Christopher Neal, MD
Diagnostic Radiology · Hilo, HINPI 1982612123
Payments from drug & device makers
What this record shows
The money is spread across several categories — royalties or licence payments (44.3%), other and consulting fees — rather than concentrated in one kind of arrangement. Medtronic accounts for 87.0% of it on its own, with 4 other manufacturers making up the rest. Reporting peaked in 2019 at $90,930 and has fallen 99.8% since, to $176 in 2025. Among diagnostic radiology clinicians in HI with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 85 payments — averaging $2334.82 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$173K
- Stryker$23K
- Penumbra, Inc.$2K
- Cook Medical LLC$220
- Siemens Medical Solutions USA, Inc.$44
What the payments were for
- Royalty or licence$87,90344%
- Consulting fees$19,68810%
- Travel & lodging$2,9741%
- Food & beverage$3,5092%
- Other$84,38743%
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 |
|---|---|---|
| Medtronic(2 entities) | 6 | $172,585 |
| Stryker | 52 | $23,426 |
| Penumbra, Inc. | 23 | $2,185 |
| Cook Medical LLC | 2 | $220 |
| Siemens Medical Solutions USA, Inc. | 2 | $44 |
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.
- TARGET$16,236
- FLOW DIVERTERS$3,750
- WINGSPAN$3,750
- SURPASS$3,750
- SYNCHRO$3,750
- Penumbra System$2,111
- TREVO$1,064
- AXS VECTA 71$216
- SURPASS EVOLVE$176
- XIA 3$161
- UNIVERSAL NEURO 3$128
- Solitaire$111
- Cook Medical Stents$111
- Zenith$109
- AXS INFINITY LS$106
How this compares
$198,460 in reported general payments places this provider in the 95th percentile of 122 diagnostic radiology providers in Hawaii.
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.
Other diagnostic radiology in Hilo
- David CamachoHilo$197
- Eric WyattHilo$186
- Ming PengHilo$143
- Michael SeuHilo$123
- Scott GrosskreutzHilo$98
- Douglas SidesHilo$84
- John WadeHilo$20
- Peter BalkinHonolulu$879K
- Ferdinand HuiHonolulu$135K
- Brent BakerHonolulu$7K
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.