This provider's $12.8M 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 | $2.6K | $831.15 | 3.08x | $1.7K | $1.1M | 2.4K | 2.2K |
| 2015 | $2.7K | $930.01 | 2.96x | $1.8K | $1.3M | 2.7K | 2.4K |
| 2016 | $2.8K | $945.54 | 2.91x | $1.8K | $1.5M | 2.8K | 2.6K |
| 2017 | $2.6K | $850.22 | 3.06x | $1.8K | $1.5M | 3.0K | 2.8K |
| 2018 | $2.8K | $864.91 | 3.24x | $1.9K | $1.5M | 3.1K | 2.9K |
| 2019 | $3.4K | $903.41 | 3.82x | $2.5K | $1.4M | 2.7K | 2.6K |
| 2020 | $2.8K | $957.74 | 2.97x | $1.9K | $1.3M | 1.8K | 1.7K |
| 2021 | $3.0K | $970.20 | 3.09x | $2.0K | $1.2M | 2.1K | 1.9K |
| 2022 | $3.4K | $1.0K | 3.26x | $2.4K | $1.1M | 1.5K | 1.3K |
| 2023 | $3.1K | $897.34 | 3.45x | $2.2K | $951.0K | 1.7K | 1.5K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22513 | Injection of bone cement into body of middle spine bone accessed through the skin using imaging guidance | 619 | $3.2M | $5.1K | 2.80x |
| 22514 | Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance | 556 | $2.8M | $5.0K | 2.79x |
| 22515 | Injection of bone cement into body of middle or lower spine bone accessed through the skin using imaging guidance | 330 | $1.0M | $3.1K | 2.73x |
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 442 | $744.8K | $1.7K | 3.17x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 3.8K | $631.6K | $165.16 | 3.20x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 4.8K | $414.9K | $87.22 | 3.32x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 526 | $392.4K | $745.99 | 4.15x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 232 | $337.2K | $1.5K | 3.12x |
| 99215 | Established patient office or other outpatient, visit typically 40 minutes | 2.8K | $332.6K | $117.32 | 3.25x |
| 22523 | Injection of bone cement into body of middle spine bone, accessed through the skin | 51 | $239.7K | $4.7K | 2.74x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.9K | $236.8K | $127.96 | 3.28x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 319 | $225.2K | $706.05 | 3.18x |
| 22524 | Injection of bone cement into body of lower spine bone, accessed through the skin | 55 | $210.5K | $3.8K | 2.80x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 278 | $189.8K | $682.81 | 6.27x |
| 63267 | Removal of lower spine bone and growth | 180 | $189.1K | $1.1K | 3.81x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 263 | $186.9K | $710.65 | 3.14x |
| 63056 | Release of lower spinal cord and/or nerves | 161 | $186.0K | $1.2K | 3.69x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 112 | $173.2K | $1.5K | 3.23x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 378 | $137.0K | $362.48 | 2.87x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 166 | $112.6K | $678.09 | 3.23x |
This provider submits charges 3.06 times higher than what Medicare actually pays.
A markup ratio of 3.06x means for every $100 Medicare pays, this provider initially charges $306. 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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