RxDoctor Payments Data

Charles Miller, MD

Neurological Surgery · Richmond, VANPI 1013980036

Payments from drug & device makers

What this record shows

This record is dominated by travel and lodging: $2,717 of the $3,555 with a category attached, or 76.4%. Synaptive Medical Inc. accounts for 62.6% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2019 at $2,242 and has fallen 71.3% since, to $644 in 2025.

$3,555in general payments, 2019–2025

Across 31 payments — averaging $114.68 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Synaptive Medical Inc.$2K
  • Globus Medical$742
  • AstraZeneca$295
  • Stryker$97
  • Medtronic$86
  • Boston Scientific$59
  • plus $49 from 3 others

What the payments were for

  • Travel & lodging$2,71776%
  • Food & beverage$79822%
  • Education$401%

General payments by program year

19
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
Synaptive Medical Inc.7$2,227
Globus Medical11$742
AstraZeneca(2 entities)4$295
Stryker2$97
Medtronic2$86
Boston Scientific2$59
AbbVie1$19
Ceribell, Inc.1$15
Abbott1$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.

How this compares

$3,555 in reported general payments places this provider in the 55th percentile of 156 neurological surgery providers in Virginia.

See all neurological surgery providers in Virginia →

Medicare billing

Part B allowed, 2024
$195,802
Medicare patients
219
Services billed
658

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
Baclofen40$649
Etodolac16$555
Dexamethasone29$555
Nortriptyline Hcl34$248
Tramadol Hcl51$181
Gabapentin14$150

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Richmond

See the full list for Virginia →

Where these figures come from

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