This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 123% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 68% in 2015
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 | $3.0K | $447.31 | 6.66x | $2.5K | $215.3K | 758 | 708 |
| 2015 | $3.6K | $513.17 | 6.97x | $3.1K | $361.0K | 1.0K | 996 |
| 2016 | $3.4K | $523.44 | 6.42x | $2.8K | $597.1K | 1.5K | 1.4K |
| 2017 | $2.4K | $517.69 | 4.61x | $1.9K | $487.4K | 1.3K | 1.3K |
| 2018 | $2.4K | $583.62 | 4.15x | $1.8K | $496.9K | 1.2K | 1.2K |
| 2019 | $2.8K | $636.67 | 4.41x | $2.2K | $471.7K | 1.0K | 1.0K |
| 2020 | $2.6K | $600.87 | 4.39x | $2.0K | $406.3K | 1.0K | 998 |
| 2021 | $2.6K | $609.06 | 4.35x | $2.0K | $360.5K | 916 | 881 |
| 2022 | $2.4K | $588.99 | 4.05x | $1.8K | $421.5K | 988 | 944 |
| 2023 | $2.0K | $532.70 | 3.81x | $1.5K | $479.2K | 1.2K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 826 | $654.3K | $792.14 | 4.97x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 371 | $518.2K | $1.4K | 4.10x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 264 | $326.2K | $1.2K | 4.12x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 178 | $267.7K | $1.5K | 3.82x |
| 63056 | Release of lower spinal cord and/or nerves | 294 | $262.9K | $894.37 | 5.45x |
| 61867 | Implantation of brain neurostimulator electrodes microelectrode recording | 76 | $192.9K | $2.5K | 3.88x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 275 | $173.5K | $631.08 | 5.65x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 256 | $166.3K | $649.47 | 8.02x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 259 | $156.7K | $604.98 | 6.01x |
| 63267 | Removal of lower spine bone and growth | 128 | $137.2K | $1.1K | 3.98x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 207 | $133.7K | $645.67 | 5.48x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 198 | $127.6K | $644.67 | 4.89x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 939 | $111.9K | $119.21 | 3.55x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 510 | $109.5K | $214.80 | 3.68x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 259 | $86.4K | $333.66 | 4.89x |
| 99443 | Physician telephone patient service, 21-30 minutes of medical discussion | 867 | $80.4K | $92.68 | 3.79x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 122 | $77.4K | $634.38 | 5.09x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 227 | $77.3K | $340.32 | 17.50x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 178 | $59.3K | $332.96 | 3.74x |
| 22325 | Open treatment of broken and/or dislocated lower spine bones | 96 | $58.6K | $610.40 | 7.22x |
This provider submits charges 4.97 times higher than what Medicare actually pays.
A markup ratio of 4.97x means for every $100 Medicare pays, this provider initially charges $497. 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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