Howard Riina, MD
Neurological Surgery · New York, NYNPI 1639199367
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (50.9%), consulting fees and travel and lodging — rather than concentrated in one kind of arrangement. Medtronic accounts for 74.2% of it on its own, with 12 other manufacturers making up the rest. Reporting peaked in 2022 at $22,360 and has fallen 61.9% since, to $8,513 in 2025.
Across 155 payments — averaging $618.99 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$71K
- Siemens Medical Solutions USA, Inc.$21K
- Microvention, Inc.$2K
- Balt USA, LLC$221
- Leica Microsystems Cambridge Limited$165
- Stryker$164
- plus $793 from 7 others
What the payments were for
- Consulting fees$24,52526%
- Speaking & faculty fees$48,80051%
- Travel & lodging$17,23418%
- Food & beverage$5,3856%
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) | 92 | $71,206 |
| Siemens Medical Solutions USA, Inc. | 34 | $21,149 |
| Microvention, Inc. | 14 | $2,246 |
| Balt USA, LLC | 2 | $221 |
| Leica Microsystems Cambridge Limited | 1 | $165 |
| Stryker | 4 | $164 |
| Imperative Care, Inc | 1 | $149 |
| Route 92 Medical, Inc. | 2 | $145 |
| Leica Microsystems (schweiz) AG | 1 | $123 |
| Rapid Medical Ltd | 1 | $122 |
| Medical Device Business Services, Inc. | 1 | $90 |
| Phenox Inc. | 1 | $84 |
| Qapel Medical Inc | 1 | $80 |
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.
- CorPath Imaging System$12,480
- Pipeline$7,846
- WEB$1,889
- Artis Q.zen$1,556
- CorPath GRX$567
- RIST$547
- AXIUM PRIMETM$342
- KYPHON Balloon Kyphoplasty$193
- SURGICAL MICROSCOPES$165
- Solitaire$151
- Optima Coil System$151
- ZOOM REPERFUSION CATHETER$149
- ZOOM 88-T LARGE DISTAL PLATFORM$149
- Artis Q$149
- MAGNETOM Skyra$143
- LVIS$143
- Headway Duo Microcatheter$143
- WEB Aneurysm Embolization System$142
- Rist-5F$139
- Arveo 8$123
How this compares
$95,943 in reported general payments places this provider in the 85th percentile of 446 neurological surgery providers in New York.
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 New York
- J MoccoNew York$1.6M
- Alejandro BerensteinNew York$1.1M
- Darryl LauNew York$915K
- Mark BilskyNew York$903K
- Jan-Karl BurkhardtNew York$441K
- Dean ChouNew York$383K
- Reade DeleacyNew York$329K
- Johanna FifiNew York$326K
- David LangerNew York$258K
- Ali BaajNew York$240K
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.