Michelle Clarke, MD
Neurological Surgery · Rochester, MNNPI 1437136355
Payments from drug & device makers
What this record shows
The money is spread across several categories — speaking fees (54.0%), travel and lodging and food and beverage — rather than concentrated in one kind of arrangement. Synthes GmbH accounts for 99.7% of it on its own, with 1 other manufacturer making up the rest. Reporting peaked in 2019 at $23,486 and has fallen 69.6% since, to $7,129 in 2024. Among neurological surgery clinicians in MN 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 48 payments — averaging $1099.30 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Synthes GmbH$53K
- Medical Device Business Services, Inc.$156
What the payments were for
- Speaking & faculty fees$28,50454%
- Travel & lodging$23,01844%
- Food & beverage$1,2452%
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 |
|---|---|---|
| Synthes GmbH | 46 | $52,611 |
| Medical Device Business Services, Inc. | 2 | $156 |
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.
- FIBERGRAFT BG Morsels$118
- CONDUIT$118
- VIPER$118
How this compares
$52,766 in reported general payments places this provider in the 90th percentile of 140 neurological surgery providers in Minnesota.
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 Rochester
- Kendall LeeRochester$2.3M
- Vijay AgarwalRochester$101K
- Benjamin ElderRochester$69K
- Jeremy FogelsonRochester$40K
- Giuseppe LanzinoRochester$37K
- Daniela StastnaRochester$10K
- Robert SpinnerRochester$9K
- Rushna AliRochester$8K
- Nikita LakomkinRochester$8K
- Ken PorcheRochester$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.