Matthew Decker, MD
Neurological Surgery · Gainesville, FLNPI 1154761534
Payments from drug & device makers
What this record shows
The money is spread across several categories — consulting fees (57.1%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Medical Device Business Services, Inc. accounts for 89.6% of it on its own, with 3 other manufacturers making up the rest. Reporting peaked in 2024 at $8,242 and has fallen 89.9% since, to $834 in 2025.
Across 33 payments — averaging $308.38 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medical Device Business Services, Inc.$9K
- Johnson & Johnson$685
- Highridge Medical LLC$314
- Baxter Healthcare$54
Across 9 payments — averaging $821.33 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.
- Medical Device Business Services, Inc.$7K
What the payments were for
- Consulting fees$5,81557%
- Travel & lodging$2,94529%
- Food & beverage$1,41614%
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 |
|---|---|---|
| Medical Device Business Services, Inc. | 21 | $9,123 |
| Johnson & Johnson | 8 | $685 |
| Highridge Medical LLC | 3 | $314 |
| Baxter Healthcare | 1 | $54 |
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
$10,177 in reported general payments places this provider in the 60th percentile of 556 neurological surgery providers in Florida.
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 |
|---|---|---|
| Gabapentin | 11 | $103 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Gainesville
- John StevensonGainesville$480K
- Kelvin WilsonGainesville$238K
- Raymond JacobGainesville$207K
- Danny LiangGainesville$199K
- Stephen ParkerJacksonville$18.7M
- Eric PetersonMiami$10.1M
- Brian SnellingBoca Raton$10M
- Kim ManwaringOrlando$5M
- Paul SawinWinter Park$3M
- John MainOcala$2.8M
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.