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.
Average per-service amounts submitted by the provider compared to what Medicare actually paid โ the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $551.45 | $264.27 | 2.09x | $287.18 | $572.6K | 3.5K | 3.0K |
| 2015 | $600.69 | $344.66 | 1.74x | $256.03 | $827.5K | 4.0K | 3.4K |
| 2016 | $540.81 | $284.55 | 1.90x | $256.26 | $835.5K | 4.5K | 3.8K |
| 2017 | $865.51 | $314.10 | 2.76x | $551.41 | $851.6K | 4.7K | 3.9K |
| 2018 | $2.0K | $334.56 | 6.11x | $1.7K | $895.0K | 4.9K | 4.1K |
| 2019 | $2.1K | $358.18 | 5.78x | $1.7K | $1.1M | 5.3K | 4.3K |
| 2020 | $1.8K | $290.26 | 6.17x | $1.5K | $723.6K | 4.2K | 3.1K |
| 2021 | $1.9K | $345.41 | 5.56x | $1.6K | $624.7K | 3.5K | 2.6K |
| 2022 | $1.6K | $314.14 | 5.20x | $1.3K | $487.7K | 2.9K | 2.1K |
| 2023 | $2.0K | $362.94 | 5.39x | $1.6K | $543.8K | 2.6K | 1.9K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 579 | $674.2K | $1.2K | 3.22x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 8.1K | $662.0K | $82.15 | 2.10x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.8K | $496.2K | $179.47 | 3.57x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 306 | $393.8K | $1.3K | 2.92x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 662 | $371.9K | $561.75 | 5.02x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 491 | $362.0K | $737.18 | 4.73x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 606 | $356.7K | $588.59 | 7.12x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 618 | $330.7K | $535.11 | 6.17x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 631 | $190.4K | $301.76 | 3.72x |
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 982 | $169.4K | $172.52 | 4.40x |
| 63650 | Implantation of spinal neurostimulator electrodes, accessed through the skin | 388 | $164.7K | $424.57 | 6.76x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 243 | $159.3K | $655.43 | 4.62x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 235 | $137.8K | $586.33 | 5.34x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 643 | $134.5K | $209.23 | 3.96x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 330 | $122.4K | $370.80 | 4.22x |
| 62321 | Injection of substance into spinal canal of upper or middle back using imaging guidance | 653 | $121.1K | $185.42 | 3.56x |
| 61867 | Implantation of brain neurostimulator electrodes microelectrode recording | 66 | $120.2K | $1.8K | 2.27x |
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 298 | $120.0K | $402.67 | 4.08x |
| 64483 | Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance | 689 | $109.3K | $158.58 | 3.73x |
| 61312 | Aspiration of blood accumulation in brain | 71 | $107.3K | $1.5K | 2.58x |
This provider submits charges 4.04 times higher than what Medicare actually pays.
A markup ratio of 4.04x means for every $100 Medicare pays, this provider initially charges $404. 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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