This provider's $4.1M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 6.6x is significantly above the specialty median of 5.9x.
Medicare payments to this provider grew 61% 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 | $3.1K | $463.35 | 6.66x | $2.6K | $310.1K | 1.1K | 1.0K |
| 2015 | $3.1K | $475.26 | 6.49x | $2.6K | $384.2K | 1.2K | 1.2K |
| 2016 | $3.2K | $480.62 | 6.74x | $2.8K | $345.5K | 1.2K | 1.1K |
| 2017 | $3.7K | $534.07 | 6.86x | $3.1K | $404.4K | 1.2K | 1.2K |
| 2018 | $3.6K | $544.42 | 6.63x | $3.1K | $452.8K | 1.3K | 1.3K |
| 2019 | $3.2K | $535.97 | 5.94x | $2.6K | $379.8K | 1.2K | 1.1K |
| 2020 | $3.3K | $508.83 | 6.40x | $2.7K | $389.1K | 1.1K | 1.0K |
| 2021 | $3.5K | $547.70 | 6.37x | $2.9K | $411.8K | 1.3K | 1.2K |
| 2022 | $3.2K | $485.98 | 6.60x | $2.7K | $477.8K | 1.5K | 1.4K |
| 2023 | $3.3K | $494.49 | 6.74x | $2.8K | $498.6K | 1.5K | 1.4K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 546 | $883.9K | $1.6K | 2.78x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 839 | $635.1K | $756.98 | 10.26x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 295 | $410.1K | $1.4K | 5.08x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 474 | $319.4K | $673.82 | 11.96x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 402 | $269.3K | $669.85 | 10.59x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 163 | $243.9K | $1.5K | 3.93x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.7K | $169.4K | $62.78 | 2.31x |
| 63015 | Partial removal of bone with release of upper spinal cord or spinal nerves | 125 | $153.7K | $1.2K | 6.07x |
| 20937 | Harvest of bone fragments for spine surgery graft | 765 | $112.5K | $147.02 | 10.61x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 321 | $110.8K | $345.08 | 7.92x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 416 | $94.7K | $227.68 | 3.94x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 492 | $92.3K | $187.57 | 8.96x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 136 | $86.8K | $638.26 | 11.74x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 173 | $75.4K | $436.03 | 2.81x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 83 | $69.0K | $831.27 | 9.76x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 2.8K | $61.1K | $21.82 | 1.80x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 134 | $48.0K | $357.98 | 8.31x |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 356 | $36.8K | $103.35 | 2.86x |
| 22849 | Reinsertion of spinal fixation device | 53 | $33.3K | $627.81 | 8.89x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 662 | $31.7K | $47.95 | 1.92x |
This provider submits charges 6.6 times higher than what Medicare actually pays.
A markup ratio of 6.6x means for every $100 Medicare pays, this provider initially charges $660. 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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