James Mills, MD
Neurological Surgery · Big Flats, NYNPI 1609073246
Payments from drug & device makers
What this record shows
This record is dominated by royalties or licence payments: $277,975 of the $290,383 with a category attached, or 95.7%. Globus Medical accounts for 97.2% of it on its own, with 10 other manufacturers making up the rest. Among neurological surgery clinicians in NY with any reported payments, this total sits in the top 5% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 199 payments — averaging $1459.21 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Globus Medical$282K
- Stryker$3K
- Medtronic$3K
- Abbott$2K
- Sanara Medtech Inc.$190
- Novocure Inc.$37
- plus $93 from 5 others
What the payments were for
- Royalty or licence$277,97596%
- Travel & lodging$6,4242%
- Food & beverage$5,9852%
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 |
|---|---|---|
| Globus Medical | 50 | $282,374 |
| Stryker | 29 | $2,830 |
| Medtronic(2 entities) | 28 | $2,573 |
| Abbott | 84 | $2,286 |
| Sanara Medtech Inc. | 2 | $190 |
| Novocure Inc. | 1 | $37 |
| Integra Lifesciences Corporation | 1 | $23 |
| Aesculap, Inc. | 1 | $20 |
| Cerapedics Inc. | 1 | $19 |
| Zimvie Inc. | 1 | $17 |
| Providence Medical Technology, 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.
- COALITION AGX$201,342
- COALITION AGX / AGX RP$76,632
- ExcelsiusGPS Robotic Navigation System$1,296
- Excelsius - GPS$1,148
- STEALTHSTATION S8 PLATFORM$1,107
- GENERAL K2M PRODUCT DISCUSSION$1,029
- SPINEJACK$749
- EXCELSIUS$631
- Excelsius Robotics System$584
- ES2$407
- PROCLAIM$363
- MAZOR X SYSTEM$339
- XIA$284
- TRITANIUM$284
- BIO4$284
- O-ARM$122
- Vanta$114
- Proclaim Family of SCS IPGs$108
- CellerateRx$107
- Excelcius GPS$106
How this compares
$290,383 in reported general payments places this provider in the 95th 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Celecoxib | 60 | $1,496 |
| Cyclobenzaprine Hcl | 82 | $646 |
| Gabapentin | 52 | $494 |
| Methylprednisolone | 59 | $462 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Big Flats
- Ryan DenhaeseWilliamsville$1.9M
- J MoccoNew York$1.6M
- Adnan SiddiquiWilliamsville$1.5M
- Leo HopkinsBuffalo$1.2M
- Aziz Basem QandahNew Hartford$1.1M
- Alejandro BerensteinNew York$1.1M
- Darryl LauNew York$915K
- Mark BilskyNew York$903K
- John PollinaWilliamsville$661K
- Michael GroffRochester$559K
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.