How much does Medicare pay for CPT 95983?

Medicare allowed an average of $46.17 per service and paid $34.69 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $183.76, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 95983 pay differently in an office than a hospital?

Yes. The allowed amount averaged $46.20 in an office setting and $46.06 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 95983 most?

Neurology, with 21,333 services from 388 clinicians. Next are Nurse Practitioner, Physician Assistant, Neurosurgery.

CPT 95983

Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional

$46.17Medicare-allowed amount per service, averaged across 36,547 services

Providers submitted

$183.76

Asking price, not received

Medicare allowed

$46.17

The fee schedule figure

Medicare paid

$34.69

Balance is patient coinsurance

Providers submitted an average of $183.76 for this code and Medicare allowed $46.17 — 4.0× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $34.69 (75%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $46.20
Hospital / facility: $46.06

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 28,193 services were billed in an office setting and 8,354 in a facility.

Services: 36,547
Beneficiaries: 15,443
Providers billing it: 555
Total allowed: $1,687,375

What Medicare pays for CPT 95983

Across 36,547 services billed by 555 providers to 15,443 beneficiaries, Medicare allowed an average of $46.17 per service. That is 2.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 95983

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	21,333	10,154	$49.33	388
Nurse Practitioner	11,537	3,134	$40.88	93
Physician Assistant	2,335	1,256	$41.54	40
Neurosurgery	1,051	782	$48.86	29
Internal Medicine	146	56	$48.80	1
Neuropsychiatry	63	26	$55.20	2
Psychologist, Clinical	48	22	$47.66	1
Psychiatry	34	13	$55.09	1

95983 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Nevada	6,069	$40.16	$32.90	11
California	3,695	$50.69	$34.67	57
Texas	3,576	$47.56	$35.58	52
Florida	2,220	$48.65	$35.59	43
New York	1,848	$51.11	$34.04	28
Arizona	1,714	$46.01	$35.66	18
Pennsylvania	1,471	$46.33	$34.79	31
Washington	1,135	$48.97	$35.08	17
Virginia	941	$47.21	$34.89	19
Missouri	913	$43.92	$32.66	14
Ohio	890	$41.48	$31.41	18
Illinois	845	$49.18	$34.43	15
North Carolina	679	$44.07	$34.05	12
Tennessee	649	$47.14	$35.62	17
Colorado	623	$46.70	$32.98	13
Massachusetts	591	$48.59	$33.76	13
Minnesota	563	$47.23	$35.05	13
New Jersey	558	$49.95	$35.42	10
South Carolina	551	$44.25	$34.08	8
Kentucky	542	$43.19	$32.32	10
Louisiana	523	$44.10	$33.57	7
Montana	513	$47.87	$35.49	6
Iowa	501	$42.89	$33.01	8
Georgia	472	$44.80	$34.19	10
Michigan	334	$45.54	$31.96	9
Alabama	321	$41.76	$32.31	7
West Virginia	307	$47.69	$37.63	4
Oklahoma	302	$47.72	$34.95	3
Maryland	298	$48.73	$36.17	10
Oregon	293	$45.76	$31.86	10
Kansas	284	$46.35	$35.90	5
Indiana	274	$45.39	$34.78	5
South Dakota	265	$43.02	$33.23	6
District of Columbia	244	$55.26	$36.21	6
Utah	234	$44.17	$31.84	6
Wisconsin	189	$42.80	$32.62	6
Nebraska	187	$44.12	$33.25	5
Maine	163	$48.71	$36.02	3
Arkansas	149	$45.81	$35.25	5
New Mexico	146	$46.98	$36.24	2
Idaho	146	$45.93	$34.98	3
Connecticut	109	$53.04	$35.22	3
New Hampshire	48	$44.64	$32.37	2
Rhode Island	41	$48.69	$32.49	1
Delaware	37	$47.75	$30.83	1
Vermont	35	$46.21	$36.01	1
Wyoming	32	$48.50	$32.99	1
Hawaii	27	$47.78	$38.84	1

Related codes

95911Nerve conduction$197.67
95910Nerve conduction$157.37
95938Placement of skin electrodes and measurement of stimulated sites on ar$55.24
95923Testing of autonomic (sympathetic) nervous system function$121.40
95909Nerve conduction$117.92
95992Repositioning exercises of head for treatment of dizziness$41.72
95913Nerve conduction$267.08
95912Nerve conduction$234.05
95921Testing of autonomic nervous system function and heart rate response t$87.65
95939Placement of skin electrodes and measurement of central motor stimulat$122.96
95984Electronic analysis of implanted brain$41.14
95955Measurement of brain wave activity (eeg) outside the brain during surg$52.03

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.