This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 409% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 57% in 2017
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 | $2.1K | $443.75 | 4.65x | $1.6K | $147.8K | 642 | 372 |
| 2015 | $1.4K | $355.73 | 3.84x | $1.0K | $205.4K | 868 | 562 |
| 2016 | $1.4K | $361.45 | 3.95x | $1.1K | $216.7K | 1.0K | 732 |
| 2017 | $1.8K | $348.34 | 5.14x | $1.4K | $340.9K | 1.9K | 1.1K |
| 2018 | $2.1K | $485.96 | 4.36x | $1.6K | $519.0K | 3.0K | 1.6K |
| 2019 | $1.9K | $436.17 | 4.32x | $1.4K | $548.3K | 2.9K | 1.5K |
| 2020 | $2.4K | $467.62 | 5.13x | $1.9K | $737.7K | 4.2K | 2.1K |
| 2021 | $2.1K | $434.87 | 4.89x | $1.7K | $660.7K | 4.4K | 2.2K |
| 2022 | $2.5K | $443.40 | 5.68x | $2.1K | $788.4K | 5.1K | 2.8K |
| 2023 | $2.2K | $432.63 | 5.02x | $1.7K | $752.7K | 5.2K | 2.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 11.8K | $1.1M | $89.99 | 2.38x |
| 99291 | Critical care delivery critically ill or injured patient, first 30-74 minutes | 4.1K | $757.5K | $184.49 | 3.07x |
| 61582 | Removal of facial bone to approach brain lesion | 259 | $661.6K | $2.6K | 2.25x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 2.5K | $407.6K | $164.47 | 2.54x |
| 36569 | Insertion of central venous catheter for infusion, patient 5 years or older | 3.1K | $245.4K | $79.00 | 3.81x |
| 63087 | Removal of middle or lower spine bone with release of spinal cord or nerves, combined thoracolumbar approach | 103 | $208.5K | $2.0K | 2.91x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.3K | $130.6K | $99.62 | 3.42x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 830 | $107.9K | $130.03 | 2.45x |
| 61312 | Aspiration of blood accumulation in brain | 116 | $107.1K | $923.47 | 4.47x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 753 | $87.9K | $116.71 | 3.78x |
| 36224 | Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation | 292 | $85.3K | $292.19 | 16.26x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 117 | $75.2K | $642.38 | 2.40x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 461 | $74.6K | $161.77 | 2.63x |
| 22800 | Fusion of spine bones for correction of deformity, posterior approach, up to 6 vertebral segments | 97 | $70.3K | $725.25 | 7.43x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 73 | $59.6K | $816.44 | 5.58x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 107 | $57.1K | $533.51 | 5.16x |
| 36226 | Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation | 289 | $52.1K | $180.21 | 19.71x |
| 61751 | Stereotactic biopsy, aspiration, or excision of brain lesion using CT and/or MRI guidance | 85 | $49.8K | $585.96 | 5.76x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 118 | $47.5K | $402.58 | 11.01x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 62 | $45.6K | $735.82 | 9.36x |
This provider submits charges 3.8 times higher than what Medicare actually pays.
A markup ratio of 3.8x means for every $100 Medicare pays, this provider initially charges $380. 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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