This provider's $3.4M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 75% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
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 | $934.33 | $424.37 | 2.20x | $509.96 | $212.2K | 824 | 808 |
| 2015 | $1.3K | $464.20 | 2.74x | $805.73 | $266.7K | 982 | 961 |
| 2016 | $1.2K | $427.33 | 2.80x | $767.10 | $318.7K | 1.2K | 1.1K |
| 2017 | $1.3K | $422.35 | 2.99x | $839.77 | $378.1K | 1.2K | 1.2K |
| 2018 | $1.2K | $420.77 | 2.81x | $760.62 | $400.6K | 1.2K | 1.2K |
| 2019 | $1.4K | $448.09 | 3.04x | $915.38 | $393.5K | 1.1K | 1.1K |
| 2020 | $1.5K | $537.05 | 2.75x | $942.30 | $343.2K | 1.0K | 971 |
| 2021 | $2.1K | $525.48 | 4.03x | $1.6K | $350.8K | 1.1K | 1.0K |
| 2022 | $2.1K | $467.11 | 4.43x | $1.6K | $336.8K | 1.1K | 1.0K |
| 2023 | $1.7K | $436.17 | 3.92x | $1.3K | $372.2K | 1.3K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 537 | $828.6K | $1.5K | 3.12x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.0K | $378.1K | $127.85 | 3.15x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 236 | $340.5K | $1.4K | 3.03x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 477 | $292.6K | $613.34 | 4.19x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 352 | $224.1K | $636.54 | 3.10x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 301 | $194.3K | $645.49 | 3.11x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $150.5K | $90.34 | 3.26x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 648 | $141.6K | $218.58 | 3.22x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 597 | $100.7K | $168.66 | 3.23x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 205 | $85.8K | $418.56 | 3.13x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 133 | $82.4K | $619.18 | 3.01x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 174 | $58.0K | $333.39 | 2.55x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 168 | $56.7K | $337.65 | 3.05x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 431 | $56.4K | $130.86 | 3.35x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 311 | $56.0K | $180.18 | 2.79x |
| 64721 | Release and/or relocation of median nerve of hand | 128 | $45.6K | $355.97 | 2.79x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 60 | $38.0K | $632.66 | 3.19x |
| 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 | 129 | $27.5K | $213.19 | 3.98x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 141 | $23.3K | $165.16 | 2.80x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 385 | $21.5K | $55.90 | 2.79x |
This provider submits charges 3.22 times higher than what Medicare actually pays.
A markup ratio of 3.22x means for every $100 Medicare pays, this provider initially charges $322. 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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