Pedro de Oliveira Coutinho, MD
Neurological Surgery · New Haven, CTNPI 1184147795
Payments from drug & device makers
What this record shows
This record is dominated by education: $86,674 of the $128,791 with a category attached, or 67.3%. Pacira Pharmaceuticals Incorporated accounts for 67.3% of it on its own, with 27 other manufacturers making up the rest. Reporting peaked in 2019 at $88,467 and has fallen 91.2% since, to $7,800 in 2025. Among neurological surgery clinicians in CT 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 124 payments — averaging $1038.64 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Pacira Pharmaceuticals Incorporated$87K
- Collagen Matrix, Inc$17K
- Medical Device Business Services, Inc.$5K
- Alphatec Spine, Inc$5K
- Zavation Medical Products, LLC$3K
- Globus Medical$2K
- plus $10K from 22 others
What the payments were for
- Consulting fees$21,71517%
- Speaking & faculty fees$3,3003%
- Travel & lodging$8,6037%
- Food & beverage$8,4997%
- Education$86,67467%
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 |
|---|---|---|
| Pacira Pharmaceuticals Incorporated | 1 | $86,674 |
| Collagen Matrix, Inc | 3 | $16,500 |
| Medical Device Business Services, Inc. | 4 | $5,434 |
| Alphatec Spine, Inc | 10 | $4,875 |
| Zavation Medical Products, LLC | 2 | $3,250 |
| Globus Medical | 12 | $2,454 |
| Medtronic(2 entities) | 17 | $1,954 |
| Nexxt Spine LLC | 8 | $1,518 |
| Si-bone, Inc. | 17 | $1,464 |
| Polaris Technology Solutions LLC | 3 | $588 |
| Arthrex | 7 | $574 |
| Stryker | 7 | $572 |
| Johnson & Johnson(2 entities) | 8 | $540 |
| Nevro Corp. | 4 | $387 |
| Kerecis Limited | 2 | $334 |
| Boston Scientific | 3 | $313 |
| Ossdsign USA Incorporated | 2 | $264 |
| Corelink, LLC | 1 | $183 |
| Camber Spine Technologies LLC | 3 | $163 |
| Augmedics Inc. | 1 | $132 |
| Xtant Medical Inc | 1 | $125 |
| Sanara Medtech Inc. | 1 | $117 |
| Bioventus LLC | 1 | $115 |
| Sivantage, Inc. | 1 | $89 |
| Orthofix Medical, Inc. | 2 | $67 |
| Elevation Spine, Inc. | 1 | $52 |
| DJO, LLC | 1 | $33 |
| Spine Wave, Inc. | 1 | $19 |
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.
- EXPAREL$86,674
- CONDUIT$5,265
- Other - Miscellaneous$4,285
- Excelsius Robotics System$1,654
- CD HORIZON$1,102
- Nexxt Spine Product Portfolio$909
- Kerecis SurgiClose$745
- Xvision$661
- Kerecis Omega3 SurgiClose$443
- LIF$363
- Omnia$341
- Nexxt Matrixx Systems$282
- OssDsign Catalyst$264
- iFuse Implant$225
- Kerecis GraftGuide$186
- Inertia Connexx Systems$170
- Struxxure System$170
- Matrixx SA-LT$159
- Struxxure Plate System$159
- Nexxt Matrixx Technology$159
How this compares
$128,791 in reported general payments places this provider in the 90th percentile of 94 neurological surgery providers in Connecticut.
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 New Haven
- Murat GunelNew Haven$839K
- Ehud MendelNew Haven$120K
- Charles MatoukNew Haven$114K
- Ryan HebertNew Haven$82K
- Mihir GuptaNew Haven$78K
- Khalid AbbedNew Haven$58K
- Jacky YeungNew Haven$50K
- Veronica ChiangNew Haven$40K
- Luis KolbNew Haven$24K
- Dennis SpencerNew Haven$16K
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.