This provider's $3.6M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
This provider's billing patterns fall within normal ranges for their specialty.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 76% 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 | $972.02 | $278.98 | 3.48x | $693.04 | $415.8K | 2.5K | 2.2K |
| 2015 | $1.0K | $265.81 | 3.77x | $737.03 | $318.5K | 1.7K | 1.5K |
| 2016 | $948.16 | $213.56 | 4.44x | $734.60 | $355.3K | 2.0K | 1.8K |
| 2017 | $911.95 | $178.50 | 5.11x | $733.45 | $284.9K | 2.4K | 1.9K |
| 2018 | $790.96 | $185.95 | 4.25x | $605.01 | $305.6K | 2.4K | 1.9K |
| 2019 | $957.94 | $302.71 | 3.16x | $655.23 | $444.9K | 3.5K | 2.4K |
| 2020 | $888.61 | $258.00 | 3.44x | $630.61 | $398.0K | 3.5K | 2.4K |
| 2021 | $736.54 | $165.60 | 4.45x | $570.94 | $213.0K | 1.6K | 1.4K |
| 2022 | $1.2K | $366.26 | 3.32x | $849.54 | $316.9K | 1.7K | 1.5K |
| 2023 | $1.0K | $297.19 | 3.50x | $742.37 | $559.1K | 3.2K | 2.7K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.0K | $842.8K | $815.09 | 3.92x |
| L8683 | Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver | 100 | $440.8K | $4.4K | 1.59x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 241 | $300.2K | $1.2K | 3.66x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.2K | $249.6K | $113.52 | 3.63x |
| 72148 | MRI scan of lower spinal canal | 1.8K | $211.7K | $115.79 | 7.02x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.6K | $208.4K | $79.31 | 3.69x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 3.5K | $183.8K | $52.11 | 3.36x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 178 | $117.3K | $658.97 | 4.22x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 572 | $100.1K | $174.95 | 3.77x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 468 | $83.4K | $178.22 | 3.71x |
| 72141 | MRI scan of upper spinal canal | 724 | $79.6K | $109.94 | 7.53x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 462 | $73.3K | $158.74 | 3.86x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 131 | $72.5K | $553.25 | 3.79x |
| 64555 | Implantation of peripheral nerve neurostimulator electrodes, accessed through the skin | 114 | $61.9K | $543.42 | 6.25x |
| 27096 | Injection procedure into sacroiliac joint for anesthetic or steroid | 371 | $49.2K | $132.53 | 3.61x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 120 | $36.8K | $306.50 | 3.54x |
| 72146 | MRI scan of middle spinal canal | 313 | $34.2K | $109.14 | 7.41x |
| 72110 | X-ray of lower and sacral spine, minimum of 4 views | 960 | $32.1K | $33.45 | 4.20x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 99 | $28.6K | $289.16 | 3.51x |
| 70551 | MRI scan brain | 214 | $27.7K | $129.62 | 6.62x |
This provider submits charges 3.95 times higher than what Medicare actually pays.
A markup ratio of 3.95x means for every $100 Medicare pays, this provider initially charges $395. 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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