Paul Garell, MD
Neurological Surgery · Carmel, NYNPI 1053384453
Payments from drug & device makers
What this record shows
This record is dominated by travel and lodging: $921 of the $1,477 with a category attached, or 62.4%. GE HealthCare accounts for 62.4% of it on its own, with 6 other manufacturers making up the rest. Reporting peaked in 2019 at $1,291 and has fallen 96.0% since, to $52 in 2023. That places this record below the midpoint for neurological surgery clinicians in NY, where the typical reported total is $3,235.
Across 14 payments — averaging $105.49 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- GE HealthCare$921
- Medtronic$283
- Nevro Corp.$133
- Si-bone, Inc.$50
- Portola Pharmaceuticals, LLC$36
- GRT US Holding, Inc.$29
- plus $25 from 1 others
What the payments were for
- Travel & lodging$92162%
- Food & beverage$55638%
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 |
|---|---|---|
| GE HealthCare | 1 | $921 |
| Medtronic(2 entities) | 7 | $283 |
| Nevro Corp. | 2 | $133 |
| Si-bone, Inc. | 1 | $50 |
| Portola Pharmaceuticals, LLC | 1 | $36 |
| GRT US Holding, Inc. | 1 | $29 |
| Baxter Healthcare | 1 | $25 |
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
$1,477 in reported general payments places this provider in the 35th percentile of 446 neurological surgery providers in New York.
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 |
|---|---|---|
| Lioresal IntrathecalBaclofen | 67 | $60,840 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Carmel
- Ryan DenhaeseWilliamsville$1.9M
- J MoccoNew York$1.6M
- Adnan SiddiquiWilliamsville$1.5M
- Leo HopkinsBuffalo$1.2M
- Aziz Basem QandahNew Hartford$1.1M
- Alejandro BerensteinNew York$1.1M
- Darryl LauNew York$915K
- Mark BilskyNew York$903K
- John PollinaWilliamsville$661K
- Michael GroffRochester$559K
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.