Anthony Alastra, MD
Neurological Surgery · Palm Springs, CANPI 1720069438
Payments from drug & device makers
Across 119 payments — averaging $81.52 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Silk Road Medical, Inc.$1K
- Medical Device Business Services, Inc.$1K
- Johnson & Johnson$1K
- Abbott$769
- Stryker$752
- Si-bone, Inc.$743
- plus $4K from 22 others
What the payments were for
- Travel & lodging$2,07921%
- Food & beverage$7,61979%
- Gifts$30%
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
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 |
|---|---|---|
| Silk Road Medical, Inc. | 5 | $1,470 |
| Medical Device Business Services, Inc. | 9 | $1,206 |
| Johnson & Johnson | 12 | $1,011 |
| Abbott | 9 | $769 |
| Stryker | 10 | $752 |
| Si-bone, Inc. | 7 | $743 |
| Medtronic(3 entities) | 13 | $599 |
| Globus Medical(2 entities) | 11 | $526 |
| Boston Scientific | 8 | $478 |
| Spineology Inc. | 6 | $456 |
| Balt USA, LLC | 2 | $369 |
| Integra Lifesciences Corporation | 6 | $252 |
| Microtransponder, Inc. | 2 | $220 |
| Scientia Vascular | 1 | $198 |
| Genentech USA, Inc. | 1 | $150 |
| Omniscient Neurotechnology America Ltd | 1 | $121 |
| Cerapedics Inc. | 3 | $87 |
| C. R. Bard, Inc. & Subsidiaries | 2 | $50 |
| Icotec Medical Inc. | 1 | $50 |
| Viiv Healthcare Company | 2 | $35 |
| Nevro Corp. | 1 | $24 |
| Integrity Implants Inc. | 1 | $23 |
| Ossdsign USA Incorporated | 1 | $23 |
| Microvention, Inc. | 1 | $21 |
| Monteris Medical Corporation | 1 | $19 |
| Radius Health, Inc. | 1 | $18 |
| Orthofix Medical, Inc. | 1 | $17 |
| Penumbra, Inc. | 1 | $15 |
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.
- ENROUTE Transcarotid Neuroprotection System$2,940
- ENROUTE Transcarotid Stent$1,470
- ENROUTE Enflate Transcarotid RX Balloon Dilatation Catheter$1,470
- TRUFILL$1,053
- Pulsar Vascular PulseRider Aneurysm Neck Reconstruction Device$913
- Embotrap$467
- SURPASS EVOLVE$392
- Proclaim Family of SCS IPGs$383
- Optima Thermal Coil System$369
- iFuse Implant$335
- INTELLIS$263
- CEREPAK UNIFORM$207
- Colossus$198
- Rampart Duo Ti Interbody Fusion System$177
- TARGET$167
- Excelsius - GPS$160
- N/A$155
- OCTRODE$150
- Activase$150
- ETHICON$124
How this compares
$9,701 in reported general payments places this provider in the 60th percentile of 773 neurological surgery providers in California.
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 | 24 | $11,039 |
| Cyclobenzaprine Hcl | 23 | $322 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 16 | $135 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Palm Springs
- Geoffrey ManleySan Francisco$24.9M
- Christopher AmesSan Francisco$7.1M
- Jamshid SalehRedding$4.1M
- Bruce McCormackSan Francisco$3.9M
- Andrew SchreiberSanta Ana$3.9M
- Larry KhooLos Angeles$3M
- Jennie TaylorSan Francisco$2.7M
- Joseph CiacciSan Diego$2.6M
- Nicholas ButowskiSan Francisco$2.4M
- Samy AbdouSan Diego$2.4M
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.