Brian Fiani
Neurological Surgery · Shelby Township, MINPI 1366835662
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $84,800 of the $112,315 with a category attached, or 75.5%. It is spread thinly across 34 manufacturers, the largest accounting for just 21.8%. Among neurological surgery clinicians in MI 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 250 payments — averaging $449.26 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- DJO, LLC$24K
- Eminent Spine, LLC$21K
- Ossdsign USA Incorporated$20K
- Medtronic$12K
- Integrity Implants Inc. Dba Accelus$6K
- Medyssey USA, Inc$6K
- plus $24K from 28 others
What the payments were for
- Consulting fees$84,80076%
- Speaking & faculty fees$9,8759%
- Travel & lodging$4,4574%
- Food & beverage$13,18312%
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 |
|---|---|---|
| DJO, LLC | 18 | $24,464 |
| Eminent Spine, LLC | 7 | $20,500 |
| Ossdsign USA Incorporated | 19 | $20,026 |
| Medtronic | 35 | $11,546 |
| Integrity Implants Inc. Dba Accelus | 24 | $5,892 |
| Medyssey USA, Inc | 2 | $5,750 |
| 4web, Inc. | 8 | $4,401 |
| Sivantage, Inc. | 4 | $4,386 |
| CG Medtech USA, Inc | 1 | $4,050 |
| Nevro Corp. | 42 | $2,270 |
| Abbott | 12 | $1,512 |
| Endo Pharmaceuticals Inc. | 2 | $1,400 |
| Orthofix Medical, Inc. | 5 | $1,307 |
| Boston Scientific | 18 | $738 |
| Spinal Elements, Inc. | 8 | $663 |
| Stryker | 6 | $521 |
| Spineology Inc. | 2 | $464 |
| Globus Medical | 9 | $432 |
| Endo USA, Inc. | 1 | $350 |
| Si-bone, Inc. | 3 | $300 |
| Innovasis Inc | 5 | $296 |
| Providence Medical Technology, Inc. | 5 | $191 |
| Zavation Medical Products, LLC | 1 | $150 |
| Johnson & Johnson | 2 | $150 |
| Alphatec Spine, Inc | 1 | $138 |
| Novapproach Spine, LLC | 1 | $97 |
| Arteriocyte Medical Systems, Inc. | 1 | $97 |
| Mimedx Group, Inc. | 1 | $88 |
| Saluda Medical Americas, Inc. | 2 | $36 |
| Life Spine, Inc. | 1 | $33 |
| Centinel Spine, LLC | 1 | $21 |
| Elevation Spine, Inc. | 1 | $20 |
| Avanos Medical | 1 | $15 |
| Karyopharm Therapeutics 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.
- CMF$42,952
- OssDsign Catalyst$19,834
- Eminent Spine LLC Standalone ALIF Interbody Fusion System$18,000
- MAZOR X SYSTEM$10,398
- SPINE TRUSS SYSTEM$4,333
- FlareHawk$3,152
- Eminent Spine Interbody Fusion System$2,000
- Senza$1,440
- PROCLAIM$1,227
- 7D Surgical System$928
- Medical Devices$727
- DIAMONDBACK SPINAL SYSTEM (Eminent Spine Pedicle screw spinal system)$500
- OPTIMESH EXPANDABLE INTERBODY FUSION SYSTEM$464
- INTELLIS ADAPTIVESTIM$311
- WaveWriter Alpha Prime 16$233
- GENERAL PAIN MANAGEMENT$148
- Medical Device$145
- M6-C$141
- NEWBRIDGE$141
- Proclaim Family of SCS IPGs$134
How this compares
$112,315 in reported general payments places this provider in the 90th percentile of 256 neurological surgery providers in Michigan.
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 |
|---|---|---|
| Methylprednisolone | 70 | $381 |
| Celecoxib | 14 | $227 |
| Gabapentin | 21 | $171 |
| Meloxicam | 69 | $152 |
| Pregabalin | 15 | $109 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Shelby Township
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
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.