Gary Rajah, MD
Neurological Surgery · Detroit, MINPI 1457616849
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 98.7% of the total across 274 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 24 manufacturers, the largest accounting for just 18.2% — the pattern of someone who eats at a lot of different presentations.
Across 274 payments — averaging $45.74 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$2K
- Microvention, Inc.$2K
- Stryker$2K
- Si-bone, Inc.$2K
- Penumbra, Inc.$1K
- Imperative Care, Inc$892
- plus $2K from 18 others
Across 19 payments — averaging $8754.02 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.
- Microvention, Inc.$166K
What the payments were for
- Speaking & faculty fees$961%
- Food & beverage$12,37599%
- Education$610%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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) | 65 | $2,279 |
| Microvention, Inc. | 69 | $2,123 |
| Stryker | 24 | $1,891 |
| Si-bone, Inc. | 20 | $1,690 |
| Penumbra, Inc. | 38 | $1,242 |
| Imperative Care, Inc | 18 | $892 |
| Rapid Medical Ltd | 5 | $451 |
| Johnson & Johnson(2 entities) | 8 | $348 |
| Route 92 Medical, Inc. | 1 | $335 |
| Inari Medical, Inc. | 6 | $258 |
| Genentech USA, Inc. | 3 | $197 |
| Orthofix Medical, Inc. | 1 | $154 |
| Balt USA, LLC | 1 | $146 |
| Integra Lifesciences Corporation | 1 | $104 |
| Irras USA, Inc. | 1 | $96 |
| Qapel Medical Inc | 2 | $95 |
| CSL Behring | 4 | $73 |
| Viz.ai, Inc. | 1 | $34 |
| Aesculap, Inc. | 1 | $30 |
| Kaneka Medical America LLC | 1 | $29 |
| Radius Health, Inc. | 1 | $18 |
| Zimmer Biomet | 1 | $17 |
| Werfen USA LLC | 1 | $16 |
| Boston Scientific | 1 | $13 |
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.
- MAZOR X SYSTEM$628
- iFuse Implant$584
- WEB Aneurysm Embolization System$556
- ZOOM 88-T LARGE DISTAL PLATFORM$550
- SOFIA 6F-131CM STR$419
- SURPASS EVOLVE$414
- TIGERTRIEVER 17 REVASCULARIZATION DEVICE$383
- COMANECI 17$383
- TUBING KIT - STROKE$310
- STENT$276
- HYDROSOFT ADVANCED$276
- TREVO$252
- Penumbra System$225
- CATALYFT PL EXPANDABLE INTERBODY SYSTEM$219
- Pipeline$214
- STEALTH AUTOGUIDE SYSTEM$172
- AXS VECTA 71$155
- Trinity Evolution$154
- VersaShield$154
- Collage Osteoconductive Scaffold$154
How this compares
$12,532 in reported general payments places this provider in the 75th 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.
Other neurological surgery in Detroit
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
- Victor ChangDetroit$206K
- Mokbel ChedidDetroit$70K
- Marc MoisiDetroit$64K
- Ian LeeDetroit$44K
- Efstathios KondylisDetroit$31K
- Ellen AirDetroit$22K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
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.