Jonathan Lena, MD
Neurological Surgery · Charleston, SCNPI 1457512303
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $93,169 of the $109,957 with a category attached, or 84.7%. Stryker accounts for 97.0% of it on its own, with 5 other manufacturers making up the rest. Among neurological surgery clinicians in SC 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 107 payments — averaging $1027.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$107K
- Penumbra, Inc.$3K
- Johnson & Johnson$105
- Medtronic$82
- Route 92 Medical, Inc.$31
- Microvention, Inc.$27
Across 59 payments — averaging $4305.32 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.
- Microvention, Inc.$182K
- Medical Device Business Services, Inc.$72K
What the payments were for
- Consulting fees$93,16985%
- Speaking & faculty fees$3,0003%
- Travel & lodging$12,04311%
- Food & beverage$1,7452%
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 |
|---|---|---|
| Stryker | 97 | $106,688 |
| Penumbra, Inc. | 2 | $3,024 |
| Johnson & Johnson | 2 | $105 |
| Medtronic | 4 | $82 |
| Route 92 Medical, Inc. | 1 | $31 |
| Microvention, Inc. | 1 | $27 |
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.
- SURPASS EVOLVE$70,706
- TARGET$23,504
- NEUROFORM ATLAS$23,000
- SURPASS$12,263
- SYNCHRO SELECT$6,575
- EXCELSIOR SL-10$6,000
- Artemis$3,000
- 1488, IDEAL EYES$2,752
- EVOLVE$120
How this compares
$109,957 in reported general payments places this provider in the 95th percentile of 114 neurological surgery providers in South Carolina.
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 | 21 | $45 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Charleston
- Alejandro SpiottaCharleston$894K
- Matthew NealCharleston$65K
- Ramin EskandariCharleston$22K
- Istvan TakacsCharleston$13K
- Nathan RowlandCharleston$13K
- Robert StuartCharleston$10K
- Clayton HaldemanCharleston$9K
- Brian CuddyCharleston$9K
- George KhouryCharleston$8K
- Roberta SefcikCharleston$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.