This provider's $5.0M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Medicare payments to this provider grew 188% from 2014 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 71% in 2016
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
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 | $2.1K | $505.62 | 4.20x | $1.6K | $204.3K | 757 | 655 |
| 2015 | $1.7K | $378.74 | 4.61x | $1.4K | $276.8K | 1.0K | 908 |
| 2016 | $1.7K | $402.12 | 4.26x | $1.3K | $473.5K | 1.6K | 1.3K |
| 2017 | $1.8K | $414.29 | 4.43x | $1.4K | $562.3K | 1.9K | 1.4K |
| 2018 | $2.2K | $489.29 | 4.53x | $1.7K | $519.6K | 1.9K | 1.4K |
| 2019 | $2.2K | $479.46 | 4.59x | $1.7K | $608.8K | 2.2K | 1.8K |
| 2020 | $1.9K | $424.48 | 4.45x | $1.5K | $509.1K | 2.0K | 1.5K |
| 2021 | $1.9K | $447.06 | 4.30x | $1.5K | $638.0K | 2.4K | 2.0K |
| 2022 | $2.2K | $475.57 | 4.69x | $1.8K | $618.9K | 2.4K | 2.0K |
| 2023 | $2.2K | $473.25 | 4.58x | $1.7K | $589.1K | 2.3K | 1.8K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 791 | $1.1M | $1.4K | 3.90x |
| 22558 | Fusion of spine bones with removal of disc at lower spinal column, anterior approach | 764 | $522.2K | $683.51 | 7.62x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 353 | $517.1K | $1.5K | 3.98x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 558 | $375.4K | $672.80 | 3.86x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 6.0K | $326.7K | $54.62 | 4.28x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.8K | $241.4K | $86.88 | 4.11x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 387 | $238.4K | $616.13 | 6.12x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 664 | $230.2K | $346.64 | 3.84x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.7K | $206.4K | $124.02 | 4.12x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 889 | $201.1K | $226.20 | 3.90x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 231 | $146.5K | $634.40 | 3.90x |
| 22585 | Fusion of spine bones with removal of disc, anterior approach | 416 | $119.5K | $287.37 | 3.88x |
| 22840 | Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace | 159 | $105.1K | $660.98 | 3.88x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 255 | $90.8K | $356.18 | 3.78x |
| 22849 | Reinsertion of spinal fixation device | 140 | $89.0K | $635.84 | 7.02x |
| 99203 | New patient office or other outpatient visit, typically 30 minutes | 1.2K | $86.2K | $74.37 | 4.22x |
| 22552 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 216 | $75.7K | $350.51 | 3.87x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 401 | $75.0K | $187.04 | 3.85x |
| 22600 | Fusion of upper spine bones, posterior or posterolateral approach | 57 | $63.1K | $1.1K | 3.97x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 228 | $37.9K | $166.04 | 3.93x |
This provider submits charges 4.51 times higher than what Medicare actually pays.
A markup ratio of 4.51x means for every $100 Medicare pays, this provider initially charges $451. 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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