This provider's $3.3M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 3809% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 223% in 2023
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 | $278.66 | $121.11 | 2.30x | $157.55 | $36.7K | 476 | 261 |
| 2015 | $249.04 | $116.55 | 2.14x | $132.49 | $47.7K | 595 | 350 |
| 2016 | $266.14 | $110.97 | 2.40x | $155.17 | $58.6K | 726 | 472 |
| 2017 | $401.34 | $118.66 | 3.38x | $282.68 | $83.6K | 934 | 579 |
| 2018 | $331.45 | $114.84 | 2.89x | $216.61 | $105.6K | 1.2K | 636 |
| 2019 | $324.09 | $129.05 | 2.51x | $195.04 | $338.4K | 3.6K | 2.9K |
| 2020 | $311.93 | $127.15 | 2.45x | $184.78 | $360.4K | 3.9K | 3.1K |
| 2021 | $221.34 | $119.37 | 1.85x | $101.97 | $434.3K | 5.1K | 4.0K |
| 2022 | $168.61 | $92.04 | 1.83x | $76.57 | $445.1K | 5.9K | 3.7K |
| 2023 | $169.12 | $103.41 | 1.64x | $65.71 | $1.4M | 14.0K | 9.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.4K | $545.2K | $65.24 | 2.70x |
| 93886 | Ultrasound scanning of head and neck vessel blood flow (inside the brain) | 962 | $241.8K | $251.30 | 1.47x |
| 93925 | Ultrasound study of arteries and arterial grafts of both legs | 935 | $211.6K | $226.33 | 1.53x |
| 93975 | Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow | 816 | $203.4K | $249.26 | 1.60x |
| 93880 | Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck | 1.0K | $162.7K | $157.22 | 1.87x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 1.7K | $153.2K | $90.34 | 2.08x |
| 95816 | Measurement and recording of brain wave (EEG) activity, awake and drowsy | 432 | $142.0K | $328.64 | 2.46x |
| 93970 | Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers | 961 | $138.0K | $143.59 | 2.11x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 993 | $131.8K | $132.71 | 2.12x |
| 17108 | Destruction of birthmark, more than 50.0 sq cm | 232 | $129.0K | $555.87 | 1.29x |
| 93306 | Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function | 813 | $123.9K | $152.41 | 2.26x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.3K | $123.3K | $91.84 | 1.81x |
| 93923 | Ultrasound study of arteries of both arms and legs, complete | 803 | $95.3K | $118.71 | 1.63x |
| 76700 | Ultrasound of abdomen | 868 | $93.4K | $107.65 | 1.63x |
| 76770 | Ultrasound behind abdominal cavity | 858 | $87.4K | $101.87 | 1.73x |
| 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 1.9K | $86.2K | $44.81 | 1.68x |
| 96116 | Neurobehavioral status examination by qualified health care professional with interpretation and report, first 60 minutes | 970 | $76.9K | $79.23 | 1.40x |
| 95921 | Testing of autonomic for heart rate response to deep breathing | 773 | $60.0K | $77.68 | 1.38x |
| 93924 | Ultrasound study of arteries of both legs at rest and exercise | 414 | $58.0K | $140.06 | 1.66x |
| 95924 | Testing of autonomic (sympathetic and parasympathetic) nervous system function, at least 5 minutes of tilt | 375 | $50.5K | $134.64 | 1.37x |
This provider submits charges 1.95 times higher than what Medicare actually pays.
A markup ratio of 1.95x means for every $100 Medicare pays, this provider initially charges $195. This is lower 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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