How much does Medicare pay for CPT 95984?

Medicare allowed an average of $41.14 per service and paid $31.57 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $185.45, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does 95984 pay differently in an office than a hospital?

Yes. The allowed amount averaged $41.33 in an office setting and $40.37 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 95984 most?

Neurology, with 27,423 services from 234 clinicians. Next are Nurse Practitioner, Physician Assistant, Internal Medicine.

CPT 95984

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

$41.14Medicare-allowed amount per service, averaged across 40,075 services

Providers submitted

$185.45

Asking price, not received

Medicare allowed

$41.14

The fee schedule figure

Medicare paid

$31.57

Balance is patient coinsurance

Providers submitted an average of $185.45 for this code and Medicare allowed $41.14 — 4.5× 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 $31.57 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $41.33
Hospital / facility: $40.37

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. 32,349 services were billed in an office setting and 7,726 in a facility.

Services: 40,075
Beneficiaries: 8,699
Providers billing it: 338
Total allowed: $1,648,686

What Medicare pays for CPT 95984

Across 40,075 services billed by 338 providers to 8,699 beneficiaries, Medicare allowed an average of $41.14 per service. That is 4.6 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 95984

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurology	27,423	5,800	$42.99	234
Nurse Practitioner	8,417	1,887	$36.22	65
Physician Assistant	2,851	686	$37.04	25
Internal Medicine	750	55	$42.86	1
Neurosurgery	634	271	$42.87	13

95984 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
Texas	7,269	$41.87	$32.36	34
California	4,660	$43.90	$30.62	30
Florida	3,604	$42.55	$32.09	34
Arizona	2,908	$39.87	$32.25	15
Missouri	1,838	$37.26	$28.53	10
Nevada	1,600	$36.26	$28.92	3
Pennsylvania	1,375	$41.30	$31.29	18
New York	1,155	$43.76	$30.35	18
Ohio	1,149	$35.57	$27.87	11
Washington	1,119	$41.17	$29.90	10
Oklahoma	1,118	$43.89	$31.83	3
Georgia	1,079	$38.44	$29.01	7
Minnesota	1,012	$42.20	$32.14	7
West Virginia	970	$41.59	$32.31	3
Illinois	760	$43.81	$31.32	9
South Carolina	611	$39.57	$30.91	8
Virginia	542	$41.66	$31.91	10
Massachusetts	536	$42.00	$29.89	9
Michigan	478	$42.58	$29.81	4
Louisiana	462	$38.94	$30.25	5
New Jersey	454	$42.63	$32.50	6
North Carolina	445	$39.28	$29.93	8
Iowa	435	$37.64	$29.97	5
New Mexico	415	$40.63	$33.67	1
Alabama	404	$36.46	$29.39	6
Oregon	382	$38.85	$27.90	7
Nebraska	377	$38.52	$30.41	5
Tennessee	356	$41.24	$31.84	7
Colorado	339	$42.32	$30.82	5
Kentucky	329	$37.95	$29.04	6
Maryland	279	$42.70	$31.40	6
Montana	267	$41.27	$30.98	4
Indiana	256	$38.95	$30.86	5
District of Columbia	253	$49.97	$32.22	2
Kansas	228	$41.12	$33.04	3
Utah	145	$37.82	$27.64	3
South Dakota	137	$38.12	$31.04	3
Arkansas	117	$43.63	$32.88	1
Idaho	62	$39.96	$29.40	2
Maine	46	$42.81	$33.22	1
Delaware	29	$41.79	$30.64	1
Connecticut	28	$44.84	$29.98	1
Hawaii	25	$41.45	$34.13	1
Wisconsin	22	$39.70	$30.79	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
95983Electronic analysis of implanted brain$46.17
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.