Giuseppe Lanzino, MD
Neurological Surgery · Rochester, MNNPI 1437104551
Payments from drug & device makers
What this record shows
This record is dominated by other: $36,209 of the $37,359 with a category attached, or 96.9%. Medtronic accounts for 97.1% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2023 at $36,209 and has fallen 99.4% since, to $229 in 2025. Among neurological surgery clinicians in MN 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 14 payments — averaging $2668.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$36K
- Imperative Care, Inc$345
- Siemens Medical Solutions USA, Inc.$151
- Irras USA, Inc.$133
- Route 92 Medical, Inc.$131
- Microvention, Inc.$112
- plus $212 from 2 others
Across 22 payments — averaging $1544.32 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.
- Stryker$23K
- Medical Device Business Services, Inc.$11K
What the payments were for
- Food & beverage$1,1513%
- Other$36,20997%
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 | 3 | $36,275 |
| Imperative Care, Inc | 3 | $345 |
| Siemens Medical Solutions USA, Inc. | 1 | $151 |
| Irras USA, Inc. | 1 | $133 |
| Route 92 Medical, Inc. | 1 | $131 |
| Microvention, Inc. | 1 | $112 |
| Stryker | 1 | $108 |
| Penumbra, Inc. | 3 | $104 |
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
$37,359 in reported general payments places this provider in the 90th percentile of 140 neurological surgery providers in Minnesota.
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 |
|---|---|---|
| ClopidogrelClopidogrel Bisulfate | 15 | $27 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Rochester
- Kendall LeeRochester$2.3M
- Vijay AgarwalRochester$101K
- Benjamin ElderRochester$69K
- Michelle ClarkeRochester$53K
- Jeremy FogelsonRochester$40K
- Daniela StastnaRochester$10K
- Robert SpinnerRochester$9K
- Rushna AliRochester$8K
- Nikita LakomkinRochester$8K
- Ken PorcheRochester$7K
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.