Andrew Grande, MD
Neurological Surgery · Saint Paul, MNNPI 1629289939
Payments from drug & device makers
What this record shows
This record is dominated by speaking fees: $83,793 of the $87,813 with a category attached, or 95.4%. Medtronic accounts for 98.5% of it on its own, with 5 other manufacturers making up the rest. Reporting peaked in 2024 at $29,772 and has fallen 79.1% since, to $6,230 in 2025. Among neurological surgery clinicians in MN 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 57 payments — averaging $1540.59 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$86K
- Microvention, Inc.$1K
- Integra Lifesciences Corporation$112
- Siemens Medical Solutions USA, Inc.$109
- Baxter Healthcare$53
- Stryker$49
Across 1 payment — averaging $2896.08 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.$3K
What the payments were for
- Speaking & faculty fees$83,79395%
- Travel & lodging$1,8992%
- Food & beverage$2,1212%
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) | 42 | $86,485 |
| Microvention, Inc. | 9 | $1,005 |
| Integra Lifesciences Corporation | 1 | $112 |
| Siemens Medical Solutions USA, Inc. | 1 | $109 |
| Baxter Healthcare | 2 | $53 |
| Stryker | 2 | $49 |
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.
- Pipeline$59,699
- STEALTHSTATION S8 PLATFORM$18,458
- Covidien-Access$5,310
- WEB$529
- WEB Aneurysm Embolization System$427
- TUBING KIT - STROKE$325
- Azur CX Detachable$273
- STENT$273
- SOFIA 6F-131CM STR$154
- LVIS JUNIOR$154
- INSTRUMENTS-ENT$112
- INSTRUMENTS-GENERAL SURGERY$112
- INSTRUMENTS-SURGICAL HEADLIGHTS$112
- INSTRUMENTS-ORTHOPEDIC$112
- INSTRUMENTS-NEUROSURGERY$112
- LVIS$102
How this compares
$87,813 in reported general payments places this provider in the 90th percentile of 140 neurological surgery providers in Minnesota.
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 |
|---|---|---|
| Gabapentin | 22 | $1,092 |
| Oxcarbazepine | 25 | $871 |
| Methylprednisolone | 12 | $60 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saint Paul
- David MannSaint Paul$13K
- Justin CohenSaint Paul$5K
- Ramachandra TummalaSaint Paul$3K
- Jon McIverSaint Paul$2K
- Asif MaknojiaSaint Paul$2K
- Kendall LeeRochester$2.3M
- Michael FinnEdina$1.4M
- Stanley SkinnerMinneapolis$445K
- Rohan LallEdina$227K
- Matthew DaviesDuluth$163K
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.