This provider's $4.6M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 10.33x is significantly above the specialty median of 5.9x.
AI-generated analysis based on Medicare payment data.
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 | $2.9K | $437.57 | 6.56x | $2.4K | $436.1K | 1.4K | 1.4K |
| 2015 | $2.5K | $402.24 | 6.24x | $2.1K | $456.8K | 1.5K | 1.4K |
| 2016 | $4.0K | $471.17 | 8.40x | $3.5K | $385.9K | 1.4K | 1.3K |
| 2017 | $4.0K | $464.16 | 8.58x | $3.5K | $430.0K | 1.5K | 1.4K |
| 2018 | $4.3K | $485.91 | 8.88x | $3.8K | $556.6K | 1.7K | 1.7K |
| 2019 | $4.0K | $462.13 | 8.61x | $3.5K | $539.5K | 1.7K | 1.6K |
| 2020 | $3.9K | $475.42 | 8.27x | $3.5K | $469.2K | 1.5K | 1.4K |
| 2021 | $6.0K | $462.46 | 13.03x | $5.6K | $405.9K | 1.3K | 1.2K |
| 2022 | $6.7K | $446.32 | 14.98x | $6.2K | $436.1K | 1.4K | 1.3K |
| 2023 | $7.3K | $432.35 | 16.96x | $6.9K | $436.5K | 1.4K | 1.3K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 948 | $1.4M | $1.5K | 7.35x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.6K | $1.1M | $675.91 | 16.85x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 846 | $531.2K | $627.93 | 6.28x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 1.3K | $223.8K | $175.55 | 9.85x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 2.2K | $177.9K | $80.34 | 6.46x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 767 | $163.5K | $213.12 | 7.97x |
| 63045 | Partial removal of upper spine bone with release of spinal cord and/or nerves | 146 | $154.5K | $1.1K | 9.00x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.3K | $139.8K | $60.68 | 8.58x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 70 | $96.7K | $1.4K | 12.58x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 286 | $95.9K | $335.40 | 6.45x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 772 | $67.7K | $87.72 | 7.33x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 520 | $65.3K | $125.50 | 10.95x |
| 99202 | New patient office or other outpatient visit, typically 20 minutes | 1.2K | $63.1K | $54.21 | 4.20x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 82 | $51.9K | $632.71 | 9.98x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 1.3K | $41.8K | $32.38 | 3.91x |
| 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 | 192 | $40.8K | $212.69 | 58.77x |
| 22850 | Removal of posterior spinal instrumentation | 111 | $35.2K | $316.69 | 12.29x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 57 | $33.8K | $593.19 | 6.56x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 57 | $23.8K | $418.19 | 7.24x |
| 22830 | Exploration of spinal fusion | 45 | $15.5K | $344.79 | 19.75x |
This provider submits charges 10.33 times higher than what Medicare actually pays.
A markup ratio of 10.33x means for every $100 Medicare pays, this provider initially charges $1033. 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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