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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodologyโ€ขDownload Data
  1. Home
  2. Providers
  3. Luis Duarte
๐Ÿง 
MDIndividual

Luis Duarte, MD

NPI: 1700867348
San Angelo, TX
10 years of data
Neurosurgery
$7.4M
Total Payments
32.2K
Beneficiaries
40.2K
Services
4.04x
Markup Ratio

Peer Comparison

99th
percentile in specialty
This provider$7.4M
Specialty median$71.9K

๐Ÿ“‹ Key Findings

1Billed $7.4M over 10 years
24.04x markup ratio (above median)
399th percentile in Neurosurgery by payments
416 procedures with >3x markup
โœ“ No flags detected

๐Ÿ”Ž Data Analysis

This provider's $7.4M 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.

Annual Medicare Payments

Annual Services Provided

Avg Payment per Service

Markup Ratio Over Time

Submitted Charges vs. Medicare Payments

Average per-service amounts submitted by the provider compared to what Medicare actually paid โ€” the gap represents the markup.

YearAvg SubmittedAvg PaidMarkup RatioGap per ServiceTotal PaymentsServicesBeneficiaries
2014$551.45$264.272.09x$287.18$572.6K3.5K3.0K
2015$600.69$344.661.74x$256.03$827.5K4.0K3.4K
2016$540.81$284.551.90x$256.26$835.5K4.5K3.8K
2017$865.51$314.102.76x$551.41$851.6K4.7K3.9K
2018$2.0K$334.566.11x$1.7K$895.0K4.9K4.1K
2019$2.1K$358.185.78x$1.7K$1.1M5.3K4.3K
2020$1.8K$290.266.17x$1.5K$723.6K4.2K3.1K
2021$1.9K$345.415.56x$1.6K$624.7K3.5K2.6K
2022$1.6K$314.145.20x$1.3K$487.7K2.9K2.1K
2023$2.0K$362.945.39x$1.6K$543.8K2.6K1.9K

Top Procedures (20)

22612Fusion of lower spine bones, posterior or posterolateral approachโš  3.2x markup
$674.2K
579 services$1.2K/svc3.22x markup
99214Established patient office or other outpatient, visit typically 25 minutes
$662.0K
8.1K services$82.15/svc2.10x markup
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidanceโš  3.6x markup
$496.2K
2.8K services$179.47/svc3.57x markup
22551Fusion of spine bones with removal of disc at upper spinal column, anterior approach
$393.8K
306 services$1.3K/svc2.92x markup
22845Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segmentsโš  5.0x markup
$371.9K
662 services$561.75/svc5.02x markup
22558Fusion of spine bones with removal of disc at lower spinal column, anterior approachโš  4.7x markup
$362.0K
491 services$737.18/svc4.73x markup
22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segmentsโš  7.1x markup
$356.7K
606 services$588.59/svc7.12x markup
63047Partial removal of middle spine bone with release of spinal cord and/or nervesโš  6.2x markup
$330.7K
618 services$535.11/svc6.17x markup
22614Fusion of spine bones, posterior or posterolateral approachโš  3.7x markup
$190.4K
631 services$301.76/svc3.72x markup
64493Injections of lower or sacral spine facet joint using imaging guidanceโš  4.4x markup
$169.4K
982 services$172.52/svc4.40x markup
63650Implantation of spinal neurostimulator electrodes, accessed through the skinโš  6.8x markup
$164.7K
388 services$424.57/svc6.76x markup
22600Fusion of upper spine bones, posterior or posterolateral approachโš  4.6x markup
$159.3K
243 services$655.43/svc4.62x markup
22840Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspaceโš  5.3x markup
$137.8K
235 services$586.33/svc5.34x markup
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidanceโš  4.0x markup
$134.5K
643 services$209.23/svc3.96x markup
22514Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidanceโš  4.2x markup
$122.4K
330 services$370.80/svc4.22x markup
62321Injection of substance into spinal canal of upper or middle back using imaging guidanceโš  3.6x markup
$121.1K
653 services$185.42/svc3.56x markup
61867Implantation of brain neurostimulator electrodes microelectrode recording
$120.2K
66 services$1.8K/svc2.27x markup
22513Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidanceโš  4.1x markup
$120.0K
298 services$402.67/svc4.08x markup
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidanceโš  3.7x markup
$109.3K
689 services$158.58/svc3.73x markup
61312Aspiration of blood accumulation in brain
$107.3K
71 services$1.5K/svc2.58x markup
Show detailed table โ–พ
CodeDescriptionServicesPaymentsAvg/ServiceMarkup
22612Fusion of lower spine bones, posterior or posterolateral approach579$674.2K$1.2K3.22x
99214Established patient office or other outpatient, visit typically 25 minutes8.1K$662.0K$82.152.10x
62323Injection of substance into spinal canal of lower back or sacrum using imaging guidance2.8K$496.2K$179.473.57x
22551Fusion of spine bones with removal of disc at upper spinal column, anterior approach306$393.8K$1.3K2.92x
22845Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments662$371.9K$561.755.02x
22558Fusion of spine bones with removal of disc at lower spinal column, anterior approach491$362.0K$737.184.73x
22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments606$356.7K$588.597.12x
63047Partial removal of middle spine bone with release of spinal cord and/or nerves618$330.7K$535.116.17x
22614Fusion of spine bones, posterior or posterolateral approach631$190.4K$301.763.72x
64493Injections of lower or sacral spine facet joint using imaging guidance982$169.4K$172.524.40x
63650Implantation of spinal neurostimulator electrodes, accessed through the skin388$164.7K$424.576.76x
22600Fusion of upper spine bones, posterior or posterolateral approach243$159.3K$655.434.62x
22840Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace235$137.8K$586.335.34x
64635Destruction of lower or sacral spinal facet joint nerves using imaging guidance643$134.5K$209.233.96x
22514Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance330$122.4K$370.804.22x
62321Injection of substance into spinal canal of upper or middle back using imaging guidance653$121.1K$185.423.56x
61867Implantation of brain neurostimulator electrodes microelectrode recording66$120.2K$1.8K2.27x
22513Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance298$120.0K$402.674.08x
64483Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance689$109.3K$158.583.73x
61312Aspiration of blood accumulation in brain71$107.3K$1.5K2.58x

Markup Analysis

Charge-to-Payment Ratio

4.04x

This provider submits charges 4.04 times higher than what Medicare actually pays.

What This Means

A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. This is higher than the national average.

Location

San Angelo, TX

Provider Verification

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Data Sources

  • โ€ข Centers for Medicare & Medicaid Services (CMS)
  • โ€ข Medicare Provider Utilization and Payment Data (2014-2023)
  • โ€ข National Plan and Provider Enumeration System (NPPES)

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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