Leonardo Brasiliense, MD
Neurological Surgery · Boise, IDNPI 1689052664
Payments from drug & device makers
What this record shows
The money is spread across several categories — food and beverage (55.4%), travel and lodging and education — rather than concentrated in one kind of arrangement. 14 manufacturers reported payments, led by Penumbra, Inc. at 36.3% of the total. Reporting peaked in 2023 at $3,174 and has fallen 77.4% since, to $716 in 2025.
Across 115 payments — averaging $116.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Penumbra, Inc.$5K
- Stryker$3K
- Balt USA, LLC$1K
- Johnson & Johnson$1K
- Medtronic$971
- Microvention, Inc.$661
- plus $2K from 8 others
What the payments were for
- Travel & lodging$5,68942%
- Food & beverage$7,42955%
- Education$2802%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
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 |
|---|---|---|
| Penumbra, Inc. | 22 | $4,861 |
| Stryker | 25 | $2,683 |
| Balt USA, LLC | 10 | $1,463 |
| Johnson & Johnson | 22 | $1,107 |
| Medtronic(2 entities) | 16 | $971 |
| Microvention, Inc. | 8 | $661 |
| Imperative Care, Inc | 3 | $608 |
| Medical Device Business Services, Inc. | 1 | $280 |
| Silk Road Medical, Inc. | 2 | $256 |
| Alphatec Spine, Inc | 2 | $188 |
| Inspiremd Ltd | 1 | $144 |
| Globus Medical | 1 | $122 |
| Spinal Elements, Inc. | 1 | $40 |
| Abbott | 1 | $15 |
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.
- Penumbra System$4,157
- TARGET$1,932
- Optima Coil System$613
- WEB Aneurysm Embolization System$448
- STENT$448
- Eclipse 2L$366
- ZOOM RDL RADIAL ACCESS SYSTEM, 103CM$339
- ENROUTE Transcarotid Neuroprotection System$256
- ENROUTE Transcarotid Stent$256
- RIST$249
- Prestige Coil System$177
- Pipeline$171
- UNIVERSAL NEURO 3$165
- METRx$160
- Penumbra Coil 400$155
- SURPASS EVOLVE$151
- ZOOM 88-T LARGE DISTAL PLATFORM$150
- RED 72$149
- CEREPAK UNIFORM$145
- CGuard Prime Carotid Stent System$144
How this compares
$13,398 in reported general payments places this provider in the 85th percentile of 43 neurological surgery providers in Idaho.
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 Boise
- Donald BlaskiewiczBoise$2.1M
- Paul MontalbanoBoise$27K
- Evan JoyceBoise$25K
- Graham HallBoise$8K
- Ondrej ChoutkaBoise$3K
- David BrayBoise$2K
- Kelly BridgesBoise$2K
- Nicholas GamboaBoise$2K
- Thomas ManningBoise$1K
- Kenneth LittleBoise$900
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.