This provider's $4.9M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 5.45x 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 | $3.3K | $553.66 | 5.87x | $2.7K | $455.3K | 2.0K | 1.7K |
| 2015 | $3.3K | $575.81 | 5.67x | $2.7K | $476.7K | 1.9K | 1.7K |
| 2016 | $3.0K | $552.82 | 5.35x | $2.4K | $461.4K | 1.9K | 1.7K |
| 2017 | $3.0K | $544.83 | 5.47x | $2.4K | $474.6K | 1.9K | 1.7K |
| 2018 | $3.5K | $657.26 | 5.39x | $2.9K | $446.7K | 1.7K | 1.5K |
| 2019 | $3.5K | $624.37 | 5.59x | $2.9K | $562.0K | 2.0K | 1.8K |
| 2020 | $3.2K | $582.00 | 5.51x | $2.6K | $498.7K | 1.7K | 1.6K |
| 2021 | $3.1K | $561.75 | 5.57x | $2.6K | $476.5K | 1.7K | 1.6K |
| 2022 | $3.1K | $544.24 | 5.69x | $2.6K | $501.4K | 1.9K | 1.7K |
| 2023 | $3.2K | $546.86 | 5.89x | $2.7K | $505.0K | 1.9K | 1.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 429 | $522.2K | $1.2K | 3.70x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 317 | $433.7K | $1.4K | 3.65x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 742 | $429.0K | $578.23 | 8.65x |
| 61867 | Implantation of brain neurostimulator electrodes microelectrode recording | 248 | $428.3K | $1.7K | 5.50x |
| 61886 | Insertion or replacement of brain neurostimulator generator or receiver | 720 | $394.4K | $547.77 | 2.74x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 648 | $375.9K | $580.07 | 10.34x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.7K | $359.6K | $53.66 | 1.99x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 4.4K | $336.5K | $77.23 | 2.17x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 240 | $175.5K | $731.25 | 5.54x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 286 | $165.4K | $578.41 | 9.51x |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | 245 | $158.7K | $647.95 | 7.72x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 119 | $152.3K | $1.3K | 3.91x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 156 | $145.0K | $929.56 | 4.82x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 870 | $141.0K | $162.12 | 9.23x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 429 | $129.1K | $300.93 | 4.98x |
| 63056 | Release of lower spinal cord and/or nerves | 99 | $110.8K | $1.1K | 4.69x |
| 61868 | Implantation of brain neurostimulator electrodes with microelectrode recording | 206 | $78.6K | $381.75 | 3.93x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 378 | $72.7K | $192.43 | 10.39x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 123 | $44.6K | $362.35 | 4.14x |
| 63052 | Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back | 143 | $27.3K | $191.00 | 26.18x |
This provider submits charges 5.45 times higher than what Medicare actually pays.
A markup ratio of 5.45x means for every $100 Medicare pays, this provider initially charges $545. 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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