Bala Giri, MD
Neurological Surgery · Dallas, TXNPI 1639222706
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (48.2%), food and beverage and travel and lodging — rather than concentrated in one kind of arrangement. 37 manufacturers reported payments, led by Stryker at 56.0% of the total. Reporting peaked in 2022 at $36,992 and has fallen 90.8% since, to $3,408 in 2025. Among neurological surgery clinicians in TX 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 747 payments — averaging $134.77 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$56K
- CTL Medical Corporation$21K
- 4web, Inc.$4K
- Globus Medical$4K
- Alphatec Spine, Inc$4K
- Spineart USA Inc$4K
- plus $8K from 31 others
What the payments were for
- Consulting fees$48,55048%
- Speaking & faculty fees$1,5001%
- Travel & lodging$20,17420%
- Food & beverage$30,32630%
- Gifts$1220%
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 |
|---|---|---|
| Stryker | 498 | $56,399 |
| CTL Medical Corporation | 81 | $20,829 |
| 4web, Inc. | 2 | $4,000 |
| Globus Medical(2 entities) | 31 | $3,982 |
| Alphatec Spine, Inc | 18 | $3,776 |
| Spineart USA Inc | 21 | $3,722 |
| Cerapedics Inc. | 4 | $1,588 |
| Si-bone, Inc. | 13 | $1,508 |
| Medtronic(2 entities) | 18 | $1,473 |
| Providence Medical Technology, Inc. | 11 | $753 |
| Evolution Spine, LLC | 5 | $570 |
| Integrity Implants Inc. | 3 | $426 |
| Clariance, Inc. | 2 | $175 |
| Carlsmed, Inc. | 1 | $154 |
| Boston Scientific | 2 | $149 |
| 7d Surgical Inc. | 1 | $124 |
| Johnson & Johnson(2 entities) | 4 | $117 |
| Spine Wave, Inc. | 1 | $99 |
| Smith+Nephew | 4 | $91 |
| Kls-martin L.p. | 2 | $79 |
| VB Spine LLC | 1 | $73 |
| Spinal Elements, Inc. | 2 | $71 |
| Heron Therapeutics, Inc. | 2 | $56 |
| Brainlab, Inc. | 1 | $49 |
| Kerecis Limited | 2 | $48 |
| Surgalign Spine Technologies, Inc. | 2 | $46 |
| Integra Lifesciences Corporation | 2 | $46 |
| Theragen, Inc. | 3 | $45 |
| Pylant Medical | 1 | $37 |
| Portola Pharmaceuticals, LLC | 2 | $34 |
| Spineology Inc. | 1 | $29 |
| Synaptive Medical Inc. | 1 | $26 |
| CPM Medical Consultants, LLC | 1 | $26 |
| Life Spine, Inc. | 1 | $25 |
| KCI USA, Inc. | 1 | $17 |
| Abbott | 1 | $14 |
| Arteriocyte Medical Systems, Inc. | 1 | $14 |
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.
- Spinal$17,581
- EVEREST SPINAL SYSTEM$15,339
- MONTEREY AL$9,931
- ES2 SPINAL SYSTEM$7,587
- SPINE TRUSS SYSTEM$4,000
- Scarlet AL-T$2,918
- BIO4$2,600
- CASCADIA INTERBODY SYSTEM$2,329
- Other - Miscellaneous$2,103
- TRITANIUM$1,888
- XLIF$1,640
- ALIF$1,517
- i-FACTOR Putty$1,500
- LITE PLATE SYSTEM$1,467
- ProLift$1,415
- Simplify Cervical Artificial Disc$1,395
- AVS ANCHOR-C$1,300
- YUKON OCT SPINAL SYSTEM$1,300
- ADVANCED PRODUCT DEVELOPMENT$949
- XIA$904
How this compares
$100,672 in reported general payments places this provider in the 90th percentile of 582 neurological surgery providers in Texas.
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 |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 95 | $1,243 |
| Methocarbamol | 95 | $892 |
| Tizanidine Hcl | 60 | $781 |
| Gabapentin | 85 | $690 |
| Cyclobenzaprine Hcl | 59 | $496 |
| Celecoxib | 35 | $411 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 20 | $204 |
| Tramadol Hcl | 32 | $171 |
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 24 | $158 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Dallas
- Richard MeyratDallas$883K
- Bartley MitchellDallas$255K
- Jeremy DenningDallas$204K
- Randall GrahamDallas$138K
- Babu WelchDallas$123K
- Stephen KatzenDallas$115K
- Michael OhDallas$111K
- Koijan KainthThe Woodlands$1.3M
- Luis DuarteSan Angelo$1.2M
- Douglas FoxAustin$948K
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.