Hesham Zakaria, MD
Neurological Surgery · Baltimore, MDNPI 1932545316
Payments from drug & device makers
What this record shows
15 manufacturers reported payments, led by Alphatec Spine, Inc at 48.2% of the total. Reporting peaked in 2024 at $5,985 and has fallen 85.3% since, to $883 in 2025.
Across 123 payments — averaging $89.16 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Alphatec Spine, Inc$5K
- Globus Medical$3K
- Providence Medical Technology, Inc.$2K
- Si-bone, Inc.$172
- Icotec Medical Inc.$167
- Stryker$156
- plus $466 from 9 others
What the payments were for
- Travel & lodging$6,32258%
- Food & beverage$4,64542%
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 |
|---|---|---|
| Alphatec Spine, Inc | 17 | $5,287 |
| Globus Medical(2 entities) | 80 | $2,834 |
| Providence Medical Technology, Inc. | 10 | $1,885 |
| Si-bone, Inc. | 2 | $172 |
| Icotec Medical Inc. | 1 | $167 |
| Stryker | 2 | $156 |
| Medtronic | 1 | $108 |
| SK Life Science, Inc. | 3 | $81 |
| Monteris Medical Corporation | 1 | $77 |
| Augmedics Inc. | 1 | $46 |
| Baxter Healthcare | 1 | $46 |
| Johnson & Johnson | 1 | $40 |
| Brainlab, Inc. | 1 | $26 |
| Carlsmed, Inc. | 1 | $23 |
| Aesculap, Inc. | 1 | $17 |
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.
- Other - Miscellaneous$4,303
- Excelsius - GPS$1,155
- EXCELSIUS$485
- VADER PEDICLE SYSTEM 6.0, SCREW, Carbon/PEEK, POLYAX., FEN., O 5.5 X 45 MM$167
- VADER PEDICLE SYSTEM, ROD, Carbon/PEEK, CURVED, 6.0 R450 X 200 MM$167
- KONG-TL VBR E, EXPANDABLE BODY, L, 19 MM X 27 - 37 MM$167
- KONG-TL VBR, END PLATE, ROUND, L AND SCREW, 12 X 43 MM$167
- KONG-TL VBR, END PLATE, RECTANGULAR, M AND SCREW, 12 X 33 MM$167
- iFuse Implant$141
- N/A$127
- OSTEOCOOL RF ABLATION SYSTEM$108
How this compares
$10,967 in reported general payments places this provider in the 70th percentile of 133 neurological surgery providers in Maryland.
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 |
|---|---|---|
| Gabapentin | 28 | $291 |
| Duloxetine Hcl | 15 | $171 |
| Oxycodone Hcl | 12 | $122 |
| Cyclobenzaprine Hcl | 13 | $104 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Baltimore
- Alexander CoonBaltimore$2.7M
- Charles SansurBaltimore$1.8M
- Nicholas TheodoreBaltimore$833K
- Daniel SciubbaBaltimore$789K
- Henry BremBaltimore$353K
- Ira GaronzikBaltimore$297K
- James ConwayBaltimore$273K
- Gustavo PradillaBaltimore$164K
- Timothy WithamBaltimore$141K
- Charles ParkBaltimore$89K
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.