Aaron Rapp, MD
Neurological Surgery · Waterford, MINPI 1639608664
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.8%), travel and lodging and consulting fees — rather than concentrated in one kind of arrangement. It is spread thinly across 39 manufacturers, the largest accounting for just 21.5%.
Across 248 payments — averaging $115.67 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Saluda Medical Americas, Inc.$6K
- Spineology Inc.$3K
- Medtronic$3K
- Boston Scientific$2K
- Kuros Biosciences USA, Inc$2K
- Abbott$2K
- plus $10K from 33 others
What the payments were for
- Consulting fees$3,37512%
- Travel & lodging$9,21732%
- Food & beverage$16,02056%
- Entertainment$760%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| Saluda Medical Americas, Inc. | 18 | $6,161 |
| Spineology Inc. | 18 | $3,447 |
| Medtronic(2 entities) | 72 | $3,313 |
| Boston Scientific | 26 | $2,436 |
| Kuros Biosciences USA, Inc | 3 | $2,078 |
| Abbott | 7 | $1,710 |
| Medacta USA, Inc. | 10 | $1,642 |
| Innovasis Inc | 10 | $1,100 |
| Spinal Elements, Inc. | 7 | $755 |
| Spine Wave, Inc. | 7 | $685 |
| Stryker | 6 | $680 |
| Johnson & Johnson | 5 | $652 |
| Livanova USA, Inc. | 9 | $442 |
| Si-bone, Inc. | 3 | $394 |
| Intrinsic Therapeutics | 2 | $337 |
| Orthofix Medical, Inc. | 3 | $323 |
| Augmedics Inc. | 5 | $304 |
| Globus Medical | 5 | $269 |
| Surgentec | 1 | $215 |
| Kls-martin L.p. | 2 | $198 |
| Merz Pharmaceuticals, LLC | 6 | $189 |
| Alphatec Spine, Inc | 1 | $148 |
| Mimedx Group, Inc. | 1 | $144 |
| Pfizer | 1 | $125 |
| Icotec Medical Inc. | 1 | $118 |
| Lifenet Health | 1 | $117 |
| Elevation Spine, Inc. | 1 | $105 |
| AbbVie | 5 | $103 |
| Aesculap, Inc. | 1 | $92 |
| Integra Lifesciences Corporation | 1 | $91 |
| Camber Spine Technologies LLC | 1 | $73 |
| Longeviti Neuro Solutions Inc | 1 | $70 |
| Providence Medical Technology, Inc. | 2 | $39 |
| Acera Surgical, Inc. | 1 | $30 |
| Axsome Therapeutics, Inc. | 1 | $21 |
| Smith+Nephew | 1 | $21 |
| Azurity Pharmaceuticals, Inc. | 1 | $20 |
| Lilly USA, LLC | 1 | $20 |
| Arteriocyte Medical Systems, Inc. | 1 | $20 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- Evoke$5,856
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$3,013
- MagnetOs$2,021
- PROCLAIM$1,544
- MYSPINE$1,522
- UNIVERSAL NEURO 3$669
- NA$543
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$488
- CD HORIZON SPINAL SYSTEM$455
- Spinal Implants$442
- INTELLIS ADAPTIVESTIM$429
- MAZOR X SYSTEM$411
- DURAMATRIX$369
- CoverEdge 32$318
- VNS THERAPY SENTIVA MODEL 1000 GENERATOR$284
- MATRIXNEURO$282
- ADHERUS AUTOSPRAY DURAL SEALANT$278
- Teligen$271
- OSTEOCOOL RF ABLATION SYSTEM$251
- INCEPTIV$244
How this compares
$28,687 in reported general payments places this provider in the 85th percentile of 256 neurological surgery providers in Michigan.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Other neurological surgery in Waterford
- Steven RappWaterford$22K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.