Daniel Refai, MD
Neurological Surgery · Atlanta, GANPI 1912092800
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $757,430 of the $1,218,052 with a category attached, or 62.2%. Stryker accounts for 61.9% of it on its own, with 9 other manufacturers making up the rest. Among neurological surgery clinicians in GA 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 674 payments — averaging $1807.20 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$754K
- Medtronic$174K
- Medical Device Business Services, Inc.$132K
- Globus Medical$96K
- VB Spine LLC$33K
- Arthrex$27K
- plus $2K from 4 others
What the payments were for
- Royalty or licence$197,20016%
- Consulting fees$757,43062%
- Speaking & faculty fees$173,22514%
- Travel & lodging$70,8836%
- Food & beverage$19,3152%
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 | 393 | $753,845 |
| Medtronic(2 entities) | 112 | $174,341 |
| Medical Device Business Services, Inc. | 62 | $132,071 |
| Globus Medical | 52 | $96,155 |
| VB Spine LLC | 22 | $33,349 |
| Arthrex | 8 | $26,672 |
| Johnson & Johnson | 18 | $952 |
| United Orthopedics LLC | 5 | $495 |
| Spineart USA Inc | 1 | $130 |
| Aesculap Implant Systems, LLC | 1 | $42 |
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.
- XIA 3$185,567
- EXPEDIUM$103,865
- CASCADIA INTERBODY SYSTEM$89,811
- XIA$82,296
- EVEREST SPINAL SYSTEM$76,546
- TRITANIUM$67,404
- CAPRI CORPECTOMY CAGE SYSTEM$50,372
- ES2 SPINAL SYSTEM$46,044
- CORE$45,363
- SERRATO$38,016
- AIRO$36,000
- ES2$35,566
- N/A$31,972
- RAVINE LATERAL ACCESS SYSTEM$29,449
- CRESCENT$27,600
- BIO4$26,613
- YUKON OCT SPINAL SYSTEM$23,625
- Hedron$23,276
- CD HORIZON$21,956
- AVIATOR$21,750
How this compares
$1,218,052 in reported general payments places this provider in the 95th percentile of 201 neurological surgery providers in Georgia.
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 |
|---|---|---|
| Gabapentin | 41 | $516 |
| Oxycodone Hcl | 77 | $471 |
| Pregabalin | 18 | $437 |
| Methocarbamol | 43 | $437 |
| Methylprednisolone | 32 | $180 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 12 | $97 |
| Baclofen | 12 | $75 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 12 | $72 |
| Tramadol Hcl | 23 | $53 |
| Diazepam | 11 | $5 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Atlanta
- Regis HaidAtlanta$25.5M
- Thomas MorrisonAtlanta$2.8M
- Christopher TomarasAtlanta$1.5M
- Gerald RodtsAtlanta$1.2M
- James RobinsonAtlanta$993K
- Michele JohnsonAtlanta$540K
- David McCrackenAtlanta$425K
- Robert GrossAtlanta$315K
- Kaveh KhajaviAtlanta$225K
- Joshua WewelAtlanta$114K
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.