RxDoctor Payments Data

Gerald Schell, MD

Neurological Surgery · Saginaw, MINPI 1871584011

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $75,876 of the $77,406 with a category attached, or 98.0%. 10 manufacturers reported payments, led by Spinal Elements, Inc. at 54.3% of the total. Reporting peaked in 2019 at $34,388 and has fallen 99.9% since, to $35 in 2025. Among neurological surgery clinicians in MI 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.

$77,406in general payments, 2019–2025

Across 81 payments — averaging $955.62 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Spinal Elements, Inc.$42K
  • Amendia, Inc.$34K
  • Boston Scientific$895
  • Innovasis Inc$173
  • Quandary Medical LLC$147
  • Nevro Corp.$141
  • plus $174 from 4 others
$33,134in research payments, 2019–2025

Across 24 payments — averaging $1380.59 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.

  • Spinal Elements, Inc.$33K

What the payments were for

  • Royalty or licence$75,87698%
  • Food & beverage$1,5302%

General payments by program year

19
20
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
Spinal Elements, Inc.26$42,026
Amendia, Inc.6$33,849
Boston Scientific36$895
Innovasis Inc2$173
Quandary Medical LLC3$147
Nevro Corp.2$141
Johnson & Johnson3$85
Medtronic1$60
Abbott1$15
Orthofix Medical, Inc.1$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

$77,406 in reported general payments places this provider in the 90th percentile of 256 neurological surgery providers in Michigan.

See all neurological surgery providers in Michigan

Medicare billing

Part B allowed, 2024
$249,998
Medicare patients
263
Services billed
1,268

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
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen378$5,554
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen145$2,863
Gabapentin202$2,442
Tizanidine Hcl229$1,659
Acetaminophen-CodeineAcetaminophen With Codeine56$1,586
Dexamethasone34$595
Pregabalin79$564
Ibuprofen64$501
Celecoxib35$414
Cyclobenzaprine Hcl80$323
Meloxicam75$252
Morphine Sulfate ErMorphine Sulfate14$215
Baclofen21$200
Tramadol Hcl30$104

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Saginaw

See the full list for Michigan

Where these figures come from

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