Adam Polifka, MD
Neurological Surgery · Jacksonville, FLNPI 1427251230
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $199,192 of the $226,870 with a category attached, or 87.8%. 18 manufacturers reported payments, led by Medical Device Business Services, Inc. at 54.0% of the total. Reporting peaked in 2022 at $102,839 and has fallen 98.7% since, to $1,347 in 2025. Among neurological surgery clinicians in FL with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 226 payments — averaging $1003.85 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$123K
- Stryker$88K
- Depuy Synthes Products, Inc.$7K
- Johnson & Johnson$3K
- Providence Medical Technology, Inc.$2K
- Alphatec Spine, Inc$2K
- plus $3K from 12 others
Across 35 payments — averaging $3643.99 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Medtronic$77K
- Medical Device Business Services, Inc.$43K
- Stryker$7K
What the payments were for
- Consulting fees$199,19288%
- Travel & lodging$18,8198%
- Food & beverage$8,8394%
- Education$200%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 63 | $122,507 |
| Stryker | 61 | $88,416 |
| Depuy Synthes Products, Inc. | 12 | $6,781 |
| Johnson & Johnson(2 entities) | 35 | $2,618 |
| Providence Medical Technology, Inc. | 17 | $2,279 |
| Alphatec Spine, Inc | 5 | $1,622 |
| Globus Medical(2 entities) | 9 | $1,208 |
| Medtronic | 6 | $477 |
| Viz.ai, Inc. | 1 | $198 |
| Team 1, LLC | 4 | $197 |
| Carlsmed, Inc. | 1 | $120 |
| EBI, LLC | 2 | $109 |
| Carbofix Spine Inc | 2 | $106 |
| Biocomposites Inc | 1 | $59 |
| Boston Scientific | 2 | $54 |
| Zimmer Biomet | 2 | $53 |
| CSL Behring | 2 | $45 |
| Olympus America Inc. | 1 | $24 |
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.
- SURPASS EVOLVE$73,536
- VIPER$35,990
- EXPEDIUM$35,024
- SYMPHONY$35,024
- AXS VECTA 71$9,571
- TREVO$9,571
- AXS CATALYST 7$8,250
- 1488, IDEAL EYES$2,870
- UNIVERSAL NEURO 3$1,399
- Teligen$1,398
- Other - Miscellaneous$1,038
- CONDUIT$754
- N/A$369
- Sentio$359
- EVOLVE$320
- Viz.AI LVO$198
- SPINEMAP$175
- MOJAVE$173
- MAZOR X SYSTEM$161
- NA$158
How this compares
$226,870 in reported general payments places this provider in the 90th percentile of 556 neurological surgery providers in Florida.
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 Jacksonville
- Stephen ParkerJacksonville$18.7M
- Andrew CannestraJacksonville$1.6M
- Ricardo HanelJacksonville$1.2M
- Eric NottmeierJacksonville$959K
- Ali ChahlaviJacksonville$855K
- Bernard GuiotJacksonville$269K
- Javier Garcia-BengocheaJacksonville$201K
- Bradley WallaceJacksonville$169K
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
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.