This provider's $3.8M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 10.7x is significantly above the specialty median of 5.9x.
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 | $2.4K | $186.78 | 12.94x | $2.2K | $390.6K | 4.7K | 2.7K |
| 2015 | $4.9K | $340.75 | 14.41x | $4.6K | $509.1K | 5.1K | 2.8K |
| 2016 | $4.3K | $284.87 | 15.14x | $4.0K | $548.4K | 5.4K | 3.0K |
| 2017 | $3.9K | $228.94 | 17.02x | $3.7K | $434.5K | 4.3K | 2.6K |
| 2018 | $3.3K | $238.30 | 14.04x | $3.1K | $403.2K | 3.7K | 2.3K |
| 2019 | $3.0K | $227.31 | 13.16x | $2.8K | $400.9K | 3.5K | 2.0K |
| 2020 | $2.8K | $210.33 | 13.46x | $2.6K | $334.5K | 3.0K | 1.7K |
| 2021 | $3.3K | $245.42 | 13.42x | $3.0K | $284.8K | 2.3K | 1.3K |
| 2022 | $2.9K | $241.73 | 11.87x | $2.6K | $240.7K | 1.9K | 1.1K |
| 2023 | $2.9K | $224.25 | 12.98x | $2.7K | $223.0K | 1.9K | 1.1K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 4.5K | $587.6K | $130.81 | 6.13x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 335 | $437.8K | $1.3K | 9.16x |
| 64494 | Injections of lower or sacral spine facet joint using imaging guidance | 4.5K | $371.0K | $83.24 | 7.22x |
| 62323 | Injection of substance into spinal canal of lower back or sacrum using imaging guidance | 2.8K | $341.8K | $121.00 | 14.20x |
| 64495 | Injections of lower or sacral spine facet joint using imaging guidance | 3.6K | $278.9K | $78.05 | 7.70x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 2.3K | $278.8K | $119.90 | 6.67x |
| 62311 | Injections of substances into lower or sacral spine | 1.7K | $219.7K | $128.02 | 13.42x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 355 | $172.1K | $484.69 | 29.56x |
| 99213 | Established patient office or other outpatient visit, typically 15 minutes | 2.8K | $151.1K | $53.90 | 5.58x |
| 99223 | Initial hospital inpatient care, typically 70 minutes per day | 903 | $139.4K | $154.40 | 6.48x |
| 99212 | Established patient office or other outpatient visit, typically 10 minutes | 3.2K | $97.3K | $30.52 | 6.55x |
| 64635 | Destruction of lower or sacral spinal facet joint nerves using imaging guidance | 256 | $94.3K | $368.51 | 3.67x |
| 63030 | Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine | 189 | $82.9K | $438.55 | 22.68x |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves | 432 | $77.4K | $179.16 | 50.68x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 215 | $71.2K | $331.01 | 12.08x |
| 99233 | Subsequent hospital inpatient care, typically 35 minutes per day | 598 | $49.1K | $82.14 | 7.30x |
| 64636 | Destruction of lower or sacral spinal facet joint nerves with imaging guidance | 255 | $42.8K | $167.97 | 4.29x |
| G0180 | Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple | 891 | $36.0K | $40.41 | 2.91x |
| 63081 | Removal of upper spine bone with release of spinal cord and/or nerves, anterior approach | 23 | $33.9K | $1.5K | 9.49x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 42 | $26.0K | $619.96 | 19.36x |
This provider submits charges 10.7 times higher than what Medicare actually pays.
A markup ratio of 10.7x means for every $100 Medicare pays, this provider initially charges $1070. This is higher than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Share this provider's Medicare payment information
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.
Believe this data is inaccurate? Dispute this data