This provider's $6.1M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 8.86x 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 | $3.1K | $350.65 | 8.72x | $2.7K | $525.1K | 2.0K | 1.9K |
| 2015 | $2.9K | $334.21 | 8.70x | $2.6K | $629.9K | 2.2K | 2.1K |
| 2016 | $3.1K | $347.73 | 8.80x | $2.7K | $578.6K | 2.2K | 2.1K |
| 2017 | $3.7K | $403.90 | 9.15x | $3.3K | $645.2K | 2.1K | 2.1K |
| 2018 | $3.5K | $381.23 | 9.18x | $3.1K | $683.0K | 2.3K | 2.2K |
| 2019 | $3.3K | $382.03 | 8.76x | $3.0K | $628.6K | 2.1K | 2.0K |
| 2020 | $3.3K | $370.01 | 8.83x | $2.9K | $537.7K | 1.8K | 1.8K |
| 2021 | $3.5K | $381.49 | 9.26x | $3.2K | $683.2K | 2.2K | 2.1K |
| 2022 | $3.6K | $383.80 | 9.35x | $3.2K | $611.2K | 2.1K | 2.0K |
| 2023 | $3.5K | $340.11 | 10.17x | $3.1K | $533.8K | 2.0K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 4.1K | $660.5K | $161.01 | 7.18x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 424 | $647.5K | $1.5K | 5.97x |
| 63056 | Release of lower spinal cord and/or nerves | 694 | $470.5K | $677.92 | 11.12x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 332 | $417.6K | $1.3K | 6.92x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 594 | $372.1K | $626.47 | 11.20x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 243 | $336.1K | $1.4K | 6.14x |
| 22325 | Open treatment of broken and/or dislocated lower spine bones | 519 | $309.3K | $595.91 | 12.63x |
| 63057 | Release of middle or lower spinal cord and/or nerves | 749 | $199.2K | $265.92 | 15.37x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 421 | $174.1K | $413.60 | 6.72x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.5K | $172.8K | $116.15 | 6.37x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 497 | $157.9K | $317.71 | 6.45x |
| 62351 | Implantation, revision, or repositioning of catheter in spinal canal for medication administration | 344 | $123.8K | $360.03 | 11.95x |
| 20926 | Tissue graft | 675 | $123.6K | $183.11 | 13.13x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 176 | $106.7K | $606.12 | 6.90x |
| 99222 | Initial hospital inpatient care, typically 50 minutes per day | 981 | $104.2K | $106.24 | 8.58x |
| 20938 | Harvest of bone for spine surgery graft | 659 | $99.5K | $151.02 | 6.93x |
| 22830 | Exploration of spinal fusion | 278 | $94.2K | $338.71 | 11.66x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 421 | $89.3K | $212.23 | 5.34x |
| 63655 | Implantation of spinal neurostimulator electrodes | 134 | $89.1K | $664.99 | 6.73x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 258 | $87.6K | $339.39 | 8.32x |
This provider submits charges 8.86 times higher than what Medicare actually pays.
A markup ratio of 8.86x means for every $100 Medicare pays, this provider initially charges $886. 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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