This provider's $6.6M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 10.9x is significantly above the specialty median of 5.9x.
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 | $4.8K | $394.85 | 12.11x | $4.4K | $702.3K | 2.5K | 2.3K |
| 2015 | $4.9K | $410.78 | 11.90x | $4.5K | $852.2K | 2.8K | 2.6K |
| 2016 | $4.6K | $374.44 | 12.27x | $4.2K | $740.9K | 2.8K | 2.5K |
| 2017 | $4.3K | $340.54 | 12.67x | $4.0K | $699.4K | 2.8K | 2.6K |
| 2018 | $4.7K | $373.98 | 12.65x | $4.4K | $656.4K | 2.8K | 2.5K |
| 2019 | $4.6K | $366.00 | 12.63x | $4.3K | $734.5K | 3.1K | 2.7K |
| 2020 | $3.9K | $357.82 | 10.98x | $3.6K | $520.5K | 2.3K | 2.1K |
| 2021 | $3.6K | $332.73 | 10.69x | $3.2K | $597.8K | 2.5K | 2.4K |
| 2022 | $4.2K | $368.25 | 11.37x | $3.8K | $583.3K | 2.5K | 2.3K |
| 2023 | $4.0K | $332.42 | 12.05x | $3.7K | $552.5K | 2.6K | 2.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.1K | $1.1M | $967.40 | 10.85x |
| 63042 | Re-exploration of spine repair with release of lower spinal cord or nerves | 666 | $696.0K | $1.0K | 11.70x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 436 | $662.5K | $1.5K | 9.86x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 297 | $491.0K | $1.7K | 5.89x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.3K | $423.3K | $127.66 | 3.92x |
| 72148 | MRI scan of lower spinal canal | 2.4K | $406.0K | $170.17 | 11.75x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.6K | $310.0K | $86.99 | 4.60x |
| 72141 | MRI scan of upper spinal canal | 1.1K | $183.2K | $169.92 | 10.30x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 259 | $178.3K | $688.31 | 10.60x |
| 72158 | MRI scan of lower spinal canal before and after contrast | 587 | $177.7K | $302.70 | 16.52x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 254 | $172.3K | $678.52 | 10.84x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 233 | $159.3K | $683.76 | 20.07x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 944 | $153.6K | $162.75 | 2.61x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 387 | $137.9K | $356.36 | 27.96x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 180 | $119.3K | $662.88 | 12.79x |
| 63267 | Removal of lower spine bone and growth | 95 | $113.0K | $1.2K | 7.12x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 240 | $107.8K | $449.27 | 14.23x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 490 | $93.8K | $191.41 | 27.57x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 247 | $91.8K | $371.85 | 17.49x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 974 | $83.5K | $85.75 | 2.92x |
This provider submits charges 10.9 times higher than what Medicare actually pays.
A markup ratio of 10.9x means for every $100 Medicare pays, this provider initially charges $1090. 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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