585 | Injection, onabotulinumtoxina, 1 unit | 45.5K | $218.8K | $4.81 | 2.42x |
| 96366 | Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 10.8K | $190.3K | $17.54 | 5.70x |
| 96413 | Administration of chemotherapy into vein, 1 hour or less | 1.3K | $149.3K | $118.51 | 2.95x |
| J1569 | Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg | 4.2K | $138.1K | $32.64 | 2.57x |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 631 | $104.6K | $165.77 | 2.64x |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 822 | $47.1K | $57.31 | 2.55x |
| 96415 | Administration of chemotherapy into vein, each additional hour | 1.6K | $42.8K | $25.95 | 3.85x |
| J0588 | Injection, incobotulinumtoxin a, 1 unit | 10.7K | $42.5K | $3.98 | 5.06x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 292 | $36.9K | $126.30 | 2.55x |
| 64615 | Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | 315 | $36.6K | $116.20 | 2.79x |
This provider submits charges 2.4 times higher than what Medicare actually pays.
A markup ratio of 2.4x means for every $100 Medicare pays, this provider initially charges $240. 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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