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Angela Palmer, MD

Neurological Surgery · Las Vegas, NVNPI 1649699638

Payments from drug & device makers

What this record shows

This record is dominated by food and beverage: $8,884 of the $13,441 with a category attached, or 66.1%. 23 manufacturers reported payments, led by Seaspine Orthopedics Corporation at 28.2% of the total. Reporting peaked in 2022 at $7,697 and has fallen 77.2% since, to $1,751 in 2025.

$13,441in general payments, 2019–2025

Across 95 payments — averaging $141.48 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Seaspine Orthopedics Corporation$4K
  • Providence Medical Technology, Inc.$4K
  • Medtronic$2K
  • Spineology Inc.$546
  • Nevro Corp.$541
  • Orthofix Medical, Inc.$533
  • plus $2K from 17 others

What the payments were for

  • Consulting fees$2,87521%
  • Travel & lodging$1,68213%
  • Food & beverage$8,88466%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

21
22
23
24
25

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.

CompanyPaymentsTotal
Seaspine Orthopedics Corporation14$3,794
Providence Medical Technology, Inc.16$3,517
Medtronic28$2,319
Spineology Inc.1$546
Nevro Corp.5$541
Orthofix Medical, Inc.2$533
Abbott5$394
Kls-martin L.p.3$383
Stryker3$274
Si-bone, Inc.2$227
Intrinsic Therapeutics1$175
Boston Scientific2$162
Carlsmed, Inc.1$131
Sanofi1$123
Forte Bio-pharma LLC1$113
Zimvie Inc.2$42
NICO Corporation1$35
Bioventus LLC2$32
Biotronik NRO, Inc.1$29
Integra Lifesciences Corporation1$21
Monteris Medical Corporation1$20
Aesculap, Inc.1$17
Saluda Medical Americas, Inc.1$12

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

$13,441 in reported general payments places this provider in the 55th percentile of 45 neurological surgery providers in Nevada.

See all neurological surgery providers in Nevada →

Medicare billing

Part B allowed, 2024
$246,150
Medicare patients
317
Services billed
818

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

DrugClaimsCost to plans & patients
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen46$603
Methocarbamol48$205
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen14$85
Gabapentin13$72
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim12$48

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Las Vegas

See the full list for Nevada →

Where these figures come from

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