This provider's $4.3M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 10.42x is significantly above the specialty median of 5.9x.
Medicare payments to this provider grew 54% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 60% in 2019
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 | $5.8K | $373.93 | 15.45x | $5.4K | $329.6K | 1.7K | 1.4K |
| 2015 | $6.8K | $762.94 | 8.91x | $6.0K | $479.7K | 1.6K | 1.3K |
| 2016 | $7.4K | $452.82 | 16.34x | $6.9K | $303.1K | 1.3K | 1.1K |
| 2017 | $7.1K | $624.73 | 11.36x | $6.5K | $312.3K | 1.3K | 1.1K |
| 2018 | $6.3K | $612.68 | 10.28x | $5.7K | $288.5K | 1.2K | 1.0K |
| 2019 | $8.1K | $605.66 | 13.33x | $7.5K | $462.9K | 1.9K | 1.7K |
| 2020 | $9.0K | $695.61 | 13.00x | $8.3K | $449.8K | 1.6K | 1.4K |
| 2021 | $10.1K | $939.38 | 10.80x | $9.2K | $578.2K | 1.6K | 1.4K |
| 2022 | $9.7K | $940.11 | 10.34x | $8.8K | $557.1K | 1.5K | 1.4K |
| 2023 | $9.9K | $872.06 | 11.36x | $9.0K | $508.4K | 1.5K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 174 | $772.7K | $4.4K | 4.91x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 155 | $418.1K | $2.7K | 6.84x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 201 | $315.9K | $1.6K | 15.41x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $296.7K | $129.80 | 3.35x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.7K | $253.8K | $92.38 | 2.71x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 155 | $216.1K | $1.4K | 15.82x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $212.7K | $60.59 | 2.79x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 217 | $183.5K | $845.84 | 16.40x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 262 | $179.0K | $683.38 | 15.30x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 171 | $153.9K | $899.73 | 17.15x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 207 | $145.2K | $701.67 | 15.21x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 81 | $133.7K | $1.7K | 15.80x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 120 | $116.9K | $974.16 | 21.86x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 439 | $105.0K | $239.25 | 15.47x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 141 | $100.2K | $710.49 | 15.04x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 312 | $86.6K | $277.58 | 20.20x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 491 | $82.2K | $167.51 | 2.87x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 150 | $56.1K | $374.18 | 15.27x |
| 63685 | Insertion of spinal neurostimulator pulse generator or receiver | 266 | $50.4K | $189.29 | 25.98x |
| 22630 | Fusion of lower spine bones with removal of disc, posterior approach | 33 | $47.1K | $1.4K | 15.15x |
This provider submits charges 10.42 times higher than what Medicare actually pays.
A markup ratio of 10.42x means for every $100 Medicare pays, this provider initially charges $1042. 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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