This provider's $5.1M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
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 | $2.1K | $406.44 | 5.24x | $1.7K | $444.0K | 1.7K | 1.6K |
| 2015 | $2.0K | $405.43 | 5.02x | $1.6K | $439.4K | 1.8K | 1.7K |
| 2016 | $2.2K | $411.33 | 5.24x | $1.7K | $457.9K | 1.9K | 1.6K |
| 2017 | $2.3K | $426.44 | 5.40x | $1.9K | $542.9K | 2.1K | 1.9K |
| 2018 | $2.3K | $419.91 | 5.43x | $1.9K | $562.4K | 2.2K | 2.0K |
| 2019 | $2.1K | $421.07 | 4.93x | $1.7K | $559.3K | 2.0K | 1.9K |
| 2020 | $2.2K | $423.26 | 5.23x | $1.8K | $519.0K | 1.7K | 1.6K |
| 2021 | $2.0K | $405.35 | 4.91x | $1.6K | $514.5K | 1.8K | 1.7K |
| 2022 | $2.0K | $394.40 | 5.14x | $1.6K | $527.3K | 1.9K | 1.8K |
| 2023 | $2.2K | $404.86 | 5.46x | $1.8K | $514.7K | 1.7K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.6K | $1.1M | $682.20 | 6.30x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 554 | $692.2K | $1.2K | 4.11x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 361 | $482.8K | $1.3K | 4.80x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 349 | $409.7K | $1.2K | 5.27x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.6K | $282.1K | $110.52 | 2.70x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 435 | $244.8K | $562.68 | 5.72x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 415 | $223.2K | $537.85 | 5.74x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 4.1K | $215.0K | $52.10 | 1.96x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 1.3K | $198.4K | $156.71 | 4.02x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 329 | $183.3K | $557.27 | 5.76x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 221 | $130.1K | $588.71 | 6.32x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 357 | $104.6K | $292.98 | 4.10x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $101.2K | $77.57 | 1.94x |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | 147 | $98.1K | $667.16 | 6.22x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 334 | $96.9K | $290.25 | 5.70x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 141 | $77.6K | $550.61 | 5.81x |
| 27279 | Fusion sacroiliac joint through the skin or minimally invasive using image guidance | 76 | $59.0K | $776.17 | 3.31x |
| 20931 | Donor bone graft for spine surgery | 661 | $54.2K | $82.04 | 5.73x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 322 | $46.8K | $145.19 | 2.90x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 78 | $45.5K | $583.08 | 8.28x |
This provider submits charges 4.9 times higher than what Medicare actually pays.
A markup ratio of 4.9x means for every $100 Medicare pays, this provider initially charges $490. 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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