Raphael Sacho, MD
Neurological Surgery · Staten Island, NYNPI 1093183543
Payments from drug & device makers
What this record shows
This record is dominated by consulting fees: $6,500 of the $9,780 with a category attached, or 66.5%. Stryker accounts for 68.7% of it on its own, with 9 other manufacturers making up the rest. 2025 is the largest year on record at $6,833, 5.0 times the $1,365 reported in 2019.
Across 40 payments — averaging $244.50 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- Stryker$7K
- Microvention, Inc.$1K
- Siemens Medical Solutions USA, Inc.$1K
- Contego Medical, Inc$322
- Penumbra, Inc.$186
- Medtronic$124
- plus $161 from 4 others
What the payments were for
- Consulting fees$6,50066%
- Travel & lodging$2,52326%
- Food & beverage$7578%
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 | 10 | $6,721 |
| Microvention, Inc. | 7 | $1,256 |
| Siemens Medical Solutions USA, Inc. | 8 | $1,010 |
| Contego Medical, Inc | 1 | $322 |
| Penumbra, Inc. | 4 | $186 |
| Medtronic | 5 | $124 |
| Johnson & Johnson | 2 | $110 |
| Cardiva Medical, Inc. | 1 | $24 |
| Misonix Inc | 1 | $19 |
| Irras USA, Inc. | 1 | $9 |
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.
- TARGET$6,000
- WEB$1,106
- ARTIS icono biplane$520
- TGS$500
- N/A$167
- PULSERIDER$104
- Benchmark$101
How this compares
$9,780 in reported general payments places this provider in the 65th 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.
Other neurological surgery in Staten Island
- Soriaya MotivalaStaten Island$168K
- John ShiauStaten Island$161K
- Jonathan RasouliStaten Island$93K
- 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
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.