Juan Fernandez-Miranda, MD
Neurological Surgery · Stanford, CANPI 1407059181
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (36.1%), other and consulting fees — rather than concentrated in one kind of arrangement. 8 manufacturers reported payments, led by Medtronic at 39.4% of the total. 2025 is the largest year on record at $26,220, more than ten times the $1,338 reported in 2019.
Across 81 payments — averaging $912.70 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$29K
- Carl Zeiss Meditec USA, Inc.$22K
- Stryker$8K
- Mizuho America, Inc.$7K
- Integra Lifesciences Corporation$5K
- Kls-martin L.p.$3K
- plus $177 from 2 others
What the payments were for
- Royalty or licence$2,4743%
- Consulting fees$12,96018%
- Speaking & faculty fees$26,70036%
- Travel & lodging$1350%
- Food & beverage$2,4263%
- Charitable contribution$7,37410%
- Other$21,85930%
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) | 47 | $29,095 |
| Carl Zeiss Meditec USA, Inc. | 1 | $21,859 |
| Stryker | 12 | $7,833 |
| Mizuho America, Inc. | 2 | $7,374 |
| Integra Lifesciences Corporation | 2 | $5,083 |
| Kls-martin L.p. | 15 | $2,506 |
| Penumbra, Inc. | 1 | $138 |
| Davol Inc. | 1 | $40 |
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.
- MIDAS REX$24,285
- KINEVO$21,859
- DURAGEN$5,000
- CODMAN CERTAS$5,000
- DURASEAL EXACT$5,000
- STRAIGHTSHOT$1,700
- RHINOBUR$1,200
- STEALTHSTATION S8 PLATFORM$991
- RETRACTOR$858
- CORE$168
- PROPEL$167
- UNIVERSAL NEURO 3$150
- Artemis$138
How this compares
$73,928 in reported general payments places this provider in the 85th percentile of 773 neurological surgery providers in California.
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 Stanford
- Stephen RyuStanford$847K
- Stefan MindeaStanford$615K
- Michael LimStanford$325K
- Gerald GrantStanford$254K
- John RatliffStanford$223K
- John AdlerStanford$205K
- Christopher AmesSan Francisco$7.1M
- Larry KhooLos Angeles$2.8M
- Samy AbdouSan Diego$2.4M
- Bret AbshireMurrieta$2.3M
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.