This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 6.8x is significantly above the specialty median of 5.9x.
Medicare payments to this provider grew 56% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 50% 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 | $3.2K | $419.85 | 7.61x | $2.8K | $318.4K | 1.2K | 1.1K |
| 2015 | $3.4K | $452.20 | 7.44x | $2.9K | $322.5K | 1.1K | 995 |
| 2016 | $3.3K | $442.82 | 7.51x | $2.9K | $256.2K | 982 | 920 |
| 2017 | $3.1K | $390.19 | 7.86x | $2.7K | $384.6K | 1.4K | 1.3K |
| 2018 | $3.6K | $497.20 | 7.30x | $3.1K | $361.7K | 1.3K | 1.1K |
| 2019 | $3.6K | $474.73 | 7.59x | $3.1K | $378.0K | 1.4K | 1.2K |
| 2020 | $3.7K | $496.77 | 7.46x | $3.2K | $394.3K | 1.3K | 1.2K |
| 2021 | $3.7K | $500.52 | 7.43x | $3.2K | $468.6K | 1.5K | 1.3K |
| 2022 | $3.0K | $405.88 | 7.48x | $2.6K | $432.8K | 1.5K | 1.4K |
| 2023 | $3.3K | $415.89 | 7.94x | $2.9K | $496.8K | 1.6K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 543 | $738.7K | $1.4K | 6.52x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 475 | $710.7K | $1.5K | 6.48x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 459 | $283.6K | $617.89 | 9.97x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 3.5K | $283.4K | $80.50 | 2.71x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 360 | $221.8K | $616.10 | 9.32x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 1.2K | $178.2K | $153.33 | 2.83x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 784 | $163.9K | $209.08 | 12.31x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 475 | $154.6K | $325.53 | 8.29x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 231 | $135.2K | $585.30 | 9.27x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.2K | $132.8K | $114.20 | 2.88x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 295 | $121.2K | $410.69 | 7.07x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 1.1K | $119.1K | $111.51 | 2.73x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 235 | $76.7K | $326.29 | 7.52x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 205 | $65.2K | $318.01 | 6.71x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.2K | $64.2K | $51.87 | 2.72x |
| 63056 | Release of lower spinal cord and/or nerves | 98 | $62.5K | $637.98 | 12.50x |
| 22830 | Exploration of spinal fusion | 136 | $61.2K | $449.72 | 6.73x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 75 | $56.4K | $751.54 | 8.24x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 76 | $45.9K | $603.94 | 8.23x |
| 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 | 116 | $24.2K | $208.43 | 3.86x |
This provider submits charges 6.8 times higher than what Medicare actually pays.
A markup ratio of 6.8x means for every $100 Medicare pays, this provider initially charges $680. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data