Nayana Dekhne
Surgery · Royal Oak, MINPI 1396704227
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $7,974 of the $13,146 with a category attached, or 60.7%. Intuitive Surgical accounts for 66.5% of it on its own, with 17 other manufacturers making up the rest. Reporting peaked in 2024 at $10,657 and has fallen 86.7% since, to $1,419 in 2025.
Across 70 payments — averaging $187.80 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Intuitive Surgical$9K
- Elucent Medical$1K
- Axogen$1K
- Endomagnetics Ltd$221
- Focal Therapeutics, Inc.$180
- Integra Lifesciences Corporation$150
- plus $1K from 12 others
Across 3 payments — averaging $18,541 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.
- Intuitive Surgical Operations, Inc.$56K
What the payments were for
- Travel & lodging$7,97461%
- Food & beverage$3,29625%
- Education$1,87614%
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 |
|---|---|---|
| Intuitive Surgical | 37 | $8,738 |
| Elucent Medical | 7 | $1,459 |
| Axogen | 5 | $1,360 |
| Endomagnetics Ltd | 4 | $221 |
| Focal Therapeutics, Inc. | 1 | $180 |
| Integra Lifesciences Corporation | 1 | $150 |
| Daiichi Sankyo Inc. | 2 | $133 |
| Mentor Worldwide LLC | 1 | $127 |
| AstraZeneca | 1 | $125 |
| Tempus AI, Inc | 1 | $113 |
| Genentech USA, Inc. | 1 | $105 |
| Sirius Medical Systems | 1 | $98 |
| Kerecis Limited | 2 | $91 |
| Hologic Sales And Service, LLC | 1 | $81 |
| Medtronic | 2 | $75 |
| Stryker | 1 | $42 |
| Davol Inc. | 1 | $25 |
| Merck | 1 | $24 |
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.
- Da Vinci Surgical System$6,876
- DA VINCI SP$1,500
- AVANCE NERVE GRAFT$1,360
- AxoGuard Nerve Connector$1,360
- AxoGuard Nerve Protector$1,360
- AXOGUARD HA+ NERVE PROTECTOR$1,360
- AxoGuard Nerve Cap$1,360
- INTEGRA$450
- BioZorb$180
- Localizer$180
- INTEGRA DERMAL REGENERATION TEMPLATE$150
- PRIMATRIX$150
- MENTOR MemoryGel Resterilizable Gel Sizer$127
- Magseed$126
- Magtrace$126
- LYNPARZA$125
- Enhertu$124
- Kadcyla$105
How this compares
$13,146 in reported general payments places this provider in the 85th percentile of 1,081 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.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| Tramadol Hcl | 54 | $41 |
Paid to pharmacies, not to this prescriber.
Other surgery in Royal Oak
- Mohsen BannazadehRoyal Oak$71K
- Robert BartlettAnn Arbor$859K
- Matthew FourmanMonroe$492K
- Bruce McIntoshRochester Hills$435K
- Jon SchramZeeland$261K
- Eric DaviesBrighton$258K
- Robert LyonsYpsilanti$196K
- Joel StrehlTraverse City$170K
- John LimClinton Township$141K
- Bellal JosephDetroit$114K
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.