Paul Mitchell, MD
Neurological Surgery · Norfolk, VANPI 1053354118
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $41,125 of the $67,018 with a category attached, or 61.4%. Orthofix Medical, Inc. accounts for 75.6% of it on its own, with 9 other manufacturers making up the rest. Among neurological surgery clinicians in VA 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 152 payments — averaging $440.91 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Orthofix Medical, Inc.$51K
- Medtronic$14K
- Cerapedics Inc.$500
- Providence Medical Technology, Inc.$493
- Si-bone, Inc.$307
- Boston Scientific$288
- plus $685 from 4 others
What the payments were for
- Consulting fees$41,12561%
- Speaking & faculty fees$11,55017%
- Travel & lodging$8,94613%
- Food & beverage$5,3978%
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 |
|---|---|---|
| Orthofix Medical, Inc. | 56 | $50,650 |
| Medtronic(2 entities) | 81 | $14,095 |
| Cerapedics Inc. | 1 | $500 |
| Providence Medical Technology, Inc. | 2 | $493 |
| Si-bone, Inc. | 3 | $307 |
| Boston Scientific | 3 | $288 |
| Intrinsic Therapeutics | 1 | $239 |
| Abbott | 2 | $220 |
| Nevro Corp. | 2 | $190 |
| Integra Lifesciences Corporation | 1 | $36 |
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.
- MISCELLANEOUS$18,817
- RIALTO$8,072
- Shoreline ASC$6,441
- RIALTO SI FUSION SYSTEM$2,500
- SYNCHROMED$785
- INTELLIS ADAPTIVESTIM$700
- i-FACTOR Putty$500
- BARRICAID ACD (ANNULAR CLOSURE DEVICE)$478
- SYNCHROMEDII$297
- INTELLIS$255
- 7D Surgical System$166
- PROCLAIM$148
- UNID_PASS$139
- WaveWriter Alpha Prime 16$123
How this compares
$67,018 in reported general payments places this provider in the 90th percentile of 156 neurological surgery providers in Virginia.
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 |
|---|---|---|
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 27 | $692 |
| Oxycodone Hcl | 84 | $581 |
| Gabapentin | 41 | $499 |
| Methocarbamol | 38 | $208 |
| Tramadol Hcl | 14 | $95 |
| Diazepam | 12 | $28 |
Paid to pharmacies, not to this prescriber.
Other neurological surgery in Norfolk
- Parker BabingtonNorfolk$164K
- James BrennanNorfolk$130K
- Venita SimpsonNorfolk$22K
- Byron HillsNorfolk$19K
- Shannon ClarkNorfolk$17K
- Wylie ZhuNorfolk$16K
- Wilson DaughertyNorfolk$6K
- Justin SmithCharlottesville$2.3M
- David VincentVirginia Beach$959K
- Mudit SharmaManassas$714K
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.