RxDoctor Payments Data

James Evans, MD

Neurological Surgery · Wilmington, DENPI 1124048194

Payments from drug & device makers

What this record shows

This record is dominated by royalties or licence payments: $363,324 of the $365,311 with a category attached, or 99.5%. Mizuho America, Inc. accounts for 99.6% of it on its own, with 7 other manufacturers making up the rest. Reporting peaked in 2023 at $136,989 and has fallen 99.9% since, to $117 in 2025.

$365,311in general payments, 2019–2025

Across 16 payments — averaging $22,832 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Mizuho America, Inc.$364K
  • Zap Surgical Systems, Inc.$887
  • Zimmer Biomet$140
  • Sanofi$133
  • Medtronic$117
  • Novartis$114
  • plus $91 from 2 others

What the payments were for

  • Royalty or licence$363,32499%
  • Travel & lodging$8870%
  • Food & beverage$1,1000%

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
Mizuho America, Inc.8$363,830
Zap Surgical Systems, Inc.1$887
Zimmer Biomet1$140
Sanofi1$133
Medtronic1$117
Novartis1$114
Johnson & Johnson2$73
Acclarent, Inc1$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.

How this compares

Too few neurological surgery providers in Delawareto place this figure against a meaningful peer group, so we don't.

Medicare billing

Part B allowed, 2024
$227,616
Medicare patients
377
Services billed
688

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
Lorazepam13$16

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Wilmington

See the full list for Delaware

Where these figures come from

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