RxDoctor Payments Data

Raymond Tien, MD

Neurological Surgery · Bend, ORNPI 1073518551

Payments from drug & device makers

What this record shows

Almost everything reported here is food and beverage — 100.0% of the total across 53 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 20 manufacturers, the largest accounting for just 19.5% — the pattern of someone who eats at a lot of different presentations. Reporting peaked in 2019 at $364 and has fallen 89.6% since, to $38 in 2025. That places this record below the midpoint for neurological surgery clinicians in OR, where the typical reported total is $2,503.

$1,167in general payments, 2019–2025

Across 53 payments — averaging $22.02 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Medtronic$228
  • Nevro Corp.$173
  • Johnson & Johnson$135
  • Globus Medical$108
  • Stryker$92
  • Microvention, Inc.$55
  • plus $376 from 14 others
$160in research payments, 2019–2025

Across 1 payment — averaging $160.00 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.

  • Medtronic$160

What the payments were for

  • Food & beverage$1,167100%

Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.

General payments by program year

19
20
21
22
23
24
25

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.

How this compares

$1,167 in reported general payments places this provider in the 35th percentile of 95 neurological surgery providers in Oregon.

See all neurological surgery providers in Oregon

Medicare billing

Part B allowed, 2024
$258,256
Medicare patients
549
Services billed
1,006

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

DrugClaimsCost to plans & patients
Gabapentin19$162
Methylprednisolone12$110

Paid to pharmacies, not to this prescriber.

Other neurological surgery in Bend

See the full list for Oregon

Where these figures come from

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