This provider's $7.3M 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.
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 | $1.7K | $358.39 | 4.74x | $1.3K | $821.8K | 3.2K | 2.9K |
| 2015 | $1.8K | $356.66 | 5.18x | $1.5K | $890.3K | 3.4K | 3.0K |
| 2016 | $1.7K | $370.89 | 4.50x | $1.3K | $776.7K | 3.2K | 2.7K |
| 2017 | $896.06 | $324.81 | 2.76x | $571.25 | $879.5K | 3.6K | 2.7K |
| 2018 | $1.1K | $312.35 | 3.37x | $739.72 | $924.8K | 3.7K | 2.8K |
| 2019 | $900.62 | $308.63 | 2.92x | $591.99 | $809.3K | 3.3K | 2.4K |
| 2020 | $1.2K | $328.28 | 3.55x | $837.25 | $440.9K | 2.0K | 1.5K |
| 2021 | $1.0K | $315.84 | 3.23x | $705.24 | $563.2K | 2.3K | 1.8K |
| 2022 | $919.79 | $309.92 | 2.97x | $609.87 | $581.2K | 2.6K | 1.9K |
| 2023 | $980.09 | $316.73 | 3.09x | $663.36 | $594.1K | 2.7K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 821 | $1.2M | $1.4K | 2.02x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 790 | $1.0M | $1.3K | 2.16x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.6K | $735.2K | $85.07 | 1.61x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 1.0K | $672.8K | $649.45 | 3.02x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 2.2K | $342.0K | $155.58 | 1.81x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 529 | $307.6K | $581.46 | 2.17x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 546 | $304.1K | $556.91 | 2.00x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 422 | $246.5K | $584.20 | 2.09x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 1.2K | $230.7K | $196.66 | 1.48x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 1.1K | $174.8K | $161.81 | 2.50x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 550 | $166.7K | $303.12 | 2.17x |
| 22846 | Insertion of anterior spinal instrumentation for spinal stabilization, 4 to 7 vertebral segments | 282 | $163.1K | $578.51 | 2.07x |
| 22830 | Exploration of spinal fusion | 476 | $149.5K | $313.98 | 4.49x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 453 | $141.1K | $311.39 | 3.70x |
| 20931 | Donor bone graft for spine surgery | 1.6K | $135.7K | $85.38 | 2.07x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 218 | $119.5K | $548.20 | 9.84x |
| 63056 | Release of lower spinal cord and/or nerves | 199 | $113.3K | $569.40 | 7.78x |
| 63042 | Re-exploration of spine repair with release of lower spinal cord or nerves | 137 | $94.3K | $688.48 | 5.17x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 771 | $92.5K | $120.01 | 2.32x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 1.7K | $87.3K | $52.41 | 3.07x |
This provider submits charges 2.93 times higher than what Medicare actually pays.
A markup ratio of 2.93x means for every $100 Medicare pays, this provider initially charges $293. 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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