This provider's $4.2M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 158% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 58% in 2016
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 | $3.9K | $730.11 | 5.38x | $3.2K | $266.2K | 690 | 623 |
| 2015 | $4.0K | $764.89 | 5.26x | $3.3K | $238.5K | 569 | 535 |
| 2016 | $3.7K | $736.01 | 5.00x | $2.9K | $377.2K | 931 | 843 |
| 2017 | $3.5K | $723.36 | 4.88x | $2.8K | $327.9K | 978 | 878 |
| 2018 | $3.6K | $703.41 | 5.17x | $2.9K | $419.1K | 1.2K | 1.1K |
| 2019 | $3.2K | $663.64 | 4.85x | $2.6K | $379.7K | 1.1K | 981 |
| 2020 | $3.4K | $732.54 | 4.61x | $2.6K | $376.6K | 1.0K | 916 |
| 2021 | $3.6K | $738.87 | 4.84x | $2.8K | $574.1K | 1.6K | 1.4K |
| 2022 | $3.2K | $672.46 | 4.80x | $2.6K | $575.9K | 1.6K | 1.4K |
| 2023 | $3.4K | $663.94 | 5.14x | $2.7K | $686.1K | 1.8K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 297 | $547.0K | $1.8K | 4.52x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 288 | $437.4K | $1.5K | 4.75x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 553 | $434.7K | $786.09 | 4.69x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 509 | $376.2K | $739.10 | 7.12x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 192 | $335.1K | $1.7K | 4.56x |
| 22630 | Fusion of lower spine bones with removal of disc, posterior approach | 205 | $331.8K | $1.6K | 4.46x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 243 | $191.7K | $788.93 | 4.65x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 449 | $181.7K | $404.75 | 4.47x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.8K | $178.2K | $47.49 | 4.04x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 657 | $175.2K | $266.64 | 4.61x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 172 | $160.5K | $932.85 | 4.75x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.1K | $125.5K | $109.73 | 4.43x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 107 | $117.5K | $1.1K | 5.88x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 147 | $111.7K | $760.10 | 4.56x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.4K | $98.7K | $68.23 | 4.45x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 168 | $70.8K | $421.22 | 4.30x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 290 | $63.4K | $218.49 | 5.34x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 141 | $58.8K | $417.05 | 4.55x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 73 | $36.7K | $503.13 | 4.50x |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 126 | $33.4K | $264.71 | 4.47x |
This provider submits charges 4.89 times higher than what Medicare actually pays.
A markup ratio of 4.89x means for every $100 Medicare pays, this provider initially charges $489. 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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