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se in the most vulnerable social strata such as low income families or foreign status. Trends in Medicare billing and procedural reimbursement for outpatient office visits remain unclear within the field of neurosurgery. To analyze financial trends of neurosurgeon reimbursement for Medicare office visits in 2010 compared to 2018. The 2010 and 2018 physician/supplier files from the Centers for Medicare and Medicaid Services website were utilized. All payments submitted by neurosurgeons (provider ID 14) were included. Trends in office vis