Elias Elias
Neurological Surgery · Seattle, WANPI 1942819404
Payments from drug & device makers
What this record shows
The money is spread across several categories — travel and lodging (55.2%), consulting fees and food and beverage — rather than concentrated in one kind of arrangement. 13 manufacturers reported payments, led by Spineart USA Inc at 46.3% of the total. Reporting peaked in 2024 at $15,570 and has fallen 91.6% since, to $1,308 in 2025. Among neurological surgery clinicians in WA 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 147 payments — averaging $240.27 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Spineart USA Inc$16K
- Medical Device Business Services, Inc.$7K
- Globus Medical$4K
- Medtronic$3K
- Johnson & Johnson$2K
- Carlsmed, Inc.$1K
- plus $2K from 7 others
What the payments were for
- Consulting fees$8,55024%
- Travel & lodging$19,50355%
- Food & beverage$7,26721%
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 |
|---|---|---|
| Spineart USA Inc | 22 | $16,370 |
| Medical Device Business Services, Inc. | 23 | $6,713 |
| Globus Medical | 22 | $4,395 |
| Medtronic | 26 | $3,273 |
| Johnson & Johnson | 32 | $1,584 |
| Carlsmed, Inc. | 4 | $1,146 |
| Icotec Medical Inc. | 7 | $621 |
| Stryker | 5 | $541 |
| Synthes GmbH | 1 | $541 |
| Spineart SA | 1 | $49 |
| Depuy Synthes Products, Inc. | 2 | $36 |
| Si-bone, Inc. | 1 | $29 |
| Integra Lifesciences Corporation | 1 | $23 |
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.
- Perla TL$3,337
- PERLA C$3,297
- Teligen$2,553
- Velys$1,591
- MAZOR X SYSTEM$1,360
- CONDUIT$1,265
- aprevo$1,089
- Excelsius - GPS$1,038
- icotec BlackArmor Spine System$949
- RISE-L$942
- INTELLIS ADAPTIVESTIM$662
- ELSA$587
- MARS 3VL Retractor$439
- MARS Retractor$439
- RISE$297
- EVEREST SPINAL SYSTEM$296
- O-ARM$285
- INCEPTIV$266
- SYMPHONY$182
- Archon$173
How this compares
$35,320 in reported general payments places this provider in the 90th percentile of 175 neurological surgery providers in Washington.
Other neurological surgery in Seattle
- Rod OskouianSeattle$2.4M
- Christoph HofstetterSeattle$768K
- Stephen MonteithSeattle$151K
- Jean-Christophe LevequeSeattle$120K
- Vijay YanamadalaSeattle$85K
- Hoan Vu TranSeattle$78K
- Martin RutkowskiSeattle$62K
- Bailey ZampellaSeattle$38K
- Melanie WalkerSeattle$38K
- Ryder GwinnSeattle$35K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Identity: NPPES NPI Registry, July 2026.