Murali Guthikonda, MD
Neurological Surgery · Detroit, MINPI 1780624239
Payments from drug & device makers
What this record shows
This record is dominated by food and beverage: $787 of the $1,085 with a category attached, or 72.6%. 11 manufacturers reported payments, led by Stryker at 27.6% of the total. Reporting peaked in 2019 at $782 and has fallen 78.7% since, to $167 in 2025. That places this record below the midpoint for neurological surgery clinicians in MI, where the typical reported total is $2,563.
Across 28 payments — averaging $38.73 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$299
- Irras USA, Inc.$154
- Si-bone, Inc.$150
- Genentech USA, Inc.$103
- Arbor Pharmaceuticals, Inc.$89
- Integra Lifesciences Corporation$82
- plus $208 from 5 others
Across 7 payments — averaging $17,882 each. An ownership or investment interest held by the physician or an immediate family member.
- Phasor Health, LLC$125K
What the payments were for
- Speaking & faculty fees$15414%
- Travel & lodging$11911%
- Food & beverage$78773%
- Education$252%
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 |
|---|---|---|
| Stryker | 5 | $299 |
| Irras USA, Inc. | 1 | $154 |
| Si-bone, Inc. | 1 | $150 |
| Genentech USA, Inc. | 1 | $103 |
| Arbor Pharmaceuticals, Inc. | 7 | $89 |
| Integra Lifesciences Corporation | 4 | $82 |
| Medtronic(2 entities) | 2 | $70 |
| Johnson & Johnson | 3 | $61 |
| CSL Behring | 2 | $42 |
| DJO, LLC | 1 | $21 |
| Aesculap, Inc. | 1 | $13 |
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.
- IRRASflow$154
- iFuse Implant$150
- NICO MYRIAD SPECTRA$146
- Activase$103
How this compares
$1,085 in reported general payments places this provider in the 30th percentile of 256 neurological surgery providers in Michigan.
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 Detroit
- Azam BasheerDetroit$405K
- Sonia EdenDetroit$329K
- Victor ChangDetroit$206K
- Mokbel ChedidDetroit$70K
- Marc MoisiDetroit$64K
- Ian LeeDetroit$44K
- Efstathios KondylisDetroit$31K
- Ellen AirDetroit$22K
- Frank LamarcaAnn Arbor$4.8M
- Justin SingerGrand Rapids$944K
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.