Akash Agarwal, MD
Neurological Surgery · Monroeville, PANPI 1073622346
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $19,175 of the $25,628 with a category attached, or 74.8%. Medtronic accounts for 83.1% of it on its own, with 10 other manufacturers making up the rest.
Across 89 payments — averaging $287.95 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$21K
- Boston Scientific$4K
- Amgen$400
- Stryker$190
- Pacira Pharmaceuticals Incorporated$65
- Cerapedics Inc.$47
- plus $95 from 5 others
What the payments were for
- Consulting fees$550%
- Speaking & faculty fees$19,17575%
- Travel & lodging$2,81911%
- Food & beverage$3,55914%
- 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 |
|---|---|---|
| Medtronic(2 entities) | 36 | $21,292 |
| Boston Scientific | 35 | $3,539 |
| Amgen | 3 | $400 |
| Stryker | 5 | $190 |
| Pacira Pharmaceuticals Incorporated | 3 | $65 |
| Cerapedics Inc. | 2 | $47 |
| Zimmer Biomet | 1 | $26 |
| CSL Behring | 1 | $20 |
| Eisai Inc. | 1 | $20 |
| Johnson & Johnson | 1 | $14 |
| Ceribell, Inc. | 1 | $14 |
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.
How this compares
$25,628 in reported general payments places this provider in the 80th percentile of 390 neurological surgery providers in Pennsylvania.
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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 17 | $79 |
| Tramadol Hcl | 12 | $27 |
| Diazepam | 12 | $13 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Monroeville
- Kevin WalshMonroeville$210K
- Amer SamdaniPhiladelphia$4.4M
- Steven FalowskiFountain Hill$3M
- Adam KanterPittsburgh$2.6M
- David OkonkwoPittsburgh$2.3M
- Brian JankowitzPhiladelphia$823K
- Gaurav JainWynnewood$599K
- Joshua HellerPhiladelphia$519K
- Srinivas PrasadPhiladelphia$513K
- Constantinos HadjipanayisPittsburgh$484K
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.