Alexander Drofa, MD
Neurological Surgery · Fargo, NDNPI 1568805927
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $3,271 of the $4,077 with a category attached, or 80.2%. 3 manufacturers reported payments, led by Microvention, Inc. at 52.4% of the total. Reporting peaked in 2019 at $2,653 and has fallen 98.8% since, to $31 in 2025.
Across 27 payments — averaging $151.00 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Microvention, Inc.$2K
- Medtronic$2K
- Johnson & Johnson$43
Across 2 payments — averaging $19,522 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.
- Microvention, Inc.$39K
What the payments were for
- Travel & lodging$3,27180%
- Food & beverage$80620%
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 |
|---|---|---|
| Microvention, Inc. | 11 | $2,135 |
| Medtronic(2 entities) | 14 | $1,899 |
| Johnson & Johnson | 2 | $43 |
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.
- WEB$1,944
- SOLITAIRE X$1,275
- FRED$718
- LVIS$718
- PHIL$718
- HyperSoft 3D Coil$718
How this compares
$4,077 in reported general payments places this provider in the 75th percentile of 22 neurological surgery providers in North Dakota.
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 |
|---|---|---|
| BrilintaTicagrelor | 14 | $5,803 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Fargo
- Hani MaloneFargo$315K
- Steven BroadwayFargo$22K
- Behzad SabitFargo$8K
- Pelagia KouloumberisFargo$972
- Tong YangFargo$955
- Julius SilvidiFargo$902
- Andrew SefainFargo$426
- Mickey SyrquinFargo$274
- Michael HillFargo$162
- John HutchisonFargo$136
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.