Matthew Neal, MD
Neurological Surgery · Charleston, SCNPI 1023270386
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $54,472 of the $65,375 with a category attached, or 83.3%. Medtronic accounts for 94.1% of it on its own, with 8 other manufacturers making up the rest. Reporting peaked in 2021 at $26,942 and has fallen 99.1% since, to $233 in 2025. Among neurological surgery clinicians in SC with any reported payments, this total sits in the top 10% — high for the specialty, which is a reason to read the composition above rather than the number alone.
Across 86 payments — averaging $760.18 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Medtronic$62K
- Globus Medical$3K
- Carbofix Spine Inc$215
- Curonix LLC$214
- Spinal Simplicity, LLC$195
- Providence Medical Technology, Inc.$62
- plus $104 from 3 others
What the payments were for
- Consulting fees$54,47283%
- Speaking & faculty fees$1,6002%
- Travel & lodging$7,40911%
- Food & beverage$1,8943%
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) | 69 | $61,545 |
| Globus Medical | 4 | $3,040 |
| Carbofix Spine Inc | 2 | $215 |
| Curonix LLC | 2 | $214 |
| Spinal Simplicity, LLC | 3 | $195 |
| Providence Medical Technology, Inc. | 2 | $62 |
| Kuros Biosciences USA, Inc | 1 | $49 |
| Abbott | 2 | $39 |
| Johnson & Johnson | 1 | $17 |
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.
- CD HORIZON$30,235
- StealthStation$9,611
- Mazor X Stealth Edition$6,161
- Quartex$1,600
- Spine$780
- Excelsius Robotics System$647
- METRx$580
- O-ARM$580
- STEALTHSTATION S8 PLATFORM$441
- KYPHON Balloon Kyphoplasty$250
- DIVERGENCE-L$216
- HA MINUTEMAN G3-R$134
- PNS FREEDOM-4A PERMANENT NEUROSTIMULATOR RECEIVER KIT CHANNEL A$124
- MazorX - Renaissance$103
How this compares
$65,375 in reported general payments places this provider in the 90th 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 |
|---|---|---|
| Gabapentin | 43 | $466 |
| Oxycodone Hcl | 47 | $220 |
| Methylprednisolone | 17 | $113 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 11 | $102 |
| Methocarbamol | 17 | $87 |
| Tramadol Hcl | 11 | $59 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Charleston
- Alejandro SpiottaCharleston$894K
- Jonathan LenaCharleston$110K
- 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.