Andrew Fanous, MD
Neurological Surgery · Alexandria, VANPI 1700179363
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (55.2%), travel and lodging and speaking fees — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by Life Spine, Inc. at 38.1% of the total. Reporting peaked in 2022 at $50,148 and has fallen 79.8% since, to $10,151 in 2025. Among neurological surgery clinicians in VA with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 408 payments — averaging $454.25 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Life Spine, Inc.$71K
- Silony Medical Corp.$40K
- Medtronic$29K
- Si-bone, Inc.$12K
- Kuros Biosciences USA, Inc$8K
- Stryker$7K
- plus $19K from 31 others
Across 2 payments — averaging $2605.00 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$5K
What the payments were for
- Consulting fees$102,39055%
- Speaking & faculty fees$26,05514%
- Travel & lodging$35,83819%
- Food & beverage$20,87511%
- Gifts$1750%
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 |
|---|---|---|
| Life Spine, Inc. | 53 | $70,531 |
| Silony Medical Corp. | 19 | $39,702 |
| Medtronic(2 entities) | 144 | $28,746 |
| Si-bone, Inc. | 24 | $12,462 |
| Kuros Biosciences USA, Inc | 9 | $8,245 |
| Stryker | 44 | $6,507 |
| Carlsmed, Inc. | 12 | $3,970 |
| Providence Medical Technology, Inc. | 11 | $2,819 |
| 4web, Inc. | 16 | $2,688 |
| Globus Medical(2 entities) | 10 | $2,115 |
| Zimmer Biomet | 10 | $1,450 |
| Supreme Orthopedic Systems, LLC | 8 | $1,306 |
| Spineology Inc. | 8 | $693 |
| Arteriocyte Medical Systems, Inc. | 2 | $644 |
| Cutting Edge Spine, LLC | 1 | $450 |
| VB Spine LLC | 2 | $448 |
| Carbofix Spine Inc | 1 | $362 |
| Alphatec Spine, Inc | 2 | $250 |
| Arthrex | 4 | $205 |
| Johnson & Johnson | 5 | $203 |
| Integra Lifesciences Corporation | 1 | $160 |
| Cerapedics Inc. | 1 | $149 |
| Augmedics Inc. | 3 | $134 |
| Surgalign Spine Technologies, Inc. | 1 | $126 |
| Spinal Elements, Inc. | 1 | $125 |
| Intrinsic Therapeutics | 1 | $125 |
| Baxter Healthcare | 1 | $123 |
| Zimvie Inc. | 1 | $103 |
| Teva Pharmaceuticals USA, Inc. | 1 | $102 |
| KCI USA, Inc. | 1 | $96 |
| Spine Wave, Inc. | 1 | $70 |
| Boston Scientific | 1 | $68 |
| Abbott | 2 | $57 |
| Orthofix Medical, Inc. | 4 | $36 |
| Ipsen Biopharmaceuticals, Inc | 1 | $23 |
| Amneal Pharmaceuticals LLC | 1 | $19 |
| Solventum Corporation | 1 | $18 |
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.
- ProLift$62,458
- CENTRIC - T RETRACTOR$56,907
- AVATAR MINIMALLY INVASIVE SPINAL SYSTEM$39,920
- ProLift Lateral$18,990
- NAUTILUS SPINAL SYSTEM$11,772
- PLATEAU-X SPACER SYSTEM$11,634
- PRO-LINK STAND-ALONE CERVICAL SPACER SYSTEM$10,780
- Avatar$10,640
- Centric-T$10,517
- SIMpact$10,113
- RIALTO$8,775
- MagnetOs$6,890
- Dyna-Link Ti Barbs$6,410
- IFUSE IMPLANT SYSTEM$6,258
- Verticale$5,501
- Verticale Multilocking$5,300
- iFuse Implant$5,056
- aprevo$3,713
- Verticale MulitLocking$3,250
- Vericale MultiLocking$2,600
How this compares
$185,333 in reported general payments places this provider in the 95th percentile of 156 neurological surgery providers in Virginia.
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 Alexandria
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
- Ryan KelloggCharlottesville$245K
- Bernardo OrdonezChesapeake$178K
- Parker BabingtonNorfolk$164K
- Devon LefeverChesapeake$148K
- James BrennanNorfolk$130K
- Juan Sardi RestrepoCharlottesville$128K
- James MooneyRichmond$93K
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.