This provider's $10.7M in total Medicare payments ranks in the 99th percentile of Neurosurgery providers nationally.
Their average markup ratio of 6.65x is significantly above the specialty median of 5.9x.
Medicare payments to this provider grew 81% from 2014 to 2023.
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 | $2.3K | $340.84 | 6.70x | $1.9K | $741.6K | 2.3K | 2.2K |
| 2015 | $2.2K | $326.76 | 6.65x | $1.8K | $761.2K | 2.3K | 2.3K |
| 2016 | $2.4K | $338.03 | 7.00x | $2.0K | $903.4K | 2.7K | 2.6K |
| 2017 | $2.4K | $334.20 | 7.23x | $2.1K | $942.2K | 2.8K | 2.7K |
| 2018 | $2.4K | $334.85 | 7.11x | $2.0K | $821.2K | 2.6K | 2.5K |
| 2019 | $2.4K | $332.02 | 7.27x | $2.1K | $904.6K | 2.8K | 2.7K |
| 2020 | $2.5K | $363.01 | 6.90x | $2.1K | $1.2M | 3.6K | 3.5K |
| 2021 | $2.4K | $360.45 | 6.56x | $2.0K | $1.6M | 4.7K | 4.6K |
| 2022 | $2.3K | $349.48 | 6.47x | $1.9K | $1.4M | 4.2K | 4.1K |
| 2023 | $2.5K | $398.44 | 6.38x | $2.1K | $1.3M | 4.0K | 4.0K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 22633 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 1.4K | $2.0M | $1.5K | 3.54x |
| 22551 | Fusion of spine bones with removal of disc at upper spinal column, anterior approach | 565 | $765.0K | $1.4K | 3.52x |
| 63012 | Partial removal of bone and/or release of lower spinal cord or spinal nerves | 1.4K | $664.9K | $479.04 | 12.94x |
| 22842 | Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments | 975 | $592.6K | $607.81 | 5.53x |
| 22214 | Incision of spine to correct deformity at lower spinal column | 955 | $582.5K | $609.98 | 8.85x |
| 63047 | Partial removal of middle spine bone with release of spinal cord and/or nerves | 993 | $442.4K | $445.56 | 14.35x |
| 63042 | Re-exploration of spine repair with release of lower spinal cord or nerves | 701 | $371.6K | $530.17 | 12.13x |
| 22634 | Fusion of lower spine bones with removal of disc, posterior or posterolateral approach | 920 | $361.8K | $393.30 | 3.50x |
| 22612 | Fusion of lower spine bones, posterior or posterolateral approach | 445 | $353.4K | $794.18 | 7.55x |
| 22614 | Fusion of spine bones, posterior or posterolateral approach | 1.1K | $346.8K | $311.03 | 5.79x |
| 63056 | Release of lower spinal cord and/or nerves | 494 | $295.6K | $598.37 | 9.12x |
| 20937 | Harvest of bone fragments for spine surgery graft | 2.0K | $265.7K | $133.78 | 6.13x |
| 22853 | Insertion of device into intervertebral disc space of spine and fusion of vertebrae | 1.3K | $259.1K | $203.70 | 3.74x |
| 63055 | Release of middle spinal cord and/or nerves | 371 | $258.7K | $697.31 | 8.99x |
| 22830 | Exploration of spinal fusion | 772 | $257.1K | $332.98 | 9.79x |
| 22845 | Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments | 370 | $213.9K | $578.23 | 5.64x |
| 22610 | Fusion of middle spine bones, posterior or posterolateral approach | 375 | $192.7K | $513.97 | 9.71x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 1.4K | $175.0K | $126.93 | 3.21x |
| 22216 | Incision of spine bone to correct spinal deformity of spinal column | 602 | $173.7K | $288.51 | 4.80x |
| 22851 | Insertion of spinal instrumentation for spinal stabilization | 512 | $166.8K | $325.82 | 5.83x |
This provider submits charges 6.65 times higher than what Medicare actually pays.
A markup ratio of 6.65x means for every $100 Medicare pays, this provider initially charges $665. 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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