This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 80% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 70% in 2021
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 | $1.4K | $275.73 | 4.98x | $1.1K | $383.1K | 3.0K | 2.6K |
| 2015 | $1.2K | $255.12 | 4.85x | $982.22 | $335.1K | 3.2K | 2.7K |
| 2016 | $1.5K | $282.56 | 5.17x | $1.2K | $399.8K | 2.8K | 2.3K |
| 2017 | $1.3K | $267.53 | 4.83x | $1.0K | $411.0K | 3.2K | 2.7K |
| 2018 | $1.3K | $302.04 | 4.37x | $1.0K | $394.3K | 3.0K | 2.4K |
| 2019 | $1.7K | $430.32 | 3.85x | $1.2K | $487.7K | 3.1K | 2.6K |
| 2020 | $1.8K | $460.89 | 3.94x | $1.4K | $397.9K | 2.7K | 2.2K |
| 2021 | $2.1K | $586.52 | 3.50x | $1.5K | $677.1K | 3.4K | 2.8K |
| 2022 | $2.3K | $614.00 | 3.73x | $1.7K | $846.4K | 3.4K | 3.0K |
| 2023 | $2.1K | $526.96 | 3.90x | $1.5K | $690.5K | 2.7K | 2.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 425 | $579.6K | $1.4K | 4.00x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 106 | $546.8K | $5.2K | 3.04x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 8.4K | $471.9K | $56.16 | 3.36x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 85 | $423.8K | $5.0K | 3.15x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 3.3K | $397.2K | $118.74 | 3.58x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 197 | $252.2K | $1.3K | 4.05x |
| 72148 | MRI scan of lower spinal canal | 1.6K | $236.7K | $145.06 | 8.30x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 253 | $181.2K | $716.25 | 4.72x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 298 | $170.4K | $571.69 | 3.42x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 52 | $136.8K | $2.6K | 3.58x |
| 72084 | X-ray of spine, minimum of 6 views | 1.8K | $123.0K | $68.65 | 3.81x |
| 72141 | MRI scan of upper spinal canal | 775 | $106.9K | $137.96 | 8.40x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 445 | $88.5K | $198.79 | 4.37x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 158 | $88.4K | $559.26 | 3.33x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 263 | $75.9K | $288.78 | 4.36x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 102 | $72.4K | $709.79 | 6.45x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 195 | $72.0K | $369.48 | 3.98x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 2.0K | $68.0K | $34.33 | 3.62x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 104 | $60.2K | $578.49 | 3.27x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 191 | $54.0K | $282.66 | 4.48x |
This provider submits charges 4.2 times higher than what Medicare actually pays.
A markup ratio of 4.2x means for every $100 Medicare pays, this provider initially charges $420. 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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