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.
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
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
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 |
|---|---|---|
| Spinal Elements, Inc. | 26 | $42,026 |
| Amendia, Inc. | 6 | $33,849 |
| Boston Scientific | 36 | $895 |
| Innovasis Inc | 2 | $173 |
| Quandary Medical LLC | 3 | $147 |
| Nevro Corp. | 2 | $141 |
| Johnson & Johnson | 3 | $85 |
| Medtronic | 1 | $60 |
| Abbott | 1 | $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.
- ZEUSO$36,133
- OLIF$16,503
- savtlown$11,722
- ZEUS$6,665
- spartan$3,543
- Savannah T$1,176
- Senza Spinal Cord Stimulation System$131
How this compares
$77,406 in reported general payments places this provider in the 90th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 378 | $5,554 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 145 | $2,863 |
| Gabapentin | 202 | $2,442 |
| Tizanidine Hcl | 229 | $1,659 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 56 | $1,586 |
| Dexamethasone | 34 | $595 |
| Pregabalin | 79 | $564 |
| Ibuprofen | 64 | $501 |
| Celecoxib | 35 | $414 |
| Cyclobenzaprine Hcl | 80 | $323 |
| Meloxicam | 75 | $252 |
| Morphine Sulfate ErMorphine Sulfate | 14 | $215 |
| Baclofen | 21 | $200 |
| Tramadol Hcl | 30 | $104 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Saginaw
- Erich RichterSaginaw$28K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
- Jayant JagannathanTroy$685K
- Timothy SpencerBattle Creek$543K
- Daniel FahimRoyal Oak$525K
- Daniel OrringerAnn Arbor$500K
- Vittorio MorrealeShelby Twp$439K
- Noojan KazemiAnn Arbor$406K
- Azam BasheerDetroit$405K
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.